Improving Lactation Success in Black Mothers of Critically Ill Infants
- Conditions
- Insufficient Lactation
- Interventions
- Device: Hands free wearable breast pump
- Registration Number
- NCT05147987
- Lead Sponsor
- University of Florida
- Brief Summary
Racial disparities result in Black infants in the neonatal intensive care unit (NICU) receiving less breast milk (BM) than White and Hispanic infants.1 BM improves infant health yet mothers of critically ill infants produce insufficient amounts to provide these benefits which is likely due to inadequate daily breast pumping frequency. Black mothers face unique challenges to frequent breast pumping including returning to work earlier, working in facilities with inadequate lactation support, and limited privacy for breast pumping at home. Therefore, the objective of this pilot study is to determine the feasibility and potential benefits of using a discreet, hands-free, wearable breast pump with an associated App that tracks pumping frequency and BM production to increase lactation success in Black mothers of infants admitted to the NICU. Specific aims include (1) evaluate the feasibility of a discreet, hands-free, wearable pump in Black mothers of critically ill infants to increase pumping frequency and BM production and (2) assess whether results indicate a signal of effectiveness supporting a subsequent adequately powered randomized clinical trial (RCT). Following delivery, 40 Black mothers of critically ill infants will be randomized to one of two groups. Group 1 will be provided a discreet, hands-free, wearable breast pump with an associated App and Group 2 will be provided a standard mechanical breast pump with no associated App. Results will be used to revise the intervention and study processes and to estimate outcome measurement variability and effect sizes needed for sample size calculations for an adequately powered RCT.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- Female
- Target Recruitment
- 40
- Mothers self-identified as Black
- > 18 years of age
- English speaking
- Stated intent to provide breast milk to her infant
- Rate their level of commitment to pumping breast milk for their infant for at least 3 weeks as 3 or greater or a 1-5 point Likert scale
- State they are available for an approximately 30 minute education session prior to hospital discharge
- Infant not expected to be stable enough to bottle/breastfeed for > 21 days
- Access to a mobile phone and able to download app.
- Known illicit drug use
- Breast reduction or augmentation
- Positive HIV status
- Infant not expected to live > 7 days following delivery
- Has pacemaker
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Intervention Group Hands free wearable breast pump Will be provided a discreet, hands-free, wearable breast pump with an associated App
- Primary Outcome Measures
Name Time Method Number of participants acceptance of the intervention at 20-22 days Survey questions regarding the number of participant acceptance of intervention
- Secondary Outcome Measures
Name Time Method Time to secretory activation Up to 7 days Time from birth to expression of at least 20 mL of milk in 2 consecutive expressions
Lactation duration up to 100 days how long mothers continue lactating
Expressed milk volume up to 21 days Volume of expressed milk volume
Expression frequency up to 21 days How often mothers express daily
Infant consumption up to 100 days percentage of feedings consisting of mother's milk consumed by infants
Trial Locations
- Locations (1)
University of Florida
🇺🇸Gainesville, Florida, United States