在出生前和出生后 (ABA-feed) 基于资产的养辅助的有效性和成本效益,以改善母乳养的开始和延续:多中心随机对照试验 (版本3.0) 的协议
Joanne Clarke1, Stephan U Dombrowski2, Eleni Gkini3
1Institute of Applied Health Research, University of Birmingham, Birmingham, UK.
这项研究将评估基于资产的养帮助在分娩前和分娩后 (ABA-feed) 干预措施的有效性,这是一项同行支持计划,旨在提高英国首次母亲的母乳养率.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 哺乳为婴儿和母亲提供了显著的健康益处.
- 英国面临着低母乳养率,社会不平等加剧了这一现象.
- 之前的一项可行性研究 (ABA) 证实了基于资产的,以女性为中心的同行支持干预措施的可接受性.
研究的目的:
- 评估ABA料干预的临床和成本效益.
- 为了比较ABA-feed干预与第一次母亲的通常护理.
- 通过嵌入式流程评估,探索试验场所之间的实施差异.
主要方法:
- 一个多中心随机对照试验,涉及2730名初婚妇女.
- 随机分配到ABA食干预或通常的护理.
- 在出生后的多个时间点 (3天至24周) 收集婴儿养结果的数据.
主要成果:
- 主要结局是出生后8周的任何母乳养.
- 二次结果包括开始母乳养,独家养,配方养,母亲焦虑,社会支持和医疗保健利用.
- 分析将遵循治疗意图原则.
结论:
- 该研究旨在提供关于有效的同行支持干预措施的证据,以改善母乳养结果.
- 研究结果将为解决母乳养差异的公共卫生战略提供信息.
- 结果将通过开放访问出版物和会议演讲传播.
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