Anxiety, Breastmilk, Cortisol, Depression, Lactation, Meditation, Mindfulness, Neonatal, NICU, Oxytocin, Pumping, Breast
Conditions
Keywords
lactation, mindfulness, NICU, breastmilk, Neonatal, meditation, pumping, breast, cortisol, oxytocin, anxiety, Depression
Brief summary
The purpose of this research is to investigate associations between mindfulness and meditation techniques and changes in maternal breastmilk in the mother pumping for her NICU infant.
Interventions
BEHAVIORALStandard of Care
No additional session with the lactation consultant will be provided beyond the standard of care lactation admission visit with a lactation consultant within 72 hours of their infant's admission to the NICU. On days 0, 10 and 20, participants will be asked to record pumping session times and breastmilk volumes expressed for 24 hours, collect salivary oxytocin sample and salivary cortisol sample at minute 4 of one pumping session, and fill out the GAD7, PSS, and PHQ-8 surveys.
BEHAVIORALMindfulness-based Intervention
In addition to the standard of care lactation admission visit, participants will receive an additional session with the lactation consultant for mindfulness-based lactation education. Participants will also be provided with a pumping meditation audio recording that they will be asked to listen to at least once daily for the next 20 days. On days 0, 10 and 20, participants will be asked to record pumping session times and breastmilk volumes expressed for 24 hours, collect salivary oxytocin sample and salivary cortisol sample at minute 4 of one pumping session, and fill out the GAD7, PSS, and PHQ-8 surveys. In addition, the intervention group participants will also be asked to record the number of times they listened to the recording daily, minutes listened to recording daily, and time of day listened to recording.
Sponsors
Mayo Clinic
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
20 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Maternal age \> 20 years of age * Read, write and understand English * Infant NICU admit * Infant birthplace of Rochester, MN (Mayo Clinic) * Maternal adherence to pumping ≥ 8 times in 24 hours * Mother enrolled within 72 hours of birth * Gestational age of neonate at birth of \< 34 0/7 weeks
Exclusion criteria
* Maternal extensive existing mindfulness practice * Maternal breast/chest surgery * Maternal polycystic ovarian syndrome (PCOS) * Maternal current illicit substance abuse * Diagnosis of maternal current severe mental health concerns * Maternal multiple gestation (twins or higher order) pregnancy and delivery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in breastmilk volume | Baseline, 10 days, 20 days | Volume will be reported in milliliters (mL) |
Secondary
| Measure | Time frame |
|---|---|
| Change in salivary oxytocin | Baseline, 10 days, 20 days |
| Change in salivary cortisol | Baseline, 10 days, 20 days |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORAshley Thompson
Mayo Clinic
Outcome results
None listed