Breastfeeding provides well-established and "irreplaceable" health benefits for both mothers and infants. However, breastfeeding rates in France remain among the lowest in Europe and are strongly associated with socioeconomic status. Mothers experiencing severe socioeconomic deprivation, including those facing housing instability or migration-related challenges, may encounter additional barriers to breastfeeding, such as social isolation, limited access to health information, and linguistic or cultural obstacles. Peer and community support have been shown to positively influence breastfeeding initiation and continuation. The Relais Allaitement Program (PRALL) is a peer-support program designed to promote breastfeeding and support early parenting through trained volunteer mothers. The PARTAGE project aims to adapt and pilot the PRALL program for mothers experiencing severe socioeconomic deprivation receiving care at the maternity unit of the Hôpital Femme Mère Enfant (HFME), in Bron, France. This prospective, interventional, non-comparative feasibility study will evaluate the acceptability and feasibility of a peer-support breastfeeding program delivered by trained experienced mothers (peer supporters). The intervention includes: * the adaptation of PRALL educational materials and training to the needs of vulnerable populations using participatory approaches and accessible communication principles, * the recruitment and training of two nursery nurses from the maternity unit to become network coordinators of the peer-support network, * the recruitment of experienced mothers who will be trained by the 2 network coordinators, to become breastfeeding peer supporters, * and the implementation of breastfeeding support by peer supporters for eligible mothers. Eligible mothers experiencing severe socioeconomic deprivation will be offered support from a trained peer supporter during the postpartum period. The primary outcome is the number of completed support interventions, defined as to have at least two in-person mother/peer supporter contacts and to last at least one month, unless breastfeeding cessation or infant death occurs earlier. Qualitative interviews with participating mothers and peer supporters will also be conducted to explore barriers and facilitators to breastfeeding support in this population. The results will inform the adaptation of the PRALL program for vulnerable populations and assess the feasibility of implementing a peer-support breastfeeding intervention in this context. Findings may guide the development of a larger multicenter study to evaluate the impact of peer-support programs on breastfeeding outcomes among socially disadvantaged populations in France and potentially across Europe.
Study Type
OBSERVATIONAL
Enrollment
50
The intervention consists of a peer-to-peer breastfeeding support, delivered over a 2-month period, designed to ensure continuity of support after discharge from the maternity ward, particularly for mothers in highly socioeconomic deprivation who are at high risk of losing access to care. An initial face-to-face meeting with a trained peer supporter is offered during the hospital stay. Another peer supporter may be reassigned if necessary, in accordance with the network coordinators. The intervention includes weekly contacts during the first month and biweekly contacts during the second month (approximately 6 contacts total), unless breastfeeding cessation or infant death occurs earlier. Contacts are preferably conducted face-to-face at a location chosen by the mother; telephone or video contacts may be used when needed, with at least 2 in-person meetings expected. The intervention is flexible and tailored to individual needs to support breastfeeding and maternal well-being.
Service de néonatologie Hôpital Femme Mère Enfant
Bron, France, France
RECRUITINGNumber of completed peer-support breastfeeding interventions defined by at least two in-person mother/peer supporter contacts and a duration and to last at least one month (unless breastfeeding cessation or infant death occurs earlier)
Acceptability will be assessed through the number of completed peer-support interventions and monitoring of peer supporter activity. Data regarding contacts (type of contact, topic discussed, and duration) will be reported by the peer mentors via phone/SMS to the coordination center and monthly meetings with network coordinators. Implementation data will be collected and analyzed descriptively by the coordination team to assess feasibility, fidelity, and maintenance of the adapted program. Confidentiality will be ensured.
Time frame: Up to 2 months (duration of the intervention)
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