Professional Breastfeeding Support Intervention
2015年3月12日 更新者：Marie Tarrant、The University of Hong Kong
A Randomized Controlled Trial of a Professional Breastfeeding Support Intervention to Increase the Exclusivity and Duration of Breastfeeding
The investigators will conduct an early postpartum professional breastfeeding intervention to postpartum women who are intended to breastfeed newborn babies to improve breastfeeding outcomes.
研究概览
详细说明
The aim of this study is to determine whether early post-partum professional breastfeeding support improves breastfeeding outcomes.
The primary hypotheses are:
- Exclusive breastfeeding rates at 1, 2, and 3 months will be increased among mother-infant pairs who receive professional lactation support or telephone follow-up support (intervention groups) when compared with those who receive usual post-natal breastfeeding support (control group);
- The rate of any breastfeeding (predominant or partial) at 1, 2, and 3 months will be increased among mother-infant pairs in the intervention groups when compared with those in the control group;
The secondary hypotheses are:
- The overall duration of exclusive breastfeeding will be increased among mother-infant pairs in the intervention groups when compared with those in the control group;
- The overall duration of any breastfeeding (predominant or partial) will be increased among mother-infant pairs in the intervention groups when compared with those in the control group.
研究类型
介入性
注册 (实际的)
722
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Hong Kong、香港
- Queen Mary Hospital
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Hong Kong、香港
- Princess Margaret Hospital
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Hong Kong、香港
- Kwong Wah Hospital
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Hong Kong、香港
- Pamela Youde Nethersole Eastern Hospital
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 及以上 (成人、年长者)
接受健康志愿者
是的
有资格学习的性别
女性
描述
Inclusion Criteria:
- delivers at participating trial site,
- primiparous,
- intends to breastfeed,
- 18 years of age or older,
- has singleton pregnancy,
- Cantonese speaking,
- Hong Kong resident for more than one year,
- no serious medical or obstetrical complications
Exclusion Criteria:
- < 37 weeks gestation,
- an Apgar score < 8 at five minutes,
- a birth weight < 2500 grams,
- born with any severe medical conditions or congenital malformations,
- is placed in the special care nursery for more than 48 hours after delivery,
- is placed in the intensive care nursery after delivery,
- not entitled to health benefits in Hong Kong (NEP).
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
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无干预：Control
In-hospital usual care consists of routine intrapartum and postnatal obstetric care.
No extra intervention will be provided by research team.
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实验性的：In-hospital professional support
The participants in "in-hospital professional support" arm will receive three 30-minute one-to-one hands-on breastfeeding counseling sessions during postpartum hospitalization.
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In-hospital professional lactation support will consist of two 30-minute one-to-one hands-on breastfeeding counseling sessions in first 24 hours post-partum and one further 30-minute one-to-one hands-on breastfeeding counseling session on the second day of post-partum hospitalization for a total of three 30-minute sessions.
The one-to-one sessions will focus on: (1) education and advice on correct breastfeeding positions and techniques, (2) education and advice on milk supply and how to avoid common breastfeeding problems, and (3) hands-on instruction and assistance with proper breastfeeding positioning and technique, latching on and newborn attachment to the breast, and manual expression of breast milk.
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实验性的：Postpartum telephone follow-up support
Participants in "postpartum telephone follow-up support" arm will receive telephone support in the first 4 weeks postpartum.
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Postpartum telephone follow-up support will consist of telephone support 72 hours after hospital discharge and weekly for the first 4 weeks, or until weaned.
Earlier telephone contacts will focus more on breastfeeding topics.
Information will be solicited from the participants about problems or difficulties they are experiencing.
Supportive advice will be provided regarding management of breastfeeding problems, and support and encouragement for the continuation of breastfeeding.
Later contacts will focus more on advice and encouragement on breastfeeding while resuming daily activities or returning to work, nursing in public places, and expressing and storing breast milk.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Prevalence of any and exclusive breastfeeding
大体时间：1 month postpartum
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Any breastfeeding rate and exclusive breastfeeding rate at 1 month postpartum
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1 month postpartum
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Prevalence of any and exclusive breastfeeding
大体时间：2 months postpartum
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Any breastfeeding rate and exclusive breastfeeding rate at 2 months postpartum
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2 months postpartum
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Prevalence of any and exclusive breastfeeding
大体时间：3 months postpartum
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Any breastfeeding rate and exclusive breastfeeding rate at 3 months postpartum
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3 months postpartum
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Median duration of breastfeeding
大体时间：6 month postpartum
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The median duration of any breastfeeding and the median duration of exclusive breastfeeding.
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6 month postpartum
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Marie TARRANT, PhD, MPH, RN、The University of Hong Kong
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始
2010年9月1日
初级完成 (实际的)
2012年4月1日
研究完成 (实际的)
2013年3月1日
研究注册日期
首次提交
2013年6月6日
首先提交符合 QC 标准的
2013年7月2日
首次发布 (估计)
2013年7月9日
研究记录更新
最后更新发布 (估计)
2015年3月17日
上次提交的符合 QC 标准的更新
2015年3月12日
最后验证
2015年3月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.