Impact of the Training of Nursing Staff on the Practice of Manual Expression of Early Colostrum in Neonatal Medicine

NCT ID: NCT04548050

Last Updated: 2023-09-29

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 82 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2020-09-14
• Study Completion Date: 2022-04-21

Brief Summary

Colostrum is an irreplaceable nutrient rich in protein and antibodies. Its taste and smell are similar to those of amniotic fluid (therefore rich for the senses of the baby separated from his mother). It should be offered to every newborn baby, regardless of term and the type of breastfeeding their mom wants. The early expression of colostrum, within the first 2 hours after childbirth, is an essential way to start lactation of a mother separated from her baby. The sooner and more often the mother stimulates her breasts, the more milk she will have for her baby in the weeks to come. Manual expression of milk is therefore an essential gesture to initiate lactation, maintain it, and giving colostrum to babies as early as possible is beneficial. Two studies carried out in the neonatal medicine department of Felix Guyon Hospital in premature infants <33 week of amenorrhea (PRE'OLACT study in 2015-2016 by Dr RAJAOFERA and Diploma from university (DU) breastfeeding brief in 2018-2019 by Dr GRONDARD) found the same results: the desire for breastfeeding is 80% but manual expression of colostrum before H24 is only achieved by 30% of mothers and before H6 in only 6% of cases.

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Conditions

Early Breastfeeding

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

mothers informed by untrained nurse

No interventions assigned to this group

mothers informed by trained nurse

Nurses training

Intervention Type: OTHER

• Presentation of the benefits of colostrum and manual expression technique on a slide show and practical workshops for learning the manual expression technique on a fictitious breast.
• Presentation to all staff of a service protocol for early colostrum donation.

mothers informed by nurses trained 6 months ago

Nurses training

Intervention Type: OTHER

• Presentation of the benefits of colostrum and manual expression technique on a slide show and practical workshops for learning the manual expression technique on a fictitious breast.
• Presentation to all staff of a service protocol for early colostrum donation.

Interventions

Nurses training

• Presentation of the benefits of colostrum and manual expression technique on a slide show and practical workshops for learning the manual expression technique on a fictitious breast.
• Presentation to all staff of a service protocol for early colostrum donation.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• All mothers, over 18 years of age, of newborns hospitalized in neonatal medicine at the University Hospital Center (CHU) - Félix GUYON Hospital during the study period.
• Expressed no opposition from mothers to their participation and to the use of their data

Exclusion Criteria

• Outborn
• Mother not hospitalized in the maternity ward of Félix Guyon Hospital
• Prognosis for the child engaged in the first 24 hours
• Difficult oral comprehension
• Medical contraindication to breastfeeding
• Unseen mother <3D

• Minimum Eligible Age: 18 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: No

Sponsors

Centre Hospitalier Universitaire de la Réunion

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Centre Hospitalier Universitaire de la Réunion

Saint-Denis, , France

Countries

France

Other Identifiers

2020/CHU/26

Identifier Type: -

Identifier Source: org_study_id