About this trial
The objective of this randomized controlled trial is to examine the efficacy of a new intervention to prevent postpartum smoking relapse and related health consequences through breastfeeding promotion. After the pre-test, ex-smokers who are still abstinent from smoking will be randomized into either the breastfeeding intervention or the attention placebo control group. The outcomes are postpartum smoking relapse, breastfeeding practices, and maternal and child health.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Be pregnant
Be 18 years or older
Have quit smoking cigarettes during this pregnancy
Be willing to receive infant care and breastfeeding education
Disqualifiers
Medical conditions contraindicating breastfeeding, such as HIV infection, active tuberculosis, and breast removal
Current heavy drinking (≥4 standard drinks on any day or ≥8 standard drinks per week)
Trial design
Parallel
Treatments tested in this trial
Breastfeeding promotion
BehavioralThe intervention group will receive a multicomponent intervention promoting breastfeeding, including education, lactation counseling, social support, breastfeeding-contingent financial incentives, and early limited formula milk via syringe feeding (optional for at-risk infants).
Attention placebo control
BehavioralThe control group will receive instructions on general pregnancy and infant care from this project
Treatment groups
Trial outcomes
Primary outcomes
Number of participants reporting to smoke
Secondary outcomes
Number of participants reporting to breastfeed
Systolic blood pressure level
Diastolic blood pressure level
Infant weight-for-length z-score
Sponsors and contacts
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State University of New York at Buffalo
Lead sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator