The LATCHING Pilot Project

University of Kansas Medical Center46 enrolled

Overview

The purpose of this study is to learn if group-based phone counseling is effective for increasing breastfeeding rates, reducing the early introduction of solids and increasing maternal weight loss after pregnancy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

Conditions

Breastfeeding

Interventions

Behavior Lifestyle InterventionBEHAVIORAL

Participants will be involved in group-based counseling. Sessions will be about 1 hour each and comprise up to 10 people. The sessions will be led by a trained health educator. The calls will be a chance for participants to discuss challenges with breastfeeding, problem solving skills, educational information, and discuss balanced diet topics.

Usual prenatal careOTHER

Participants will receive the standard education given by their OBGYN or other healthcare provider. No additional breastfeeding, nutrition or postpartum weight loss education will be provided to participants by the investigators during pregnancy. After delivery, participants will follow normal pediatric visit schedule.

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 35 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Women who are 9-30 weeks in gestation that have not previously met breastfeeding recommendations * Speak and understand English Exclusion Criteria: * Women with pregnancies conceived using fertility treatments, those at high risk for pre-term delivery, those with multiple gestation (ie. twins, triplets, etc), or pregnancies complicated by morbid obesity (BMI\>40), diabetes (pre-gestational or gestational), hypertension, metabolic dysfunction, etc. * Women who have previously exclusively breastfed an infant for three or more months

Locations (3)

University of Kansas Medical Center

Kansas City, Kansas, United States

Priority Care Pediatrics, LLC

Kansas City, Missouri, United States

Northland Obstetrics & Gynecology, Inc.

Liberty, Missouri, United States

Outcomes

Primary Outcomes

Differences in infant feeding progression

Time frame: Month 6

Proportion of women exclusively breastfeeding

Time frame: Month 6

Proportion of women who introduce solids

Time frame: Month 4

Secondary Outcomes

Subject satisfaction and acceptability of intervention

Structured interviews will be used to determine subject satisfaction. Structured interviews will obtain descriptive data regarding problems encountered by participants during the intervention, areas of intervention strength and weakness, information participants found helpful and information participants wish they had been given during the intervention, and ways the overall intervention could be improved.

Time frame: Week 24

Intervention compliance

Compliance rates will be calculated from participants that attend at least 66.6% (at least 4 sessions) of GBPC sessions.

Time frame: Week 24

Study Retention

Retention rates will be calculated from participants who complete feeding questionnaire data at 6 months.

Time frame: Month 6

Data from ClinicalTrials.gov

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