'DAME - Diabetes and Antenatal Milk Expressing' trial
Diabetes is increasing globally and occurs in 8% of pregnancies. These pregnancies are considered to be at high risk of perinatal complications. Many maternity providers encourage these women to express colostrum before birth to have breast milk available should the infant need supplementary feeding to treat hypoglycaemia.
Evidence for this practice is lacking so we are undertaking a multi-site, two arm randomised controlled trial (RCT) of antenatal expression of colostrum in late pregnancy for women with diabetes in pregnancy to explore the safety and efficacy for mother, fetus and infant. We completed recruitment to the trial in October 2015. More information about DAME
'MILC - Mothers and Infant Lactation Cohort' study
A high proportion of women in Australia initiate breastfeeding but many stop in the early months. Anecdotally, women are leaving hospital feeding their babies expressed breast milk, and continuing to do so at home. Little is known about the effect of expressing breast milk on a longer-term basis in terms of breastfeeding outcomes and other factors such as maternal fatigue, stress and anxiety. A prospective cohort study is underway. The primary outcome for comparison is feeding any breast milk at six months. Secondary outcomes will include exclusive breastfeeding, maternal confidence and satisfaction with infant feeding. More information about MILC
RUBY- 'Ringing up about breastfeeding
RUBY- 'Ringing up about breastfeeding early' Proactive telephone peer support in the early postnatal period to increase breastfeeding: a randomised controlled trial.
Breastfeeding has many benefits for both mother and baby but rates in Australia have remained low for the past 15 years, despite many interventions. We want to test whether mother to mother peer support, provided in the postnatal period by telephone, increases the proportion of infants who are breastfed for at least six months.
This is the first Australian randomised controlled trial to test the effectiveness, including cost effectiveness, of a proactive approach to peer support for breastfeeding. It will target women with low rates of breastfeeding, recruiting women from three Victorian hospitals whose catchments include areas with some of the lowest breastfeeding rates in the state. The trial is a collaboration with the Australian Breastfeeding Association, and the sites where women are recruited to the study are the Women's, Monash Medical Centre and Western Health (Sunshine). We completed recruiting women for the trial in December 2015.