Comparison of Breast Feeding Counseling and Video Demonstration on Exclusive Breast Feeding Rates at 6 Weeks - Full Text View

Purpose

The investigators hypothesize that counseling of mothers will increase exclusive breast feeding rates at six weeks postnatal age. In developing countries like India,there is shortage of staff and the number of newborns cared is huge. So counseling of mothers for breast feeding becomes difficult. In such a situation using audio-visual aids may be a more practical option to increase breast feeding rates. Therefore the investigators will compare the use of video demonstration with counseling for exclusive breast feeding.

Condition	Intervention
Exclusive Breast Feeding	Behavioral: video demonstration Behavioral: counselling


Study Type:	Interventional
Study Design:	Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Supportive Care
Official Title:	Comparison of Impact of Breast Feeding Counseling of Mothers and Use of Audio-video Aids on Breast Feeding Rates at Six Weeks Postnatal Age

Resource links provided by NLM:

MedlinePlus related topics: Breastfeeding

U.S. FDA Resources

Further study details as provided by Deen Dayal Upadhyay Hospital:

Primary Outcome Measures:

Exclusive Breast Feeding Rate at Six Weeks Postnatal Age [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]


Enrollment:	1411
Study Start Date:	September 2009
Study Completion Date:	August 2010
Primary Completion Date:	August 2010 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Active Comparator: counselling counselling: Breast feeding counselling will be done to mothers	Behavioral: counselling breast feeding counselling
Active Comparator: Video demonstration Video demonstration to mothers on the advantages of exclusive breast feeding	Behavioral: video demonstration video will be shown to mothers
No Intervention: Standard Care Standard care includes the routine care provided to the neonates as per hospital protocol

Detailed Description:

Study design - Randomized controlled trial.
Inclusion criteria- All mothers who deliver at term at Deen Dayal Upadhayay Hospital [DDUH ]whether booked or unbooked.
Exclusion criteria -
1. Sick mother who is unable to communicate
2. Congenital malformation
3. Babies admitted in neonatal intensive care unit
4. HIV positive mother
5. Mother on chemotherapy/planned for chemotherapy.
Setting of the study - The study will be conducted at postnatal wards of DDUH, New Delhi
Period of study-January 2009 to December 2009.
Sample size- We did a pilot study to see the baseline exclusive breast feeding rates at six weeks in mothers who delivered at DDUH. The baseline exclusive breast feeding rates at six weeks is 60%. Expecting a 10% absolute increase in exclusive breast feeding rates and alpha=0.05 and power beta=80% our sample size is 376 per group. Taking into account the loss to follow up of 20% we plan to enroll 470 mothers per group. So our sample size is 1410 mothers.
Ethics and consent-Ethical clearance will be obtained from ethical committee of DDUH. Written and informed consent will be taken from the mothers before enrolment.
Randomization - It will be an open-label randomized controlled trial. Random numbers will be obtained from a computer generated table. Mothers will be grouped into three groups: counseling group, video group and control group. The codes will be kept in sealed opaque envelopes. There will be allocation concealment since the mothers and the principle investigator will be unaware of the group to which they will be randomized.
Methods- The principle investigator will visit the postnatal wards daily except on holidays and look for the eligible mothers who will be asked for written and informed consent. Those who give the consent will be enrolled and randomized to counseling group, video group and control groups. The mothers in the intervention group will be counseled along with the husband and mother/mother-in-law/female caretaker. The mothers in the video group will be shown a video on breast feeding. The baseline characteristics of the three groups will be recorded. The mothers in the control group will receive standard care.

Eligibility


Ages Eligible for Study:	up to 24 Hours
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

All mothers who deliver at term at Deen Dayal Upadhayay Hospital [DDUH ]whether booked or unbooked.

Exclusion Criteria:

Sick mother who is unable to communicate
Congenital malformation
HIV positive mother
Mother on chemotherapy/planned for chemotherapy.

Contacts and Locations

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

No Contacts or Locations Provided

More Information

No publications provided


Responsible Party:	Dr Kanchan Sharma, DNB resident, Deen Dayal Upadhyay Hospital
ClinicalTrials.gov Identifier:	NCT00983489 History of Changes
Other Study ID Numbers:	ddu001
Study First Received:	September 22, 2009
Results First Received:	April 5, 2013
Last Updated:	April 5, 2013
Health Authority:	India: Institutional Review Board

Keywords provided by Deen Dayal Upadhyay Hospital:


breast feeding counselling video demonstration

ClinicalTrials.gov processed this record on February 25, 2015