RecruitingACTRN12616000551493

Efficacy of a targeted lactation consultant-led intervention for perception of insufficient milk supply in new mothers

Sponsor

The University of Western Australia

Enrollment

60 participants

Start Date

Aug 25, 2016

Study Type

Interventional

Conditions

Perceived insufficient breastmilk supply

Summary

The aim is to determine if professional advice for perceived insufficient milk supply results in a change in perception of milk supply, and whether objective measurement of milk supply before and after receiving professional advice shows a measurable difference in breastmilk production and affects the change in perception. When participants have a perception of insufficient breastmilk supply, we predict that there will be a significant change in the participants’ perceptions from before to after receiving advice from a lactation consultant, and there will be a measurable difference in milk production. We would like to know if objective measurement of milk production before and after following advice affects the change in perception.

Eligibility

Sex: FemalesMin Age: 18 YearssMax Age: 45 Yearss

Plain Language Summary

Simplified for easier understanding

This study is helping new mothers who feel they are not producing enough breastmilk. Many mothers stop breastfeeding because of this worry, even when milk supply may actually be sufficient. The study will see whether advice from a lactation consultant changes a mother's perception of her milk supply, and whether measuring the actual volume of breastmilk produced before and after the advice makes any difference to how she feels about breastfeeding. You may be eligible if: - You are a mother aged 18 to 45 years - Your baby is under 6 months old - You are exclusively, mostly, or partially breastfeeding - You feel you are not producing enough milk for your baby (you disagree or strongly disagree that you produce enough) You may NOT be eligible if: - You or your baby are currently sick or unwell in a way that would make it hard to complete the study Talk to your doctor about whether this trial might be right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

At the first consultation, all participants will complete a perception of milk supply questionnaire. Those with perceived insufficient milk supply will receive individual targeted care provided by the lactation consultants. The advice given will include one or more of: correcting positioning and attachment, changing feeding frequency, commencing or increasing breast expression, taking domperidone, or investigation of the need of the infant for frenotomy. The time allocated for the first consultation is 2 hours. At the first consultation participants will be asked if they are willing to measure their 24-h milk profile. Those who agree will be randomised into either Group A or Group B (control). The randomisation codes will be in sealed, opaque envelopes that are opened in consecutive order only when the client has agreed to participate. Participants in Group A will measure their milk profile during one 24-hour period immediately after their first visit with the lactation consultant, and then again after 2-4 weeks of following the advice of the lactation consultant. They will then complete a second perception of milk supply questionnaire. All participants will attend the second (follow-up) consultation and questioned regarding compliance with advice given. For the 24-h milk profile, participants are loaned a set of BabyWeigh scales to weigh the baby in normal clothes before and after each breastfeed or supplementary feed. This is done in the participant's own home for 24 hours. The weights are entered on a secure website. Participants will also be asked to measure and enter the amount of any breastmilk expressed during that time

Locations(1)

King Edward Memorial Hospital - Subiaco

WA, Australia

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ACTRN12616000551493