Protocol to Support Breastfeeding for Postpartum Women and Mothers of Babies With Congenital Heart Disease
Study Details
Study Description
Brief Summary
To evaluate the effect of applying a hybrid protocol (face-to-face and via call center) of breastfeeding assistance and guidance on the duration of breast milk supply to babies with congenital heart disease for 6 months.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
The objective of this randomized, multicenter clinical trial is to evaluate the effect of applying a hybrid protocol (face-to-face and telemarketing) of assistance and guidance on breastfeeding and duration of breast milk supply for infants with congenital heart disease in the first 6 months of life. Recruitment of infants diagnosed with congenital heart disease occurs within the first 72 hours of life, being followed up for 6 months.
Initially, the mothers in the control group, as well as the mothers in the intervention group, receive a booklet with guidelines on breastfeeding, a standardized measuring cup for milk collections and a breastfeeding booklet.
In addition, mothers in the intervention group receive monthly videos with guidance on breastfeeding, monthly consultations with a breastfeeding consultant and a support group via whatsapp with the researcher and scientific initiation student until the baby is 6 months old.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Intervention Group Support for breastfeeding and depletion of breast milk throughout the 6 months. Free and professional support through monthly consultations and videos on the subject. |
Other: Breastfeeding
Over the 6 months of the intervention, 1 video per month was sent, a total of 6 videos, via the mobile application, with guidance on breastfeeding: the importance of maternal hydration; myths and truths about the mother's diet; practical guidance on breastfeeding; baby's gastric capacity; picking up and positioning the baby during breastfeeding and storing milk for the return to work. There were also 1 call per month, with an average duration of 15 minutes, with a breastfeeding consultant nutritionist, aiming to solve doubts and difficulties that month. In order to provide complete assistance, virtual groups were created via the WhatsApp application, with a nutritionist and a health academic to solve doubts, provide emotional support and exchange information when necessary.
According to the region or municipality of origin of the mother-baby dyad, when necessary, this study provided the loan of a breast pump during the follow-up period or 6 months.
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No Intervention: Control Group All mothers were followed up for 6 months and received a breastfeeding support booklet virtually, through a cell phone application. The booklet provides basic information about breastfeeding and possible complications. The recruited mothers also received a notebook to record the date, duration, volume and frequency of breastfeeding and/or milk collections, and the use of alternative routes such as a bottle, cup or enteral nutrition. At the initial visit, all mothers were given a standard measuring cup to measure the volume of milk used up in the household each day. In addition, all mothers received a call 7 days after delivery to apply the Portuguese version of the Breastfeeding Self-Efficacy Survey - Short Form: BSES-SF. This questionnaire was reapplied after 90 days. |
Outcome Measures
Primary Outcome Measures
- Breast milk supply rate during the baby's 6-month period [Up to 6 months]
Increase milk supply directly from the mother's breast or through pumps for use in alternative routes.
Secondary Outcome Measures
- Compare the time of breastfeeding [Up to 6 months]
Compare the time of offering the breast between the control group and the intervention group
- Breastfeeding self-efficacy before and during the intervention [Up to 6 months]
The breastfeeding self-efficacy questionnaire in a reduced format (BSES-SF) will be applied in two moments during the infant's 6 months of life, and the effectiveness of the interventions can be observed. The score can vary from 1 to 70, where higher results reflect greater self-efficacy in breastfeeding.
- Assessment of the nutritional status of infants at 6 months of age using the growth curves of the World Health Organization and classified according to the Z score [Up to 6 months]
Assess the nutritional status of infants at 6 months of age through weight and height. These data will be placed on the nutritional assessment curves of the World Health Organization (WHO) and classified using the Z score. Afterwards, the results between the intervention and control groups will be compared.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Infants diagnosed with congenital heart disease,
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The parents must have a cell phone enabled to receive video calls.
Exclusion Criteria:
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Mothers carriers of the human immunodeficiency virus (HIV),
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Mothers users of medications without medical indication to initiate or maintain breastfeeding.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Juliana Caprini | Caxias do Sul | Rio Grande Do Sul | Brazil | 95080560 |
Sponsors and Collaborators
- Instituto de Cardiologia do Rio Grande do Sul
- Irmandade Santa Casa de Misericórdia de Porto Alegre
Investigators
- Principal Investigator: Fernanda Lucchese-Lobato, PHD, Instituto de Cardiologia de Porto Alegre
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 5947.21