A Randomized Controlled Trial of the Effect of Music During Cesarean Sections and the Early Postpartum Period on Breastfeeding Rates

2021 ◽  
Author(s):  
Saifon Chawanpaiboon ◽  
Vitaya Titapant ◽  
Julaporn Pooliam
Keyword(s):  
Randomized Controlled Trial ◽  
Postpartum Period ◽  
Controlled Trial ◽  
Cesarean Sections ◽  
Randomized Controlled ◽  
Early Postpartum Period ◽  
Early Postpartum ◽  
Breastfeeding Rates

scholarly journals Randomised trial comparing hand expression with breast pumping for mothers of term newborns feeding poorly

2011 ◽  
Vol 97 (1) ◽  
pp. F18-F23 ◽  
Author(s):  
Valerie J Flaherman ◽  
Barbara Gay ◽  
Cheryl Scott ◽  
Andrew Avins ◽  
Kathryn A Lee ◽  
...  
Keyword(s):  
Postpartum Period ◽  
Controlled Trial ◽  
Randomised Trial ◽  
Recent Trial ◽  
Term Infants ◽  
Early Postpartum Period ◽  
Early Postpartum ◽  
Breast Pumping ◽  
Breastfeeding Rates ◽  
Randomised Controlled

ObjectiveBreast pumping or hand expression may be recommended when newborns latch or suck poorly. A recent trial found worse outcomes among mothers who used a breast pump in the early postpartum period. The objective of this study was to compare bilateral electric breast pumping to hand expression among mothers of healthy term infants feeding poorly at 12–36 h after birth.DesignRandomised controlled trial.SettingWell-baby nursery and postpartum unit.Patients68 mothers of newborns 12–36 h old who were latching or sucking poorly were randomly assigned to either 15 min of bilateral electric pumping or 15 min of hand expression.Mainoutcome measuresMilk transfer, maternal pain, breastfeeding confidence and breast milk expression experience (BMEE) immediately after the intervention, and breastfeeding rates at 2 months after birth.ResultsThe median volume of expressed milk (range) was 0.5 (0–5) ml for hand expressing mothers and 1 (0–40) ml for pumping mothers (p=0.07). Maternal pain, breastfeeding confidence and BMEE did not differ by intervention. At 2 months, mothers assigned to hand expression were more likely to be breastfeeding (96.1%) than mothers assigned to breast pumping (72.7%) (p=0.02).ConclusionsHand expression in the early postpartum period appears to improve eventual breastfeeding rates at 2 months after birth compared with breast pumping, but further research is needed to confirm this. However, in circumstances where either pumping or hand expression would be appropriate for healthy term infants 12–36 h old feeding poorly, providers should consider recommending hand expression.

The effect of kangaroo mother care applied to the healthy newborns in the early postpartum period on breastfeeding: a randomized controlled trial

2021 ◽  
Vol 71 (9) ◽  
pp. 2124-2129
Author(s):  
Sevda Korkut Oksuz ◽  
Sevil Inal
Keyword(s):  
Postpartum Period ◽  
Controlled Trial ◽  
Kangaroo Mother Care ◽  
Care Group ◽  
Control Group ◽  
Study Group ◽  
Randomized Controlled ◽  
Early Postpartum Period ◽  
Early Postpartum ◽  
And Control

Objective: This study aims to determine the effect of kangaroo mother care applied to the healthy newborns in the early postpartum period on breastfeeding. Methods:  Our research was conducted over the period June 1 - August 25, 2016 at the obstetrics and maternity units in Istanbul. A of 112 healthy newborns and their mothers (56 in the study group and 56 in the control group) were recruited into a randomized controlled experimental study. The newborns in the study group were administered kangaroo mother care for 3 hours after birth while the control group of newborns was cared for using the unit’s standard postpartum procedures. The time the newborns in the study and control groups first started to breastfeed, the number of breastfeeding within the first 24 hours, the duration of their breastfeeding and suckling skills were evaluated. Results:  It was found that newborns subjected to kangaroo mother care provided immediately after delivery started suckling at the breast sooner (P = .001), for a longer period (P = .001) and more frequently (P = .001) than the newborns provided with standard post-delivery care. While there was no difference between the groups in terms of initial suckling skills (P = .862), the newborns in the kangaroo mother care group were better at suckling in the 24th hour (P = .001). Continuous...

scholarly journals Efficacy of Enhanced HIV Counseling for Risk Reduction during Pregnancy and in the Postpartum Period: A Randomized Controlled Trial

PLoS ONE ◽  
2014 ◽  
Vol 9 (5) ◽  
pp. e97092 ◽  
Author(s):  
Suzanne Maman ◽  
Dhayendre Moodley ◽  
Heathe Luz McNaughton-Reyes ◽  
Allison K. Groves ◽  
Ashraf Kagee ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Risk Reduction ◽  
Postpartum Period ◽  
Controlled Trial ◽  
Hiv Counseling ◽  
Randomized Controlled

scholarly journals Optional Web-Based Videoconferencing Added to Office-Based Care for Women Receiving Psychotherapy During the Postpartum Period: Pilot Randomized Controlled Trial

10.2196/13172 ◽  
2019 ◽  
Vol 21 (6) ◽  
pp. e13172 ◽  
Author(s):  
Rebecca Yang ◽  
Simone N Vigod ◽  
Jennifer M Hensel
Keyword(s):  
Randomized Controlled Trial ◽  
Parental Stress ◽  
Postpartum Period ◽  
Controlled Trial ◽  
Depression Scale ◽  
Mental Health Program ◽  
Postpartum Women ◽  
Treatment As Usual ◽  
Randomized Controlled ◽  
Pilot Randomized Controlled Trial

Background Depression and anxiety during the postpartum period are common, with psychotherapy often being the preferred method of treatment. However, psychological, physical, and social barriers prevent women from receiving appropriate and timely psychotherapy. The option of receiving psychotherapy through videoconferencing (VC) during the postpartum period presents an opportunity for more accessible and flexible care. Objective The aim of this study was to assess the feasibility, acceptability, and preliminary effectiveness of optional VC added to usual office-based psychotherapy, with a psychotherapist during the postpartum period. Methods We conducted a pilot randomized controlled trial with 1:1 randomization to office-based care (treatment as usual; TAU) or office-based care with the option of VC (treatment as usual plus videoconferencing; TAU-VC) for psychotherapy during the postpartum period. We assessed the ability to recruit and retain postpartum women into the study from an urban perinatal mental health program offering postpartum psychotherapy, and we evaluated the uptake, acceptability, and satisfaction with VC as an addition to in-person psychotherapy. We also compared therapy attendance using therapist logs and symptoms between treatment groups. Symptoms were assessed at baseline and 3 months postrandomization with the Edinburgh Postnatal Depression Scale, Generalized Anxiety Disorder 7-item, and Parental Stress Scale. Furthermore, 3-month scores were compared between groups with intention-to-treat linear mixed-effects models controlling for baseline score. Results We enrolled 38 participants into the study, with 19 participants in each treatment group. Attendance data were available for all participants, with follow-up symptom measures available for 25 out of 38 participants (66%). Among the 19 TAU-VC participants, 14 participants (74%) utilized VC at least once. Most participants were highly satisfied with the VC option, and they reported average savings of Can $26 and 2.5 hours in travel and childcare expenses and time per appointment. There were no significant differences between the 2 groups for psychotherapy attendance or symptoms. Conclusions The option of VC appears to be an acceptable method of receiving psychotherapy for postpartum women, with benefits described in costs and time savings. On the basis of this small pilot sample, there were no significant differences in outcomes between office-based care with or without the option of VC. This study has demonstrated the feasibility of such a program in an urban center, which suggests that a larger study would be beneficial to provide evidence that is more conclusive.

scholarly journals Impact of a Randomized Controlled Trial to Reduce Bedsharing on Breastfeeding Rates and Duration for African-American Infants

2017 ◽  
Vol 42 (4) ◽  
pp. 707-715 ◽  
Author(s):  
Rachel Y. Moon ◽  
Anita Mathews ◽  
Brandi L. Joyner ◽  
Rosalind P. Oden ◽  
Jianping He ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
African American ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Breastfeeding Rates

scholarly journals Optional Web-Based Videoconferencing Added to Office-Based Care for Women Receiving Psychotherapy During the Postpartum Period: Pilot Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Rebecca Yang ◽  
Simone N Vigod ◽  
Jennifer M Hensel
Keyword(s):  
Randomized Controlled Trial ◽  
Parental Stress ◽  
Postpartum Period ◽  
Controlled Trial ◽  
Depression Scale ◽  
Mental Health Program ◽  
Postpartum Women ◽  
Treatment As Usual ◽  
Randomized Controlled ◽  
Pilot Randomized Controlled Trial

BACKGROUND Depression and anxiety during the postpartum period are common, with psychotherapy often being the preferred method of treatment. However, psychological, physical, and social barriers prevent women from receiving appropriate and timely psychotherapy. The option of receiving psychotherapy through videoconferencing (VC) during the postpartum period presents an opportunity for more accessible and flexible care. OBJECTIVE The aim of this study was to assess the feasibility, acceptability, and preliminary effectiveness of optional VC added to usual office-based psychotherapy, with a psychotherapist during the postpartum period. METHODS We conducted a pilot randomized controlled trial with 1:1 randomization to office-based care (treatment as usual; TAU) or office-based care with the option of VC (treatment as usual plus videoconferencing; TAU-VC) for psychotherapy during the postpartum period. We assessed the ability to recruit and retain postpartum women into the study from an urban perinatal mental health program offering postpartum psychotherapy, and we evaluated the uptake, acceptability, and satisfaction with VC as an addition to in-person psychotherapy. We also compared therapy attendance using therapist logs and symptoms between treatment groups. Symptoms were assessed at baseline and 3 months postrandomization with the Edinburgh Postnatal Depression Scale, Generalized Anxiety Disorder 7-item, and Parental Stress Scale. Furthermore, 3-month scores were compared between groups with intention-to-treat linear mixed-effects models controlling for baseline score. RESULTS We enrolled 38 participants into the study, with 19 participants in each treatment group. Attendance data were available for all participants, with follow-up symptom measures available for 25 out of 38 participants (66%). Among the 19 TAU-VC participants, 14 participants (74%) utilized VC at least once. Most participants were highly satisfied with the VC option, and they reported average savings of Can $26 and 2.5 hours in travel and childcare expenses and time per appointment. There were no significant differences between the 2 groups for psychotherapy attendance or symptoms. CONCLUSIONS The option of VC appears to be an acceptable method of receiving psychotherapy for postpartum women, with benefits described in costs and time savings. On the basis of this small pilot sample, there were no significant differences in outcomes between office-based care with or without the option of VC. This study has demonstrated the feasibility of such a program in an urban center, which suggests that a larger study would be beneficial to provide evidence that is more conclusive.

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