PDF(Pubmed)
Abstract：
BACKGROUND: Breastfeeding is associated with many health benefits for both women and their newborns. Exclusive breastfeeding has been recommended for at least 6 months to optimise infant growth, development and health. In addition to standard care, community-based peer support is recommended to help mothers improve breastfeeding. A recent survey reveals that the rate of exclusive breastfeeding at 6 months post partum in Hong Kong is low, and half of all breastfeeding mothers never exclusively breastfeed. Taking into account the local practice for women to stay home during the first month post partum and social isolation during and post-COVID-19 pandemic, a home-based peer support programme with the aid of Zoom or Facetime is proposed. This study aims to evaluate the effectiveness of a home-based breastfeeding peer support programme in improving breastfeeding practices and achieving exclusive breastfeeding rate among women with low breastfeeding self-efficacy.
METHODS: The study is a two-armed randomised control trial and will include a total of 442 participants. Potential cases will be recruited and screened at four postnatal wards in Hong Kong public hospital. Eligible and consented cases will be randomly allocated into intervention or control groups at a 1:1 ratio. Control group (n=221) will receive standard care, while the intervention group (n=221) will receive home-based peer support as well as standard care. Trained peer counsellors will provide breastfeeding-related support through Zoom or Facetime at 10 days and 1 month post partum. Telephone follow-ups will be conducted at 1 month, 2 months, 3 months and 6 months post partum. Breastfeeding status, mother\'s breastfeeding self-efficacy and postpartum depression will be assessed and compared between the two arms.
BACKGROUND: The study has been reviewed and approved by the Institutional Review Board of the University of Hong Kong and Hospital Authority Hong Kong West Cluster (UW 20-564). The findings will be updated in trial registries and disseminated in peer-reviewed journals and academic conferences.
BACKGROUND: NCT04621266.
METHODS: The study is a two-armed randomised control trial and will include a total of 442 participants. Potential cases will be recruited and screened at four postnatal wards in Hong Kong public hospital. Eligible and consented cases will be randomly allocated into intervention or control groups at a 1:1 ratio. Control group (n=221) will receive standard care, while the intervention group (n=221) will receive home-based peer support as well as standard care. Trained peer counsellors will provide breastfeeding-related support through Zoom or Facetime at 10 days and 1 month post partum. Telephone follow-ups will be conducted at 1 month, 2 months, 3 months and 6 months post partum. Breastfeeding status, mother\'s breastfeeding self-efficacy and postpartum depression will be assessed and compared between the two arms.
BACKGROUND: The study has been reviewed and approved by the Institutional Review Board of the University of Hong Kong and Hospital Authority Hong Kong West Cluster (UW 20-564). The findings will be updated in trial registries and disseminated in peer-reviewed journals and academic conferences.
BACKGROUND: NCT04621266.
摘要：
背景：母乳喂养对妇女及其新生儿都有许多健康益处。建议纯母乳喂养至少6个月，以优化婴儿生长。发展与健康。除了标准护理，建议以社区为基础的同伴支持帮助母亲改善母乳喂养.最近一项调查显示,本港产后6个月的纯母乳喂养率较低,一半母乳喂养的母亲从不纯母乳喂养。考虑到当地妇女在产后第一个月呆在家里的做法，以及在COVID-19大流行期间和之后的社会隔离，提出了在Zoom或Facetime的帮助下基于家庭的对等支持计划。这项研究旨在评估以家庭为基础的母乳喂养同伴支持计划在改善母乳喂养实践和实现母乳喂养自我效能低的妇女的纯母乳喂养率方面的有效性。
方法：该研究是一项双臂随机对照试验，将包括442名参与者。潜在病例将在香港公立医院的四个产后病房进行招募和筛查。符合条件和同意的病例将以1：1的比例随机分配到干预组或对照组。对照组(n=221)将接受标准护理，而干预组（n=221）将接受基于家庭的同伴支持以及标准护理。训练有素的同伴顾问将在产后10天和1个月通过Zoom或Facetime提供与母乳喂养相关的支持。电话随访将在1个月进行，2个月,产后3个月和6个月。母乳喂养状态，母亲的母乳喂养自我效能和产后抑郁症将被评估和比较这两个武器。
背景：该研究已获得香港大学机构审查委员会和医院管理局香港西部集群（UW20-564）的审查和批准。研究结果将在试验注册中心更新，并在同行评审的期刊和学术会议上传播。
背景：NCT04621266。
方法：该研究是一项双臂随机对照试验，将包括442名参与者。潜在病例将在香港公立医院的四个产后病房进行招募和筛查。符合条件和同意的病例将以1：1的比例随机分配到干预组或对照组。对照组(n=221)将接受标准护理，而干预组（n=221）将接受基于家庭的同伴支持以及标准护理。训练有素的同伴顾问将在产后10天和1个月通过Zoom或Facetime提供与母乳喂养相关的支持。电话随访将在1个月进行，2个月,产后3个月和6个月。母乳喂养状态，母亲的母乳喂养自我效能和产后抑郁症将被评估和比较这两个武器。
背景：该研究已获得香港大学机构审查委员会和医院管理局香港西部集群（UW20-564）的审查和批准。研究结果将在试验注册中心更新，并在同行评审的期刊和学术会议上传播。
背景：NCT04621266。
