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Mayo Clinic Health System Northwest Wisconsin Integrated Maternal Postpartum Appointment Combination

IMPAC: Integrated Maternal Postpartum Appointment Combination in Mayo Clinic Health System Northwest Wisconsin

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06395168
Acronym
IMPAC
Enrollment
246
Registered
2024-05-02
Start date
2024-08-19
Completion date
2026-10-01
Last updated
2026-06-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast Feeding

Brief summary

The purpose of this study is to explore whether combining the first post-hospital newborn provider visit and lactation consultation into a single appointment can enhance rates of successful breastfeeding initiation and continuation at predefined intervals (e.g., one week, one month, two months, three months, four months, six months, and 12 months postpartum).

Detailed description

This interventional, comparative effectiveness study investigates the impact of integrating the first newborn outpatient provider and lactation consultant visits, potentially reducing appointments for new mothers while ensuring early lactation support. The outcomes, including breastfeeding continuation rates and maternal satisfaction, will be measured against the conventional separate visit model. The ultimate goal is to prolong breastfeeding duration, enhance care quality, improve efficiency, and enrich patient experience.

Interventions

OTHERCombined Newborn and Lactation Visit

See Arm/Group Description

Sponsors

Mayo Clinic
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Mothers aged greater than or equal to 18 years. * Mothers who are able to provide informed consent for participation in this study. * Mothers registered as patients at Mayo Clinic Health System Northwest Wisconsin. * Mothers who have given birth within the past four days prior to enrollment into this study. * Mothers who intend to breastfeed their newborns. * Mothers who are willing and able to participate in this study. * Mothers who are able to communicate in English. * Mothers with the ability to connect to the internet and complete electronic data collection.

Exclusion criteria

* Mothers who are unable or unwilling to provide informed consent for participation in this study. * Mothers less than 18 years of age. * Mothers unable to complete study procedures or follow-up visits. * Mothers with medical complications that could interfere with breastfeeding (e.g., breast reduction). * Mothers who have no intention to breastfeed their newborns. * Mothers who are unwilling to follow up with lactation. * Infants who have already had their first postpartum outpatient provider visit. * Pre-term infants (less than 37 weeks). * Special care admission greater than two days. * Length of stay or anticipated LOS greater than four days. * Transfer to an outside facility. * Inability to communicate in English. * When slots are no longer available.

Design outcomes

Primary

MeasureTime frameDescription
Difference of breastfeeding rates with a combined lactation/newborn visit versus separate visits.Duration of the study (expected 1 year)Looking for the difference of breastfeeding continuation between the intervention and control group. Hypothesis is higher breastfeeding rates in the combined lactation/newborn visit.

Countries

United States

Contacts

PRINCIPAL_INVESTIGATORMelissa Thompson, CNP, DNP, APNP

Mayo Clinic

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 25, 2026