Telelactation support for Breast Feeding

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
RAND Corporation, Arlington, VA
Breast Feeding
Telelactation support - Behavioral
Eligibility
18 - 65
Female
Eligible conditions
Select

Study Summary

The Impact of Telelactation Services on Breastfeeding Outcomes

See full description

Treatment Effectiveness

Study Objectives

This trial is evaluating whether Telelactation support will improve 3 primary outcomes and 2 secondary outcomes in patients with Breast Feeding. Measurement will happen over the course of 8 weeks postpartum.

6 months post-partum
Breastfeeding duration 2
6 months postpartum
Breastfeeding duration 1
Breastfeeding exclusivity
Breastfeeding satisfaction
8 weeks postpartum
Experiences with telelactation

Trial Safety

Trial Design

2 Treatment Groups

ebook
1 of 2
Telelactation support
1 of 2
Active Control
Experimental Treatment

This trial requires 2400 total participants across 2 different treatment groups

This trial involves 2 different treatments. Telelactation Support is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Telelactation support
Behavioral
Participants in the experimental group will receive unlimited, free telelactation visits with lactation consultants (IBCLCs) as demanded up to 24 weeks post-partum. Services will be available through mobile phone app.
ebookParticipants in the control arm will receive care as usual. They will also receive a ebook with content on infant care.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 6 months postpartum
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 6 months postpartum for reporting.

Closest Location

RAND Corporation - Arlington, VA

Eligibility Criteria

This trial is for female patients between 18 and 65 years old. There are 4 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
≥ 18 years of age
pregnant with first child
intend to attempt breastfeeding
residing in a state underserved by IBCLCs

Patient Q&A Section

What causes breast feeding?

"Breast-fed infants develop less illness in the first 2 years of life in many cases probably due to prebiotic factors such as bifidobacteria. These advantages for breast fed infants need to be balanced against possible adverse effects of breast milk on the child at a later point in life." - Anonymous Online Contributor

Unverified Answer

Can breast feeding be cured?

"Almost two thirds of people with advanced [breast cancer](https://www.withpower.com/clinical-trials/breast-cancer) reported feeling that they had regained a significant part of their pre-cancer body weight after 12 m months of exclusive breast feeding. However, the majority of survivors perceived that full breast feeding was unlikely to return all of their weight to pre-cancer weight. We suggest that, for many people who perceive that breast feeding has made a significant and significant contribution towards their recovery, ongoing breast feeding may be perceived to provide a sense of normality, which encourages them to feel they are 'getting on with life' or 'getting on with the world' despite their cancer." - Anonymous Online Contributor

Unverified Answer

What are common treatments for breast feeding?

"Although there is only a limited amount of published data, studies published in the past five years suggest that there may be a trend of reluctance on the part of mothers to discontinue breast feeding. Despite the limited number of studies published, the majority of studies found that breastfeeding was an important component to an infant's overall well-being. Many studies found advantages to breast-feeding, such as [improved growth] for both the mother and baby. In addition, breastfeeding decreased the risk of chronic disease in the child in later life. Breast feeding remained significant in the health of both the mother and baby despite other influences such as smoking, alcohol consumption, and lack of exercise." - Anonymous Online Contributor

Unverified Answer

What are the signs of breast feeding?

"Breast feeding appears to be a safe means of providing nutrients to the infant, and breast-fed infants are at no greater hazard of developing a variety of diseases later in life. Breast-feeding appears to be a healthy mode of feeding for infants. However, a thorough, regular and knowledgeable breast-feeding routine by mothers has several vital elements. The health status of a breast-fed child is a result of the mothers’ well-being and that of her infant, and if the latter is healthy then the former will be healthy." - Anonymous Online Contributor

Unverified Answer

What is breast feeding?

"At the age of 2 years, mothers' beliefs about breast feeding are strongly influenced by their beliefs and that of the health professionals who are involved in assessing them, and in turn influence their breastfeeding. The strongest influence on breast feeding seems to be provided by health professionals who were trained to deal with mothers with low intelligence and whose advice is consistent with the attitude of their peers." - Anonymous Online Contributor

Unverified Answer

How many people get breast feeding a year in the United States?

"There have not yet been updated numbers on a national level. However, there have been research studies which support the need to create a national breastfeeding map. As of today however, there have been few data regarding the current status on the use of breast feeding in the United States. Current data show that a lower rates of breastfeeding are found in women who are ages older than 18 and who have lower education levels, although there is no statistical significant difference between different races and ethnicities. There are not enough national data to create a full-inclusive breastfeeding map. The current data support the need to create a national breastfeeding map." - Anonymous Online Contributor

Unverified Answer

Does telelactation support improve quality of life for those with breast feeding?

"The use of telephone telelactation support to aid mothers in the care of infants may improve care for mothers and children. A randomized controlled trial is needed to confirm whether telephone telelactation can improve mothers' wellbeing at home. Telelactation support is an intervention with potential to reduce negative impacts of time out of the workforce for both mothers and their working babies." - Anonymous Online Contributor

Unverified Answer

Has telelactation support proven to be more effective than a placebo?

"Telehealth support can be used to reduce mother-infant separation times. Telehealth can also decrease the duration of supplemental breast milk to no more than six months beyond the normal weaning period of the infant." - Anonymous Online Contributor

Unverified Answer

Is telelactation support safe for people?

"Although this study has limitations including small sample size, use of a telephone interview protocol and the use of self-report and case-study, it will add to the body of research on the health and well-being of telelactating mothers and their infants in this age of telehealth. In the absence of empirical evidence on the safety of telelactation, this study demonstrates the need for a definitive clinical trial investigating the safety of such care." - Anonymous Online Contributor

Unverified Answer

What is the average age someone gets breast feeding?

"There is a trend for young ages to be associated with less exclusive breast feeding and for older age to be associated with duration of breast feeding, but there is no strong evidence supporting this. Given that the frequency of the timing of breast feeding has shown to be a key influence on later child health, this research suggests that all factors that influence how long and how often breast should be expressed must be taken into consideration." - Anonymous Online Contributor

Unverified Answer

What does telelactation support usually treat?

"Telehealth services, the most common of which is MLW, were offered to mothers with breast feeding problems. Benefits are reported by mothers in the areas of: enhancing the mother's self-esteem, reducing the need to seek care, and providing reassurance and advice on breastfeeding difficulties." - Anonymous Online Contributor

Unverified Answer

Does breast feeding run in families?

"Despite methodological limitations, the results indicate a large and significant degree of heritability of the association between breast-feeding and later onset of asthma and atopy." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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