Optimising maternal breastmilk and breastfeeding in preterm and very low birthweight infants: a retrospective review of the impact of donor milk and an expressing box

Not Applicable

Completed

• Conditions: prematurity; very low birthweight; Reproductive Health and Childbirth - Breast feeding; Reproductive Health and Childbirth - Complications of newborn

• Registration Number: ACTRN12622001471774
• Lead Sponsor: Jacinta Stone

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Completion: 2022-08-30
• Study Start: 2022-11-22
• Last Update Posted: 28 November 2022

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 61

Inclusion Criteria

Infants born <32 weeks gestation or <1500 grams at birth, born at or retrieved shortly after birth to Flinders Medical Centre Neonatal Unit whose mothers intended to breastfeed/breastmilk feed and who remained in the Neonatal Unit until discharge home/Neonatal Early Discharge program.

Exclusion Criteria

Born 32 weeks or greater, or 1500 grams or greater, mother did not intend to provide breastmilk or was transferred to another hospital prior to discharge home. Infants whose mothers were not present during admission or were removed from the maternal care were excluded.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Changes in types of feeding at discharge following the introduction of PDHM.[Time of discharge from the Neonatal Unit/Neonatal Early Discharge Program];Changes in early initiation of expression through introduction of the expressing box. Data collected through infant/maternal medical records.[Within 6 hours of birth];Time of first breastmilk expression[Time of first breastmilk expression as recorded in the medical records]

Secondary Outcome Measures

Name	Time	Method
Timing of the first exposure to maternal breastmilk (MBM) as recorded in the medical records. [Discharge of the infant from the NNU or from the Neonatal Early Discharge program];Timing of the first skin-to-skin cuddle with the mother as recorded in the infant medical records[Time of the first skin to skin cuddle ];The timing (corrected gestational age) of the first breastfeed attempt as recorded in the infant medical records.[Time (corrected gestational age) at first breastfeed attempt ];The use of PDHM as recorded in the infant medical records.[Discharge];Feeding type (exclusive breastfeeding, exclusive breastmilk feeding, mixed feeding, standard formula feeding or specialist formula feeding) at discharge as recorded in the infant medical records and Neo database discharge information.[Time of discharge]