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Institutional ORE decision to stop community based research in response to COVID emergency and need to socially distance
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| Name | Class |
|---|---|
| Sprott Foundation | UNKNOWN |
| Parkdale Queen West Community Health Centre | UNKNOWN |
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The Canada Prenatal Nutrition Program (CPNP) aims to improve birth outcomes among Canadian women in challenging life circumstances, including those who are adolescents, newcomers, low-income or single mothers. The CPNP strongly promotes breastfeeding prenatally, resulting in high initiation rates, but continued postnatal support is needed to optimize breastfeeding duration and exclusivity.
The aim of this research is to investigate the effects of adding postnatal lactation support as an extension to the CPNP on breastfeeding duration and exclusivity in the first six months postpartum. The research will be conducted at two CPNP sites in Toronto, Parkdale Queen West Community Health Centre and The Stop Community Food Centre. A quasi-experimental design will be used to compare the infant feeding practices of CPNP clients before and after introduction of a postnatal lactation support intervention which will include in-home professional lactation support and provision of high-quality breast pumps. These services will be delivered as CPNP program components and will be accessible to all clients at the two participating sites during the post-intervention period. Infant feeding practices will be assessed by a questionnaire administered at 2 weeks, 1, 2, 3, 4, 5 and 6 months postpartum. The hypothesis is that significantly more mothers in the post-intervention group will be exclusively breastfeeding at four months postpartum. The effect is expected to be mediated through increased breastfeeding self-efficacy, which will be assessed using validated scales prenatally and at 2 weeks and 2 months postpartum.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pre-intervention | No Intervention | regular CPNP programming | |
| Post-intervention | Experimental | regular CPNP programming plus access to postnatal lactation support |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Postnatal Lactation Support | Behavioral | In-home breastfeeding support delivered by professional lactation consultants and provision of a high-quality breast pump |
|
| Measure | Description | Time Frame |
|---|---|---|
| Exclusive breastfeeding at 4 months postpartum | Reported exclusive breastfeeding at four months postpartum assessed by a prospective infant feeding questionnaire | birth to 4 months postpartum |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of any breastfeeding in the first six months postpartum | Duration of any breastfeeding from birth to 6 months assessed by a prospective infant feeding questionnaire | birth to 6 months postpartum |
| Duration of exclusive breastfeeding in the first six months postpartum |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniel Sellen, PhD | University of Toronto | Principal Investigator |
| Deborah O'Connor, PhD | University of Toronto | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Parkdale Queen West Community Health Centre | Toronto | Ontario | M5V 2R4 | Canada | ||
| The Stop Community Food Centre |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35676013 | Derived | Mildon A, Francis J, Stewart S, Underhill B, Ng YM, Rousseau C, Di Ruggiero E, Dennis CL, Kiss A, O'Connor DL, Sellen DW. Associations between use of expressed human milk at 2 weeks postpartum and human milk feeding practices to 6 months: a prospective cohort study with vulnerable women in Toronto, Canada. BMJ Open. 2022 Jun 8;12(6):e055830. doi: 10.1136/bmjopen-2021-055830. | |
| 34369075 |
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| ID | Term |
|---|---|
| D001942 | Breast Feeding |
| ID | Term |
|---|---|
| D005247 | Feeding Behavior |
| D001519 | Behavior |
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Duration of exclusive breastfeeding from birth to 6 months assessed by a prospective infant feeding questionnaire |
| birth to 6 months postpartum |
| Age of introduction of breastmilk substitutes | Reported timing of the introduction of breastmilk substitutes from birth to 6 months in response to a prospective infant feeding questionnaire | birth to 6 months postpartum |
| Age of introduction of complementary foods | Reported timing of the introduction of complementary foods from birth to 6 months in response to a prospective infant feeding questionnaire | birth to 6 months postpartum |
| Toronto |
| Ontario |
| M6H 4E1 |
| Canada |
| Derived |
| Mildon A, Francis J, Stewart S, Underhill B, Ng YM, Rousseau C, Di Ruggiero E, Dennis CL, O'Connor DL, Sellen DW. High levels of breastmilk feeding despite a low rate of exclusive breastfeeding for 6 months in a cohort of vulnerable women in Toronto, Canada. Matern Child Nutr. 2022 Jan;18(1):e13260. doi: 10.1111/mcn.13260. Epub 2021 Aug 8. |
| 34215288 | Derived | Mildon A, Francis J, Stewart S, Underhill B, Ng YM, Richards E, Rousseau C, Di Ruggiero E, Dennis CL, O'Connor DL, Sellen DW. Effect on breastfeeding practices of providing in-home lactation support to vulnerable women through the Canada Prenatal Nutrition Program: protocol for a pre/post intervention study. Int Breastfeed J. 2021 Jul 2;16(1):49. doi: 10.1186/s13006-021-00396-y. |