Trial Outcomes & Findings for Early Initiation of Milk Expression in Mothers of Very Low Birth Weight Infants (NCT NCT01892085)

NCT ID: NCT01892085

Last Updated: 2023-08-24

Results Overview

Volume of pumped milk on day 1 postpartum

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

180 participants

Primary outcome timeframe

Day 1 postpartum

Results posted on

2023-08-24

Participant Flow

Participant milestones

Participant milestones
Measure
Early Initiation
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Overall Study
STARTED
58
62
60
Overall Study
COMPLETED
52
61
55
Overall Study
NOT COMPLETED
6
1
5

Reasons for withdrawal

Reasons for withdrawal
Measure
Early Initiation
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Overall Study
Death
4
1
3
Overall Study
Withdrawal by Subject
2
0
2

Baseline Characteristics

Early Initiation of Milk Expression in Mothers of Very Low Birth Weight Infants

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Total
n=168 Participants
Total of all reporting groups
Age, Continuous
26.4 years
STANDARD_DEVIATION 5.4 • n=5 Participants
26.1 years
STANDARD_DEVIATION 6.4 • n=7 Participants
28.2 years
STANDARD_DEVIATION 6.1 • n=5 Participants
26.9 years
STANDARD_DEVIATION 6.0 • n=4 Participants
Sex: Female, Male
Female
52 Participants
n=5 Participants
61 Participants
n=7 Participants
55 Participants
n=5 Participants
168 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=5 Participants
5 Participants
n=7 Participants
8 Participants
n=5 Participants
18 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
47 Participants
n=5 Participants
56 Participants
n=7 Participants
47 Participants
n=5 Participants
150 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
2 Participants
n=7 Participants
0 Participants
n=5 Participants
3 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
23 Participants
n=5 Participants
23 Participants
n=7 Participants
19 Participants
n=5 Participants
65 Participants
n=4 Participants
Race (NIH/OMB)
White
21 Participants
n=5 Participants
32 Participants
n=7 Participants
29 Participants
n=5 Participants
82 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
7 Participants
n=5 Participants
4 Participants
n=7 Participants
7 Participants
n=5 Participants
18 Participants
n=4 Participants
Region of Enrollment
United States
52 participants
n=5 Participants
61 participants
n=7 Participants
55 participants
n=5 Participants
168 participants
n=4 Participants

PRIMARY outcome

Timeframe: Day 1 postpartum

Volume of pumped milk on day 1 postpartum

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Pumped Milk Volume Day 1
3 mL
Standard Deviation 3
4 mL
Standard Deviation 4
5 mL
Standard Deviation 4

PRIMARY outcome

Timeframe: Day 2 postpartum

Volume of breast milk pumped on day 2 postpartum

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Pumped Milk Volume on Day 2
11 mL
Standard Deviation 11
13 mL
Standard Deviation 12
15 mL
Standard Deviation 12

PRIMARY outcome

Timeframe: Day 3 postpartum

Volume of milk pumped on day 3 postpartum

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Pumped Milk Volume Day 3
31 mL
Standard Deviation 30
36 mL
Standard Deviation 31
41 mL
Standard Deviation 31

PRIMARY outcome

Timeframe: Day 4 postpartum

Volume of pumped milk on Day 4 postpartum

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Pumped Milk Volume Day 4
73 mL
Standard Deviation 70
82 mL
Standard Deviation 70
94 mL
Standard Deviation 72

PRIMARY outcome

Timeframe: Day 5 postpartum

Volume of pumped milk on Day 5 postpartum

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Pumped Milk Volume on Day 5
145 mL
Standard Deviation 138
157 mL
Standard Deviation 135
180 mL
Standard Deviation 138

PRIMARY outcome

Timeframe: Day 6 postpartum

Volume of pumped milk on Day 6 postpartum

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=60 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Pumped Milk Volume Day 6
240 mL
Standard Deviation 230
253 mL
Standard Deviation 217
293 mL
Standard Deviation 233

PRIMARY outcome

Timeframe: Day 7 postpartum

Volume of milk pumped on day 7 postpartum

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Pumped Milk Volume on Day 7
337 mL
Standard Deviation 322
343 mL
Standard Deviation 294
400 mL
Standard Deviation 305

PRIMARY outcome

Timeframe: Day 14 postpartum

Volume of pumped milk on day 14 postpartum

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Pumped Milk Volume at Day 14
398 mL
Standard Deviation 380
391 mL
Standard Deviation 335
461 mL
Standard Deviation 352

PRIMARY outcome

Timeframe: Day 21 postpartum

Volume of milk pumped on day 21 postpartum

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Pumped Milk Volume Day 21
396 mL
Standard Deviation 370
377 mL
Standard Deviation 305
447 mL
Standard Deviation 341

PRIMARY outcome

Timeframe: Day 28 postpartum

Volume of milk pumped on day 28 postpartum

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Pumped Milk Volume Day 28
332 mL
Standard Deviation 317
305 mL
Standard Deviation 262
365 mL
Standard Deviation 275

PRIMARY outcome

Timeframe: Day 35 postpartum

Volume of milk pumped on day 35 postpartum

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Pumped Milk Volume on Day 35
234 mL
Standard Deviation 224
209 mL
Standard Deviation 179
252 mL
Standard Deviation 192

PRIMARY outcome

Timeframe: Day 42 postpartum

Volume of milk pumped on day 42 postpartum

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Pumped Milk Volume on Day 42
139 mL
Standard Deviation 133
120 mL
Standard Deviation 103
146 mL
Standard Deviation 112

SECONDARY outcome

Timeframe: Hours from birth to onset of lactogenesis stage 2

Mothers were asked daily concerning a feeling of fullness in their breasts as a measure of onset of lactogenesis stage 2

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Hours From Birth to Onset of Lactogenesis Stage 2
140.5 hours from birth
Standard Deviation 144.7
94.7 hours from birth
Standard Deviation 65
109 hours from birth
Standard Deviation 98.4

SECONDARY outcome

Timeframe: birth to approximately 3 months

Days mothers lactated until infant NICU discharge

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Days Lactated
45.3 days
Standard Deviation 31.8
48.7 days
Standard Deviation 28.2
48.2 days
Standard Deviation 28.3

SECONDARY outcome

Timeframe: Day 1 to 7

The percentage of feeds consisting of mother's own milk consumed by the participant's infants from day 1-7

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Percentage of Feeds Consisting of Mother's Own Milk Week 1
71.7 percent
Standard Deviation 42.1
69.2 percent
Standard Deviation 43.4
81.9 percent
Standard Deviation 36.3

SECONDARY outcome

Timeframe: Day 7-14

The percentage of feeds consisting of mother's own milk consumed by the participants infants from day 7-14

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Percentage of Feeds Consisting of Mother's Own Milk Week 2 Consumed by Infants
65.7 percent
Standard Deviation 45.1
66.7 percent
Standard Deviation 44.1
70.2 percent
Standard Deviation 45.6

SECONDARY outcome

Timeframe: Day 14-21

The percentage of feeds consisting of mother's own milk consumed by the participant's infant from day 14-21

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Percentage of Feeds Consisting of Mother's Own Milk Week 3
55.7 percent
Standard Deviation 48.5
59.6 percent
Standard Deviation 48.7
70.2 percent
Standard Deviation 45.1

SECONDARY outcome

Timeframe: Day 21-28

The percentage of feeds consisting of mother's own milk consumed by the participant's infant from day 21-28

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Percentage of Feeds Consisting of Mother's Own Milk Week 4
57.5 percent
Standard Deviation 48
62.3 percent
Standard Deviation 46.4
64.5 percent
Standard Deviation 47.7

SECONDARY outcome

Timeframe: Day 28-35

The percentage of feeds consisting of mother's own milk consumed by the participant's infant from day 28-35

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Percentage of Feeds Consisting of Mother's Own Milk Week 5
51.8 percent
Standard Deviation 49
54.3 percent
Standard Deviation 48.1
65.6 percent
Standard Deviation 46.5

SECONDARY outcome

Timeframe: Day 35-42

The percentage of feeds consisting of mother's own milk consumed by the participant's infant from day 35-42

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Percentage of Feeds Consisting of Mother's Own Milk Week 6
51.1 percent
Standard Deviation 48.9
53.9 percent
Standard Deviation 49.7
56 percent
Standard Deviation 48.6

SECONDARY outcome

Timeframe: 24 hour period prior to NICU discharge

The percentage of feedings consisting of mother's own milk consumed by the participant's infant over the 24 hours period prior to NICU discharge among mothers who continued to lactate

Outcome measures

Outcome measures
Measure
Early Initiation
n=52 Participants
Initiation of breast milk expression \<1 hour following delivery. Early initiation: Initiation of breast milk expression \<1 hour following delivery.
Intermediate Expression
n=61 Participants
Initiation of milk expression 1-\<3 hours following delivery. Intermediate expression: Initiation of milk expression 1-\<3 hours following delivery.
Late Initiation
n=55 Participants
Initiation of milk expression \>3-6 hours following delivery. Late initiation: Initiation of milk expression \>3-6 hours following delivery.
Percentage of Feedings Consisting of Mother's Own Milk at NICU Discharge
82 Percent
Standard Deviation 30.8
80 Percent
Standard Deviation 31.2
90 Percent
Standard Deviation 20

Adverse Events

Early Initiation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intermediate Expression

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Late Initiation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Leslie Parker

University of Florida

Phone: 352 215 9360

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place