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Smartphone-based counseling and support platform and the effect on postpartum lactation: a randomized controlled
Hadas Miremberg1, Karen Yirmiya2, Shiran Rona3
1Department of Obstetrics and Gynecology, The Edith Wolfson Medical Center, Holon, Israel; Sackler School of Medicine, Tel-Aviv University, Tel Aviv, Israel.
American Journal of Obstetrics & Gynecology MFM
|December 6, 2021
Summary
A smartphone app providing daily counseling and feedback significantly increased breastfeeding rates at 6 weeks and 3 months postpartum. This technology-supported approach enhanced lactation success and patient satisfaction.
Area of Science:
- Obstetrics and Gynecology
- Public Health
- Digital Health
Background:
- Human milk lactation offers significant health benefits for both mothers and infants.
- Many mothers discontinue breastfeeding earlier than intended due to insufficient support.
- Accessible counseling interventions are crucial for improving lactation rates and duration.
Purpose of the Study:
- To evaluate the impact of a smartphone-based daily feedback and counseling platform on lactation rates.
- To assess maternal and neonatal outcomes associated with this digital lactation support system.
- To determine the efficacy of a multidisciplinary team providing counseling via an app to maintain lactation.
Main Methods:
- A prospective, single-center, randomized controlled trial was conducted.
- Participants were randomized to either routine lactation support or an app-based daily counseling group.
- The primary outcome was partial or full lactation at 3 months postpartum; secondary outcomes included lactation up to 6 months.
Main Results:
- The app group demonstrated significantly higher lactation rates at 6 weeks (96.9% vs 82.0%) and 3 months (81.4% vs 69.0%) postpartum compared to the control group.
- No significant differences in background or delivery characteristics were observed between the groups.
- Patients in the app group reported high satisfaction with the application and overall postnatal care.
Conclusions:
- Smartphone-based daily feedback and counseling platforms can effectively increase postpartum lactation rates.
- Integrating technology with multidisciplinary lactation support enhances patient outcomes and satisfaction.
- This study highlights the growing efficacy of digital health platforms in obstetrical care.
