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Text Message-Based Breastfeeding Support Compared With Usual Care: A Randomized Controlled Trial.

Whitney Bender1, Lisa Levine, Celeste Durnwald

  • 1Maternal Fetal Medicine Research Program, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania; and the Department of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine, Richmond, Virginia.

Obstetrics and Gynecology
|October 6, 2022
PubMed
Summary
This summary is machine-generated.

A text message platform did not improve overall breastfeeding exclusivity at 6 weeks postpartum. However, it significantly increased exclusive breastfeeding rates among Black mothers, reducing racial disparities.

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Area of Science:

  • Maternal and Child Health
  • Digital Health Interventions
  • Health Disparities Research

Background:

  • Postpartum support is crucial for breastfeeding success.
  • Text message-based interventions offer a scalable approach to enhance maternal care.
  • Racial disparities persist in breastfeeding rates, necessitating targeted interventions.

Purpose of the Study:

  • To assess the efficacy of a postpartum text message communication platform in improving breastfeeding exclusivity.
  • To investigate the impact of the intervention on overall breastfeeding rates and secondary outcomes.
  • To explore potential effects of the intervention on racial disparities in breastfeeding.

Main Methods:

  • A randomized controlled trial compared a text message intervention group with a control group receiving usual care.
  • The intervention group received educational messages and personalized support via text.
  • Primary outcome: breastfeeding exclusivity at 6 weeks postpartum. Secondary outcomes: any breastfeeding and formula supplementation. Analysis stratified by race.

Main Results:

  • No significant difference in overall breastfeeding exclusivity between the intervention and control groups (48.4% vs 41.3%, P =.33).
  • Among Black patients, the intervention group showed significantly higher odds of exclusive breastfeeding (OR 2.62, 95% CI 1.04-6.59).
  • The intervention reduced the Black-non-Black disparity in exclusive breastfeeding rates.

Conclusions:

  • A text message-based platform did not improve overall postpartum breastfeeding exclusivity.
  • The intervention demonstrated a significant benefit for exclusive breastfeeding among Black mothers.
  • Targeted digital health interventions may help mitigate racial disparities in breastfeeding.