Clinical trial NCT06564922: Effects of Individualized Immediate Postnatal Counselling on Exclusive Breast Feeding
Official title: Effects of Individualized Immediate Postnatal Counselling on Exclusive Breast Feeding During First Month at Bule Hora University Teaching Hospital and Yabelo General Hospital, Oromia, Ethiopia
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Breast Feeding
Counselling
Keywords: Breast feeding
Early initiation of breast feeding
Exclusive breast feeding
Immediate counselling
Randomized controlled trial
Oromia
Ethiopia
Lead sponsor: Bule Hora University
Sponsor class: OTHER
First posted: 2024-08-21
Enrollment: 221
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 37
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: SEQUENTIAL
Intervention model description: The study will have two arms, i.e., intervention and control groups. The intervention group will receive immediate postnatal breastfeeding counselling and control group will receive routine care.
Primary purpose: TREATMENT

Brief summary: Breastfeeding is crucial for the health of both mothers and infants, promoting healthier populations and reducing long-term healthcare costs. To maximize these benefits, education, support, and effective policies are essential. This study aimed to evaluate the impact of immediate postpartum counseling on early initiation and exclusive breastfeeding rates in the pastoralist areas of Oromia, Ethiopia.

Hypothesis: Individualized immediate postnatal counselling improve exclusive breastfeeding practice.

Detailed description: Breastfeeding plays a crucial role in promoting the health and well-being of both mothers and their infants, contributing to healthier populations, and reducing long-term healthcare costs. Encouraging breastfeeding through education, support, and policies is essential for maximizing these benefits. This study aimed to evaluate the impact of immediate postpartum counseling on early initiation of breastfeeding rates and exclusive breastfeeding in Bule Hora and Yabelo Hospitals. A cluster randomized single-blinded trial was conducted on 224 pregnant women (112 for the intervention group and 112 for the control group) from January 1, 2023, to April 30, 2023. The effect of immediate postpartum counselling and its associated variables on early initiation and exclusive breastfeeding practices were evaluated using multiple logistic regressions. A p-value of less than 0.05, a 95% confidence interval, and an adjusted odd ratio were used to determine statistical significance.

Eligibility criteria: Inclusion Criteria

* Gave birth by spontaneous vaginal delivery
* Residents of either Yabelo or Bule Hora town hospital
* willing to participate in the study Exclusion Criteria
* Seriously ill and planned to move during the study period
* Stillbirth
* Neonatal death
* Gave birth cesarean delivery

Primary outcomes:
measure: Early initiation of breastfeeding
timeFrame: up to 1month
Secondary outcomes:
measure: Breastfeeding frequency
timeFrame: up to 1 month
measure: Mother knowledge and attitude
timeFrame: up to 1 month
Other outcomes:
Locations:
city: Bulē
country: Ethiopia
facility: Bule Hora and Yabelo Hospital
state: Oromia
Study officials:
affiliation: Bule Hora University, Ethiopia
name: Belda N Beyene, MSc
role: PRINCIPAL_INVESTIGATOR
References: