Breastfeeding Education and Support Trial for Obese Women (BESTOW)

University of Connecticut

Status: Completed

Conditions: Exclusive Breastfeeding; Breastfeeding Initiation

Treatments: Behavioral: Breastfeeding Peer Counseling

Study type: Interventional

Funder types: Other

Identifiers

NCT01338727

DF05-015 (Other Grant/Funding Number)

H06-009

Details and patient eligibility

About

The primary objective of this study is to evaluate the efficacy of a specialized exclusive breastfeeding education and support program targeting obese, pregnant, low-income women in Hartford, CT. Specifically, the investigators will evaluate the impact of the intervention on exclusive and partial breastfeeding rates at birth, 1, 3 and 6 months pp. Secondary aims of this study are: a) to characterize postpartum weight loss patterns and blood pressure values of obese women, by study group; and b) to evaluate potential differences in infant morbidity (diarrhea, otitis media and rehospitalization), by study group.

Enrollment: 206 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• obese (prepregnant BMI 27.0 or greater)
• pregnant women delivering at Hartford Hospital
• no more than 34 weeks gestation
• considering breastfeeding this child
• low income (<185% Federal poverty level)
• planning to remain in the greater Hartford area for 6 months postpartum
• must have access to a telephone for follow-up interviews
• delivery of a healthy, term, singleton

Exclusion criteria

• HIV positive or having other conditions which interfere with exclusive breastfeeding
• Infant admitted to the Neonatal Intensive Care Unit

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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206 participants in 2 patient groups

Breastfeeding Peer Counseling

Experimental group

Treatment:

Behavioral: Breastfeeding Peer Counseling

Standard Care

No Intervention group