Antenatal Educational Intervention for Improvement of Breastfeeding

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00270192
Recruitment Status : Completed
First Posted : December 26, 2005
Last Update Posted : October 24, 2006
Information provided by:
National University Hospital, Singapore

Brief Summary:

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 or disease Intervention/treatment Phase
Breastfeeding Behavioral: individual lactation counseling and educational material Behavioral: educational material alone Behavioral: routine antenatal care without educational intervention Phase 3

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

Study Type : Interventional  (Clinical Trial)
Enrollment : 450 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single
Primary Purpose: Educational/Counseling/Training
Official Title: The Effects Of Antenatal Breast Preparation On The Successful Initiation And Continuation Of Breastfeeding In Singaporean Mothers
Study Start Date : May 2002
Study Completion Date : December 2004

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Breastfeeding

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

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

Information from the National Library of Medicine

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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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): 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

Publications: Identifier: NCT00270192     History of Changes
Other Study ID Numbers: NHG RPR 01101
First Posted: December 26, 2005    Key Record Dates
Last Update Posted: October 24, 2006
Last Verified: December 2005

Keywords provided by National University Hospital, Singapore: