Breastfeeding Support and Promotion Program to Improve the Health of Premature Babies (PAP-LM)

NCT ID: NCT06653595

Last Updated: 2024-10-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

162 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-10-13

Study Completion Date

2024-03-20

Brief Summary

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This study evaluates the effectiveness of a breastfeeding support and promotion program to increase exclusive breastfeeding rates in the preterm group. The intervention is performed by an Advanced Practice Nurse and International Board Certified Breastfeeding Consultant (IBCLC), with high expertise in breastfeeding problems. It is a combination of face-to-face, home care and telephone attention to improve the adherence to breastfeeding. The intervention lasts 6 months.

Detailed Description

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Will be included moderately premature infants to the Neonatal Unit of the Hospital Clínic who achieve with the inclusion criteria of the study. The sample calculation includes 162 subjects to increase breastfeeding rates to 70% at discharge, 50% at 3 months and 40% at 6 months of the babies. Mothers who wish to exclusively breastfeed up to 6 months and sign the informed consent, will be randomized into the experimental group or control group. The control group will receive usual care and the experimental group will receive 1 pre-discharge face-to-face session, 8 home care sessions up to 4 months and 3 telephone follow-up sessions up to 6 months of baby.

Conditions

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Prematurity; Extreme Prematurity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

We will be use the random.org program to randomize families into two groups: experimental group (which will receive the intervention) and control group (which will receive usual care).The experimental group intervention will include: 1 pre-discharge face-to-face session, 8 home sessions until 4 months, and 3 telephone sessions until the baby is 6 months old. All sessions will be conducted by an Advanced Practice Nurse and IBCLC Expert in breastfeeding issues.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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CONTROL GROUP

The Control Group receives the usual intervention from the health center, that consists in breastfeeding support in the NICU 1 time/week until hospital discharge.

Group Type NO_INTERVENTION

No interventions assigned to this group

EXPERIMENTAL GROUP

The Experimental Group receives the PAP-LM programme.

Group Type EXPERIMENTAL

Programme to Support Breastfeeding

Intervention Type OTHER

The intervention consists of active support for breastfeeding by a lactation expert and IBCLC until the premature baby is 6 months old. The intervention includes: 1 face-to-face pre-discharge session, 8 home sessions up to 4 months and 3 telephone sessions up to 6 months.

Interventions

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Programme to Support Breastfeeding

The intervention consists of active support for breastfeeding by a lactation expert and IBCLC until the premature baby is 6 months old. The intervention includes: 1 face-to-face pre-discharge session, 8 home sessions up to 4 months and 3 telephone sessions up to 6 months.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Moderate premature
* Late premature babies
* Admitted to the NICU of Hospital Clínic
* Single pregnancy
* Families residing in the Barcelona Metropolitan Area (AMB)
* Families with a good mental health
* Families with a desire for Exclusive Breastfeeding up to 6 months

Exclusion Criteria

* Maternal diseases that contraindicate breastfeeding
* Mothers with a history of breast surgery
* Mothers with a history of severe hypogalactia
* Premature babies with severe complications
* Premature babies diagnosed with severe CIR
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Barcelona

OTHER

Sponsor Role lead

Responsible Party

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Mireia Pascual Tutusaus

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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MIREIA PASCUAL

Role: PRINCIPAL_INVESTIGATOR

HOSPITAL CLÍNIC I PROVINICIAL DE BARCELONA

Locations

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Rosselló 230

Barcelona, , Spain

Site Status

C/Sabino de Arana, 1

Barcelona, , Spain

Site Status

Countries

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Spain

References

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Bonuck KA, Trombley M, Freeman K, McKee D. Randomized, controlled trial of a prenatal and postnatal lactation consultant intervention on duration and intensity of breastfeeding up to 12 months. Pediatrics. 2005 Dec;116(6):1413-26. doi: 10.1542/peds.2005-0435.

Reference Type BACKGROUND
PMID: 16322166 (View on PubMed)

Bonuck K, Stuebe A, Barnett J, Labbok MH, Fletcher J, Bernstein PS. Effect of primary care intervention on breastfeeding duration and intensity. Am J Public Health. 2014 Feb;104 Suppl 1(Suppl 1):S119-27. doi: 10.2105/AJPH.2013.301360. Epub 2013 Dec 19.

Reference Type BACKGROUND
PMID: 24354834 (View on PubMed)

Dias de Oliveira L, Justo Giugliani ER, Cordova do Espirito Santo L, Meirelles Nunes L. Counselling sessions increased duration of exclusive breastfeeding: a randomized clinical trial with adolescent mothers and grandmothers. Nutr J. 2014 Jul 17;13:73. doi: 10.1186/1475-2891-13-73.

Reference Type BACKGROUND
PMID: 25033743 (View on PubMed)

Gross RS, Mendelsohn AL, Gross MB, Scheinmann R, Messito MJ. Randomized Controlled Trial of a Primary Care-Based Child Obesity Prevention Intervention on Infant Feeding Practices. J Pediatr. 2016 Jul;174:171-177.e2. doi: 10.1016/j.jpeds.2016.03.060. Epub 2016 Apr 21.

Reference Type BACKGROUND
PMID: 27113376 (View on PubMed)

Hopkinson J, Konefal Gallagher M. Assignment to a hospital-based breastfeeding clinic and exclusive breastfeeding among immigrant Hispanic mothers: a randomized, controlled trial. J Hum Lact. 2009 Aug;25(3):287-96. doi: 10.1177/0890334409335482. Epub 2009 May 12.

Reference Type BACKGROUND
PMID: 19436060 (View on PubMed)

Kools EJ, Thijs C, Kester AD, van den Brandt PA, de Vries H. A breast-feeding promotion and support program a randomized trial in The Netherlands. Prev Med. 2005 Jan;40(1):60-70. doi: 10.1016/j.ypmed.2004.05.013.

Reference Type BACKGROUND
PMID: 15530582 (View on PubMed)

Nabulsi M, Tamim H, Shamsedine L, Charafeddine L, Yehya N, Kabakian-Khasholian T, Masri S, Nasser F, Ayash S, Ghanem D. A multi-component intervention to support breastfeeding in Lebanon: A randomized clinical trial. PLoS One. 2019 Jun 14;14(6):e0218467. doi: 10.1371/journal.pone.0218467. eCollection 2019.

Reference Type BACKGROUND
PMID: 31199849 (View on PubMed)

O'Reilly SL, McNestry C, McGuinness D, Killeen SL, Mehegan J, Coughlan B, O'Brien EC, O'Brien D, Szafranska M, Brosnan M, Sheehy L, Murtagh R, O'Hagan L, Corbett M, Walsh M, Keogh R, Power P, Woodcock M, Phelan M, Carroll A, Murray S, Scallan C, Dunn E, McAuliffe FM. Multicomponent perinatal breastfeeding support in women with BMI >25: The Latch On multi-centre randomised trial. BJOG. 2024 Aug;131(9):1197-1206. doi: 10.1111/1471-0528.17782. Epub 2024 Feb 12.

Reference Type BACKGROUND
PMID: 38344894 (View on PubMed)

Petrova A, Ayers C, Stechna S, Gerling JA, Mehta R. Effectiveness of exclusive breastfeeding promotion in low-income mothers: a randomized controlled study. Breastfeed Med. 2009 Jun;4(2):63-9. doi: 10.1089/bfm.2008.0126.

Reference Type BACKGROUND
PMID: 19239405 (View on PubMed)

Tahir NM, Al-Sadat N. Does telephone lactation counselling improve breastfeeding practices? A randomised controlled trial. Int J Nurs Stud. 2013 Jan;50(1):16-25. doi: 10.1016/j.ijnurstu.2012.09.006. Epub 2012 Oct 17.

Reference Type BACKGROUND
PMID: 23084438 (View on PubMed)

You H, Lei A, Xiang J, Wang Y, Luo B, Hu J. Effects of breastfeeding education based on the self-efficacy theory on women with gestational diabetes mellitus: A CONSORT-compliant randomized controlled trial. Medicine (Baltimore). 2020 Apr;99(16):e19643. doi: 10.1097/MD.0000000000019643.

Reference Type BACKGROUND
PMID: 32311936 (View on PubMed)

Other Identifiers

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HCB/2021/0595

Identifier Type: -

Identifier Source: org_study_id

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