Evaluation of a Health Mediation Program in the Maternity Ward.
ConditionBreast Feeding, Exclusive
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
AgeNot listed
SponsorCentre Hospitalier de Cayenne
About this trial
The first months of life are considered a critical period that has a lasting impact on a child's future health.
Breastfeeding is one of the fundamental factors contributing to healthy growth in children. It is reducing infant mortality, and supporting neurocognitive development.
As part of the Nutri Pou Ti'moun program, a study on breastfeeding practices was conducted in French Guiana in 2024 to assess the current state of affairs.
A complementary qualitative study of 15 mothers in situations of multidimensional vulnerability revealed barriers to exclusive breastfeeding, such as the perception of a lack of milk, the newborn's perceived refusal to breastfeed, or a lack of support from family and friends.
The findings of these 2 studies encourage the investigators to support mothers in their choice to breastfeed from the moment they give birth, so that infant feeding practices align more closely with national and international recommendations and are as beneficial as possible for the child's health.
The objective of this study is to compare the rate of exclusive breastfeeding at 1 month between women who received the intervention (exposed group) and those who did not (unexposed group).
The study hypothesis is that the health intervention will improve the rate of exclusive breastfeeding.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Women who gave birth at the French Guiana University Hospital Center
Disqualifiers
Women refusal to participate to the study or lack of opposition collected
lack of authorization from legal representatives for underage women or from legal guardians for women under legal protection
foetal death, stillbirth, or neonatal death
feeding with formula from birth
Trial population
Women who gave birth at the French Guiana University Hospital Center
Trial design
Design model
Case-control
Time perspective
Prospective
Treatments tested in this trial
postpartum breastfeeding support from a health mediator
Other interventionThis pilot mediation program consists of the following activities: * Supporting healthcare teams in providing postpartum care for women, particularly those in vulnerable situations. * Providing in-room support to women to assist them with breastfeeding in collaboration with the healthcare teams. The content of the support is tailored to the woman's needs and follows national guidelines. This support may be provided multiple times during the hospital stay. This individual in-room support is provided at the request of the woman and/or the healthcare team. The initial request and the content of the intervention are recorded in the woman's electronic medical record. * Participate weekly in the childbirth and parenting preparation workshop on breastfeeding, organized by the maternity ward and led by midwives and/or childcare assistants.
routine health care without health mediation
Other interventionroutine health care for postpartum breastfeeding
Treatment groups
960 Participants
are divided into 2 treatment groupsGroup A: exposed group1 intervention
Group B: control group1 intervention
Trial outcomes
Primary outcomes
1
Rate of exclusive breastfeeding at 1 month postpartum in the group of women who received health mediation support (exposed group) and in the group of women who did not receive such support (unexposed group).
Measurement of the rate of exclusive breastfeeding using a questionnaire administred to mothers included in the study
Time frame
1 monthSecondary outcomes
1
Rate of exclusive breastfeeding
Measurement of the rate of exclusive breastfeeding through a questionnaire administred to mothers
Time frame
1 month; 3 months2
Duration of exclusive breasfeeding
Measurement of the duration of breastfeeding through a questionnaire administred to mothers
Time frame
1 month; 3 months3
Characteristics of the exposed group, including socioeconomic and medical data and the level of health literacy.
Description of the socioeconomics data through a questionnaire administred to mothers, and collection of medical data in the electronic medical records
Time frame
At enrollment4
Level of satisfaction within the maternity ward
Score of satisfaction based on answers to a questionnaire administred to mothers included in the study within the maternity ward
Time frame
At enrollmentSponsors and contacts
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Source ClinicalTrials.gov