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Breast Feeding clinical trials

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NCT ID: NCT05432700 Completed - Breast Feeding Clinical Trials

Evaluation of the Effectiveness of LactApp

COMLACT
Start date: February 1, 2021
Phase: N/A
Study type: Interventional

The study aims to determine the influence of an intervention in women based on a free mobile application (LactApp®) on maintaining breastfeeding (BF) up to 6 months postpartum. This is an experimental, multicentre, prospective study with a control group comparing the duration of BF. It will be carried out in the Health Departments of La Ribera, Xàtiva-Ontinyent, Castelló and Extremadura in 2021, 2022 and 2023. Women will be randomly assigned to each of the parallel groups. In the control group, the usual clinical practice will be followed from the third trimester of gestation to promote BF. In the intervention group, the woman, in addition to the usual clinical practice, will use a free mobile app: LactApp®, from the third trimester until 6 months postpartum. The type of breastfeeding at birth, 15 days, 3 and 6 months postpartum, and the causes of cessation of BF in both groups will be monitored. Socio-demographic data and the woman's reported outcomes will be collected during the pregnancy, birth, and postpartum process. The mobile app will report data on use, topics consulted and usage times. The null hypothesis is that the ¨LactApp®¨ mobile application does not improve breastfeeding maintenance at 6 months postpartum compared to routine clinical practice.

NCT ID: NCT05342831 Completed - Self Efficacy Clinical Trials

Biological Nutrition Technique Which is Used in Initiation of Breastfeeding

BNTPBSS
Start date: February 5, 2020
Phase: N/A
Study type: Interventional

Aim: This research was conducted with the purpose of determining the effect of biological nurturing technique used for starting breastfeeding in primipara on breastfeeding success and self-efficacy. Material and Method: This randomized controlled study was conducted with 130 mothers who had a cesarean section in a public hospital located in Southeast Turkey (65 experimental, 65 control).

NCT ID: NCT05334537 Completed - Anxiety Clinical Trials

Effect of Aromatherapy on Perioperative Anxiety Level in Cesarean Sections

Start date: June 1, 2020
Phase: N/A
Study type: Interventional

Spinal anesthesia has been accepted as the first choice for elective cesarean section due to its easy application technique and elimination of the risks of difficult intubation and aspiration. Neuraxial anesthesia is considered superior to general anesthesia in terms of fetal well-being. The state of having an operation and not being aware of the operation by the patient can cause serious anxiety and fear in the patient. Fear of surgical failure, not fully understanding the anesthesia method, possible risks of anesthesia and expected pain during the postoperative recovery period contribute to the patient's anxiety. Considering the patients undergoing elective surgery under spinal anesthesia, there is a moderate level of anxiety associated with advanced age and female gender. Reducing the stress and anxiety in the patient during elective surgery will reduce the neurohormonal response to surgery and reduce complications. Early skin-to-skin contact with the mother provides many benefits to the newborn, but maternal sedation in the operating room during cesarean delivery should also be within safe limits to avoid early skin-to-skin contact. Aromatherapy relies on the use of essential oils to contribute to physical and psychological well-being. The oils can be massaged into the skin, or inhaled using a steam infusion or burner. Birth pain is a severe pain, and the feeling of pain may increase with tension, fear and anxiety during delivery. Apart from medical methods, many complementary treatments such as acupuncture, reflexology, homeopathy, hypnotherapy, music and aromatherapy are tried to reduce pain and anxiety. Lavender aromatherapy has been shown to significantly reduce anxiety or pain in various surgical procedures. There is a growing literature on the use of lavender aromatherapy as an anxiolytic agent. Based on these findings, the study aimed to contribute to early mother-to-baby contact and breast milk intake by reducing perioperative maternal anxiety and therefore the use of sedative drugs during cesarean section performed under spinal anesthesia with the intraoperative use of lavender aromatherapy. This is the first study to evaluate the effect of aromatherapy on anxiety in cases of cesarean section under anesthesia.

NCT ID: NCT05282485 Recruiting - HIV Clinical Trials

Mitigating Infectious Morbidity and Growth Deficits in HIV Exposed Uninfected infanTs With Human Milk Oligosaccharides

MIGH-T MO
Start date: June 2, 2022
Phase: N/A
Study type: Interventional

Primary Objective: - To evaluate the effects of synbiotics on infectious morbidity and growth while it is in place from 4 to 24 weeks of age. - To evaluate the effects of synbiotics on infectious morbidity and growth from 4 to 48 weeks of age. Secondary Objectives: - To evaluate the effects of synbiotics on growth from 4 to 72 weeks of age. - To evaluate the effects of synbiotics on infant neurodevelopment at 48 and 72 weeks of age. - To evaluate the effects of synbiotics on biological measurements while it is in place from 4 to 24 weeks of age. - To evaluate the effects of synbiotics on biological measurements from 4 to 48 weeks of age. - To evaluate the effects of synbiotics on gut microbiome and fecal short chain fatty acids from 4 to 72 weeks of age. - To investigate feasibility, acceptance, tolerability, and behavioral adherence with the intervention. - To investigate whether the synbiotics reduces infectious morbidity and improves growth in CHEU relative to CHUU. - To investigate whether infant gut microbiota composition, maturity and function, and markers of inflammation and HMOs at baseline and over time are associated with morbidity and poor growth in CHEU and CHUU.

NCT ID: NCT05271812 Not yet recruiting - Breast Feeding Clinical Trials

Professional Supporting and Women's Education for Breastfeeding Promotion: Preliminary Study

PSWED
Start date: March 2022
Phase:
Study type: Observational [Patient Registry]

Background The long-term benefits of breastfeeding for newborns and mothers are undeniable and scientifically recognized. Current WHO/UNICEF guidelines suggest increasing exclusive breastfeeding to 75.0% by 2030 worldwide. However, there is substantial heterogeneity in breastfeeding practices around the world. Because while breastfeeding promotion is complex, breastfeeding instructions remain without any educational design in general. Primary Objective: - Determine the effectiveness of breastfeeding educations among the nursing mothers during first month after childbirth. Secondary objectives: - Identify the theoretical and pedagogical engineering framework the breastfeeding educations proposed in antenatal among nursing mothers and professionals. - Assess the perceived usefulness of nursing mothers regarding to the educational interventions for breastfeeding management and its frequently complications. - Assess the perceived usefulness of professionals, regarding to the pedagogical engineering of educational interventions offered to nursing mothers. - Assess women's competency regarding to the educational interventions for breastfeeding management and its frequently complications. - Evaluate the organization of educational interventions proposed by professionals. Method & Results: The results will be obtained by calculating the mean, standard deviation, median and interquartile range. The Chi-square and Yates' uncorrected and corrected tests will be applied for comparison calculation. Evaluating criteria for feeling of usefulness and breastfeeding competency will be studied using Likert's four level model, 10-Point numerical scales and short answer questions. The relationships between these variables will be studied by using a sequential mixed method combining interpretative, comprehensive, and explanatory approach.

NCT ID: NCT05262231 Completed - Breast Feeding Clinical Trials

Online Education and Breastfeeding Motivation

Start date: February 1, 2022
Phase: N/A
Study type: Interventional

Introduction: Breastfeeding is not just a physiological event. Psychological and emotional factors affect breastfeeding. Motivation is also among these factors. For this reason, it should be considered that there will be problems with breastfeeding in the postpartum period. Since breastfeeding education can be a solution to these problems, it can increase the motivation of mothers for breastfeeding. Purpose: To examine the effect of online breastfeeding education on breastfeeding motivation. Methods: The type of the study was planned as a prospective, randomized controlled experimental study with pretest-posttest control group. The sample group of the research will be reached at Pamukkale University Obstetrics and Gynecology clinic and online via social media. The sample reached will be trained in the online environment. The research will be carried out between February 2022 and December 2022. A total of 50 people, 25 in the experimental group and 25 in the control group, will be included. Evaluation will be made with the Breastfeeding motivation scale (for primiparous mothers). Motivation scores will be compared before and after the training.

NCT ID: NCT05235412 Recruiting - Breast Feeding Clinical Trials

A Cohort Study on Milk Composition, Health Outcomes, and Feeding Practices of Chinese Mothers and Infants

Phoenix
Start date: November 19, 2021
Phase:
Study type: Observational

This is a cohort study to understand the changes of breastmilk composition in the first six months after birth of Chinese infants.

NCT ID: NCT05119868 Recruiting - Obesity Clinical Trials

Effects of the Mediterranean Diet During Pregnancy on the Onset of Allergies in the Offspring

PREMEDI
Start date: November 2, 2021
Phase: N/A
Study type: Interventional

Allergy prevalence is increasing steadily with some describing as the "epidemic of the twenty-first century". Maternal diet during pregnancy has been linked to offspring allergy risk, so it represents a potential target for allergy prevention. The Mediterranean Diet (MD) is considered one of the healthiest dietary models which exerts regulatory effects on immune system, due to the synergistic and interactive combinations of nutrients. We aim to study the effects of MD in pregnancy on the onset of allergic diseases at 2 years of age in the offspring.

NCT ID: NCT05059574 Not yet recruiting - Breast Feeding Clinical Trials

Breast Crawling,Breastfeeding Success and Mothers' Attitudes to Feeding Their Babies

Start date: October 1, 2021
Phase: N/A
Study type: Interventional

It has been clearly demonstrated by the literature that the way of initiation of breastfeeding is highly correlated with the success and continuation of breastfeeding and the level of breastfeeding intention. Crawling to the breast is the reflex of seeking the breast by smelling the breastmilk of the newborn as the first form of breastfeeding. Although crawling to the breast is a studied subject in the international literature, it has remained only in the compilation stage in the national literature. The fact that research on breast crawling has not yet been conducted in our country constitutes the original value of this study. This study was planned to examine the effect of crawling to the breast after vaginal delivery compared to biological breastfeeding on breastfeeding success and mothers' attitude to feed their babies.

NCT ID: NCT05021042 Recruiting - Breast Feeding Clinical Trials

Identification of Biomarkers of Mastitis

Start date: May 1, 2021
Phase:
Study type: Observational

Breastfeeding is the optimal feeding for infants. WHO currently promotes breastfeeding and recommends it to be exclusive until the baby is 6 months old. Breastfeeding has a positive impact on both the mother's and the infant's health and is directly associated with the decrease in diseases such as cancer, diabetes, cardiovascular disease, and inflammatory and infectious diseases. Currently, in Spain, only 39% of infants at 6 months are breastfed. The factors that influence the abandonment of breastfeeding are returning to work, the sensation of hypogalactia, problems to breastfeed, and breast complications, like mastitis, being the pain its main cause. Recent studies have associated pain while breastfeeding with mammary gland inflammation (mastitis) caused by dysbiosis. In order to increase breastfeeding rates, it is necessary to find factors related to the progression of mastitis in breastfeeding women. In this context, the discovery of predictive biomarkers based on metabolic markers is key to act before or at the beginning of the progression of mastitis and thus reduce the rates of abandonment of breastfeeding due to pain. The present project aims to identify and validate metabolic biomarkers capable of predicting mastitis. For this purpose, a prospective observational case-control hypothesis-free study will be carried out in order to identify and validate biomarkers of mastitis in breastfeeding women. The study will be performed in two phases: the discovery of the possible biomarkers and the validation of the biomarkers. Breast milk will be collected at the beginning of the study and when women present symptoms compatible with mastitis. The presence or not of mastitis will be confirmed with a milk culture. Milk samples will be analyzed using non-targeted metabolomics approach. Using multivariate statistical models, the potential metabolites capable of discriminating the presence of mastitis in maternal milk will be identified. Later, these potential markers will be validated in independent samples.