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临床试验/NCT05271812
NCT05271812Unknown不适用

Professional Supporting and Women's Education for Breastfeeding Promotion: Preliminary Study

Assistance Publique - Hôpitaux de Paris1 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2022年3月最近更新:
适应症

试验速览

阶段
不适用
入组人数
60
试验地点
1
主要终点
Effectiveness of breastfeeding educations among mothers during first month after childbirth.

研究概览

简要总结

Background The long-term benefits of breastfeeding for newborns and mothers are undeniable and scientifically recognized. Current WHO/UNICEF guidelines suggest increasing exclusive breastfeeding to 75.0% by 2030 worldwide. However, there is substantial heterogeneity in breastfeeding practices around the world. Because while breastfeeding promotion is complex, breastfeeding instructions remain without any educational design in general.

Primary Objective:

  • Determine the effectiveness of breastfeeding educations among the nursing mothers during first month after childbirth.

Secondary objectives:

  • Identify the theoretical and pedagogical engineering framework the breastfeeding educations proposed in antenatal among nursing mothers and professionals.
  • Assess the perceived usefulness of nursing mothers regarding to the educational interventions for breastfeeding management and its frequently complications.
  • Assess the perceived usefulness of professionals, regarding to the pedagogical engineering of educational interventions offered to nursing mothers.
  • Assess women's competency regarding to the educational interventions for breastfeeding management and its frequently complications.
  • Evaluate the organization of educational interventions proposed by professionals.

Method & Results:

The results will be obtained by calculating the mean, standard deviation, median and interquartile range. The Chi-square and Yates' uncorrected and corrected tests will be applied for comparison calculation.

Evaluating criteria for feeling of usefulness and breastfeeding competency will be studied using Likert's four level model, 10-Point numerical scales and short answer questions. The relationships between these variables will be studied by using a sequential mixed method combining interpretative, comprehensive, and explanatory approach.

详细描述

Promoting breastfeeding, a global public health issue The benefits of exclusive breastfeeding are widely recognized by the scientific community for infants and their mothers. Moreover, its promotion has become a global public health target. According to the World Health Organization (WHO), the global average of exclusive breastfeeding (EBF) has increased from 14% in 1985, to 37% in 2015. The WHO report also notes a disparity about EBF prevalence at birth and at six months.

Guidelines and global positioning to promote breastfeeding WHOs' and UNICEFs' Objective proposed in 2030, 75% of newborns should be exclusively breastfed. This represents 10 million children in the world.

Several measures are recommended: professional commitment, training couples to breastfeed, early and close accompaniment of mothers in breastfeeding initiation and its supporting. WHO proposed an accompanying measure through the Baby-Friendly Hospital Initiative (BFHI) label. This label can be revised every five years.

In France, most maternity are not labelled BFHI. Due a lack of means and human resources. According to the last European commission of the Baby-Friendly Hospital Initiative (BFHI) in December 2019, only 46 maternity out of 498 in France, excluding the military health service, are labeled.

Also, WHO has emphasized communication with Couples, health care breastfeeding skills.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • For nursing mothers: Healthy mothers and healthy new-born Upper 18 years old French speaking Agree to be interviewed in two steps: at day 3 &1 month after the birth.
  • For Staff: Agree to be interviewed during study

排除标准

  • For nursing mothers: Bottle feeding or mixed breastfeeding. Premature new-born or hospitalised in neonatology ward. Refusing to participate
  • For Staff: Refusing to participate

结局指标

主要结局

Effectiveness of breastfeeding educations among mothers during first month after childbirth.

时间窗: First month after birth

The proportion of nursing mothers receiving the breastfeeding education.

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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