Prevention of Postpartum Smoking Relapse and Related Health Consequences by Breastfeeding Promotion
State University of New York at Buffalo
Summary
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.
Description
We propose a randomized controlled trial to reduce postpartum smoking relapse by breastfeeding promotion from late pregnancy to 12 months postpartum. We will enroll 280 pregnant mothers who successfully quit smoking during this pregnancy (≤28 weeks). After the pre-test, participants who are still smoking abstinent will be randomized into either the breastfeeding intervention group (N=140) or the attention control group (N=140). The intervention group will receive a multicomponent intervention consisting of breastfeeding education, lactation counseling, social support, contingent financial ince…
Eligibility
- Age range
- 18+ years
- Sex
- Female
- Healthy volunteers
- Yes
Inclusion Criteria: * Be pregnant * Be 18 years or older * Have quit smoking cigarettes during this pregnancy * Be willing to receive infant care and breastfeeding education * Be able to read, listen, and talk in English Exclusion Criteria: * 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)
Interventions
- BehavioralBreastfeeding promotion
The 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).
- BehavioralAttention placebo control
The control group will receive instructions on general pregnancy and infant care from this project
Location
- Division of Behavioral Medicine Department of Pediatrics Jacobs School of Medicine and Biomedical Sciences State University of New York at BuffaloBuffalo, New York