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Biomarker-based text messages to promote lactation success in mothers of critically Ill infants: a randomized
Leslie A Parker1, Deepthi Varma2, Marion M Bendixen2
1University of Florida, Gainesville, USA. parkela@ufl.edu.
Objective:
Infrequent breast pumping limits mother's own milk production in mothers of infants admitted to the neonatal intensive care unit. We aimed to determine the feasibility and benefit of biomarker-based personalized text messages on pumping frequency and milk sodium levels. A secondary aim examined lactation outcomes.
Study Design:
In this randomized controlled pilot study, 51 mothers were randomized to receive personalized text messages regarding pumping frequency or standard care.
Results:
There were no differences in pumped milk volume or sodium level, however, there was a trend towards the intervention group pumping more frequently, which was significant on day 5 (p = 0.035), and they lactated nearly 9 days longer. Post-hoc analysis found the intervention group tended to be more likely to pump ≥ 500 mL by day14 (p = 0.08), a marker of long-term lactation success.
Conclusion:
Personalized biomarker-based text messages are feasible and may support lactation in mothers of critically ill infants.
