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Promotion of Breastfeeding Intervention Trial

Not Applicable
Completed
Conditions
Effect of Breastfeeding on Maternal and Child Health Outcomes
Interventions
Behavioral: Breastfeeding promotion and support
Registration Number
NCT01561612
Lead Sponsor
Harvard Pilgrim Health Care
Brief Summary

The overall goal of the PROBIT study is to investigate the influence of a randomized breastfeeding promotion intervention designed to increase the duration and exclusivity of breastfeeding ("the breastfeeding promotion intervention") on the development of maternal and child health outcomes. The hypothesis is that randomization to the intervention will be associated with lower child adiposity, lower risk of asthma and atopy, improved lung function, and improved cognitive outcomes.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
17046
Inclusion Criteria
  • Birth at one of 34 Maternity Hospitals in Republic of Belarus
  • Breastfeeding initiated at birth, with no contraindications to breastfeeding
  • Apgar score >=5 at 5 minutes
  • Full term gestation
  • Birth weight > 2500g
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
InterventionBreastfeeding promotion and supportBreastfeeding promotion according to World Health Organization's Baby Friendly Hospital Initiative
Primary Outcome Measures
NameTimeMethod
Gastrointestinal tract infection12 months of age

Occurrence of 1 or more episodes of gastrointestinal tract infection

Secondary Outcome Measures
NameTimeMethod
Maternal adiposity6.5 and 11.5 years postpartum
Child adiposityThroughout childhood
dental caries6.5 years
lung function16 years
adiponectinage 11.5 years

adiponectin from dried bloodspot

Apo A1Child age 11.5 years

Apo A1 in dried bloodspots

cognition6.5 and 16 years
child heightthroughout childhood

Research measures of length/height

insulinchild age 11.5 years

insulin measured on dried blood spots

Apo BChild age 11.5 years

Apo B measured in dried blood spots

child behavior6.5 years
IGF-1Age 11.5 years

IGF from dried bloodspots

glucosechild age 11.5 years

fingerstick glucose measured by glucometer

Child blood pressurethroughout childhood

Research measures of blood pressure at ages 6.5, 11.5 and 16 years

Child metabolic syndromeAge 11.5 years
Maternal blood pressure11.5 years postpartum

Research measure of maternal blood pressure

Child growthThroughout childhood

Growth in weight, length, weight for length, BMI, and other measures

Respiratory tract infectionsto age 12 months and throughout childhood

Number of respiratory infections, from review of medical record

AtopyAge 6.5 years

Skinprick tests for allergy

Eating AttitudesAge 11.5 years

Children's Eating Attitudes Test (ChEAT) Questionnaire

Atopic EczemaThroughout childhood

Eczema from review of medical record, parent report,and direct examination

asthma6.5 and 16 years
vision16 years

Trial Locations

Locations (1)

Maternal and Child Health Center

🇧🇾

Minsk, Belarus

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