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Published on: September 22, 2023
Engagement with Postpartum Text-Based Support Platform Is Not Associated with Breastfeeding Outcomes at 6 Weeks
Whitney Bender1,2, Celeste Durnwald2
1Sidney Kimmel Medical College, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Personalized text-based breastfeeding support did not improve infant feeding outcomes at six weeks postpartum. Further research is needed to optimize technology-based interventions for breastfeeding families.
Area of Science:
- Maternal and Child Health
- Digital Health Interventions
- Lactation Support
Background:
- Technology-based breastfeeding support interventions show variable effectiveness, particularly in the U.S.
- Previous studies report mixed results regarding the impact of digital tools on breastfeeding outcomes.
- Understanding engagement with these platforms is crucial for improving their efficacy.
Purpose of the Study:
- To examine the association between engagement with a personalized text-based breastfeeding support platform and infant feeding outcomes.
- To describe how participant interaction with a digital lactation support tool relates to breastfeeding success.
- To identify potential factors influencing the effectiveness of technology-assisted breastfeeding support.
Main Methods:
- Secondary analysis of a randomized controlled trial at an urban tertiary care center.
- Included 92 participants randomized to the intervention arm receiving weekly texts and on-demand support.
- Assessed engagement via platform questions and primary outcome of breastfeeding exclusivity at 6 weeks postpartum.
Main Results:
- Over half of participants (54.4%) submitted at least one question, primarily in the first postpartum week.
- No significant difference in breastfeeding exclusivity at 6 weeks postpartum was observed between those who used the platform and those who did not (48% vs. 48.8%, p=0.94).
- Secondary infant feeding measures and parental mood assessments also showed no significant differences.
Conclusions:
- Engagement with this specific personalized text-based breastfeeding support platform was not linked to improved breastfeeding outcomes at 6 weeks postpartum.
- Current technology-based interventions may require refinement to effectively support breastfeeding families.
- Further investigation is warranted to determine how digital health tools can be optimized for lactation support.
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