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Antenatal Educational Intervention for Improvement of Breastfeeding

This study has been completed.
Information provided by:
National University Hospital, Singapore Identifier:
First received: December 23, 2005
Last updated: October 23, 2006
Last verified: December 2005

This randomized controlled trial addresses the impact of simple antenatal breastfeeding educational interventions on breastfeeding rates and practice in a tertiary hospital setting.

Hypothesis: A single antenatal encounter, which includes breastfeeding educational material and individual instruction with a lactation counselor, can improve the initiation, duration and exclusivity of breastfeeding compared to routine antenatal care or the use of educational material alone

Condition Intervention Phase
Behavioral: individual lactation counseling and educational material
Behavioral: educational material alone
Behavioral: routine antenatal care without educational intervention
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind
Primary Purpose: Educational/Counseling/Training
Official Title: The Effects Of Antenatal Breast Preparation On The Successful Initiation And Continuation Of Breastfeeding In Singaporean Mothers

Resource links provided by NLM:

Further study details as provided by National University Hospital, Singapore:

Primary Outcome Measures:
  • Comparison of exclusive or predominant breastfeeding rates in intervention groups versus controls

Secondary Outcome Measures:
  • Breastfeeding initiation, defined as any breastfeeding type within the first 2 weeks of delivery

Estimated Enrollment: 450
Study Start Date: May 2002
Estimated Study Completion Date: December 2004
Detailed Description:

Breastfeeding rates in many developed countries, particularly in terms of exclusive and predominant breastfeeding, often fall short of the recommended practice advised by the World Health Organization and the American Academy of Pediatrics. Despite increasing awareness of the many advantages of breastfeeding the challenge remains to implement programs that can effectively improve short and long-term breastfeeding rates.

The Singapore National Breastfeeding Survey 2001 (Foo et al, 2005) demonstrated an encouraging breastfeeding initiation rate of 94.5%. However only 21.1% continued to breastfeed at 6 months with fewer than 5% breastfeeding exclusively.

The formal preparation of expectant mothers for breastfeeding is not part of routine antenatal care in many practices. We feel that it may prove beneficial especially in an environment with a low prevalence of breastfeeding. The aim of this trial is to demonstrate the impact of single-encounter antenatal education combining educational material with individual instruction, on breastfeeding initiation and duration and on infant feeding practice, compared with routine antenatal care and educational material alone in a tertiary hospital setting.

401 women are randomized into 3 predetermined groups and are exposed to specific antenatal education materials targeting breastfeeding techniques; the control group receives routine antenatal care. Data regarding breastfeeding rate, quality and duration is collected over a 1 year period.

Comparisons: breastfeeding initiation rate, duration and type among women receiving lactation counseling with educational material, educational material without individual counseling, and routine antenatal care without educational intervention


Ages Eligible for Study:   21 Years to 55 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • singleton pregnancy
  • gestation of at least 36 weeks at recruitment
  • no uterine scar
  • the absence of any obstetric complication that would contraindicate vaginal delivery.

Exclusion Criteria:

  • refusal to participate in trial
  • contraindications to labour, vaginal delivery, breastfeeding
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Please refer to this study by its identifier: NCT00270192

National University Hospital
Singapore, Singapore, 119074
Sponsors and Collaborators
National University Hospital, Singapore
Principal Investigator: Yah Shih Chan, MHSc National University Hospital, Singapore
Principal Investigator: Citra N Mattar, MRANZCOG National University Hospital, Singapore
  More Information

Publications: Identifier: NCT00270192     History of Changes
Other Study ID Numbers: NHG RPR 01101
Study First Received: December 23, 2005
Last Updated: October 23, 2006

Keywords provided by National University Hospital, Singapore:
counseling processed this record on April 26, 2017