Early Digi-physical Support During Breastfeeding Initiation

Region Stockholm

Status: Enrolling

Conditions: Self Efficacy; Breastfeeding Duration; Breastfeeding; Depression

Treatments: Other: Digi-physical breastfeeding support

Study type: Interventional

Funder types: Other

Identifiers

NCT06044636

BREASTFEEDING

Details and patient eligibility

About

The purpose of this Randomized Controlled Trial is to develop and evaluate a digi-physical intervention within primary health care lactation counselling and breastfeeding support to promote exclusive breastfeeding rates during the first 6 months after birth and to prevent depressive symptoms.

The project addresses parents during pregnancy week 20 and 32 and will continue during the infant's first year of life. All participants will get access to an evidence-based information package (theory and practical advises) during pregnancy.

Study aim is to develop and evaluate digital evidence-based information materials and continuous support for both parents in order to increase prevalence of exclusive breastfeeding and duration as well as decreasing the risks of symptoms of post-partum depression.

Full description

The project design is a single-blind randomized controlled trial.

The intervention group will receive:

• Digital support by chat with a lactation consultant for immediate breastfeeding support two-three weeks after delivery
• Extended home visits by pediatric nurses providing extra knowledge and support about lactation
• Extra support by health care providers educated in lactation counseling when needed.

More specific purposes are:

• Compare the prevalence of exclusive breastfeeding until 6 months and duration of breastfeeding up to one year between the intervention and the control group. (Primary outcome)
• Compare prevalence of depression symptoms between the intervention and control group. (Secondary outcome)
• Strengthening parents' self-efficacy in breastfeeding their child.

Enrollment: 320 estimated patients

Sex: All

Ages: 25 to 45 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Being pregnant or partner of a person who is pregnant in pregnancy week 20-32
• All parents with language skills enabling them to fill out questionnaires, participate in interviews and read information.
• Being resident in Stockholm Region

Exclusion criteria

• Parents without adequate Swedish language skills
• Parents resident outside the Stockholm Region

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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320 participants in 2 patient groups

Digi-physical breastfeeding counceling

Active Comparator group

Description:

Interventions: Digi-physical breastfeeding counseling * At discharge from the maternity ward: contact with lactation consultant (breastfeeding support and care) via the support hotline with chat as soon as questions or problems arise. The hotline will be available during the whole project period. * After discharge from the maternity ward: pediatric nurse from Child Health Care Unit (CHC) will contact families and make a home visit (physical or digital), giving extended lactation advice and support. Additional home visits if needed. * After discharge until one year after childbirth: the possibility of getting into contact with specialized lactation consultant/nurse at lactation counseling units if needed. Intervention type: Chatt via Application Alltid Öppet owned by Region Stockholm. The intervention group will follow current healthcare routines in the Region Stockholm and will get access to an evidence-based information package about breastfeeding from pregnancy week 20.

Treatment:

Other: Digi-physical breastfeeding support

Usual care with physical visits

No Intervention group

Description:

Title: Usual care with physical visits The control group will follow current healthcare routines in the Region Stockholm and will get access to an evidence-based information package about breastfeeding from pregnancy week 20.