Protocol for a multicentre prospective observational study of families with full-term infants on postnatal wards and in the community to capture feeding practices across the first year of life: the Mother Infant Lactation Questionnaire (MILQ) study

Introduction Breastmilk is considered the gold standard for infant nutrition. Breast feeding is recommended as the sole source of nutrition between birth until around 6 months of age and should be continued beyond this age as complementary foods are introduced. While breast feeding initiation is gen...

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Main Authors: Lisa N Yelland, Maria Makrides, Jacqueline F Gould, Robert A Gibson, Andrew J McPhee, Rosalie Grivell, Jojy Varghese
Format: Article
Language:English
Published: BMJ Publishing Group 2022-10-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/10/e066355.full
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author Lisa N Yelland
Maria Makrides
Jacqueline F Gould
Robert A Gibson
Andrew J McPhee
Rosalie Grivell
Jojy Varghese
author_facet Lisa N Yelland
Maria Makrides
Jacqueline F Gould
Robert A Gibson
Andrew J McPhee
Rosalie Grivell
Jojy Varghese
author_sort Lisa N Yelland
collection DOAJ
description Introduction Breastmilk is considered the gold standard for infant nutrition. Breast feeding is recommended as the sole source of nutrition between birth until around 6 months of age and should be continued beyond this age as complementary foods are introduced. While breast feeding initiation is generally high in developed countries, continuation of breast feeding appears to drop rapidly. This is a prospective observational study of life that aims to characterise a current picture of infant feeding practices across the first year, and motivations for feeding practices, and to identify barriers and enablers for breast feeding.Methods and analysis Caregivers with newborn singleton infants of normal birth weight are approached on the postnatal units of three hospitals in South Australia, or through targeted online advertising campaigns promoting the study. Caregivers are asked to complete surveys when their infant reaches 3, 5 and 7 weeks’, and at 3, 4, 5, 6, 9 and 12 months of age. Initially, baseline characteristics, intentions and preferences for infant milk feeds, as well as reasons for preferences are captured. Latter surveys query how infants are being fed, difficulties or barriers to breast feeding, as well as any enablers (if breast feeding). Once infants reach 5 months of age, surveys capture complementary feeding. A large opportunistic sample from the Adelaide community with a minimum of 1000 mother–infant pairs will be enrolled. The data will be analysed descriptively and using regression models.Ethics and dissemination Women’s and Children’s Health Network Human Research Ethics Committee reviewed and approved the study (approval no HREC/19/WCHN/140, approval date: 22 November 2019). Study results will be disseminated through academic meetings, peer-reviewed journals, in-services for postnatal healthcare services, results letters for participants and social media.Trial registration number ACTRN12620000529943.
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spelling doaj.art-0f4c8b2db2244f98a76370c79cc090192022-12-22T02:35:58ZengBMJ Publishing GroupBMJ Open2044-60552022-10-01121010.1136/bmjopen-2022-066355Protocol for a multicentre prospective observational study of families with full-term infants on postnatal wards and in the community to capture feeding practices across the first year of life: the Mother Infant Lactation Questionnaire (MILQ) studyLisa N Yelland0Maria Makrides1Jacqueline F Gould2Robert A Gibson3Andrew J McPhee4Rosalie Grivell5Jojy Varghese6Women and Kids, South Australian Health and Medical Research Institute, Adelaide, South Australia, AustraliaWomen and Kids, South Australian Health and Medical Research Institute, Adelaide, South Australia, AustraliaWomen and Kids, South Australian Health and Medical Research Institute, Adelaide, South Australia, AustraliaWomen and Kids, South Australian Health and Medical Research Institute, Adelaide, South Australia, AustraliaWomen and Kids, South Australian Health and Medical Research Institute, Adelaide, South Australia, AustraliaDepartment of Obstetrics and Gynaecology, Flinders University, Adelaide, South Australia, AustraliaDept. of Paediatrics, Lyell McEwin Hospital, Elizabeth Vale, South Australia, AustraliaIntroduction Breastmilk is considered the gold standard for infant nutrition. Breast feeding is recommended as the sole source of nutrition between birth until around 6 months of age and should be continued beyond this age as complementary foods are introduced. While breast feeding initiation is generally high in developed countries, continuation of breast feeding appears to drop rapidly. This is a prospective observational study of life that aims to characterise a current picture of infant feeding practices across the first year, and motivations for feeding practices, and to identify barriers and enablers for breast feeding.Methods and analysis Caregivers with newborn singleton infants of normal birth weight are approached on the postnatal units of three hospitals in South Australia, or through targeted online advertising campaigns promoting the study. Caregivers are asked to complete surveys when their infant reaches 3, 5 and 7 weeks’, and at 3, 4, 5, 6, 9 and 12 months of age. Initially, baseline characteristics, intentions and preferences for infant milk feeds, as well as reasons for preferences are captured. Latter surveys query how infants are being fed, difficulties or barriers to breast feeding, as well as any enablers (if breast feeding). Once infants reach 5 months of age, surveys capture complementary feeding. A large opportunistic sample from the Adelaide community with a minimum of 1000 mother–infant pairs will be enrolled. The data will be analysed descriptively and using regression models.Ethics and dissemination Women’s and Children’s Health Network Human Research Ethics Committee reviewed and approved the study (approval no HREC/19/WCHN/140, approval date: 22 November 2019). Study results will be disseminated through academic meetings, peer-reviewed journals, in-services for postnatal healthcare services, results letters for participants and social media.Trial registration number ACTRN12620000529943.https://bmjopen.bmj.com/content/12/10/e066355.full
spellingShingle Lisa N Yelland
Maria Makrides
Jacqueline F Gould
Robert A Gibson
Andrew J McPhee
Rosalie Grivell
Jojy Varghese
Protocol for a multicentre prospective observational study of families with full-term infants on postnatal wards and in the community to capture feeding practices across the first year of life: the Mother Infant Lactation Questionnaire (MILQ) study
BMJ Open
title Protocol for a multicentre prospective observational study of families with full-term infants on postnatal wards and in the community to capture feeding practices across the first year of life: the Mother Infant Lactation Questionnaire (MILQ) study
title_full Protocol for a multicentre prospective observational study of families with full-term infants on postnatal wards and in the community to capture feeding practices across the first year of life: the Mother Infant Lactation Questionnaire (MILQ) study
title_fullStr Protocol for a multicentre prospective observational study of families with full-term infants on postnatal wards and in the community to capture feeding practices across the first year of life: the Mother Infant Lactation Questionnaire (MILQ) study
title_full_unstemmed Protocol for a multicentre prospective observational study of families with full-term infants on postnatal wards and in the community to capture feeding practices across the first year of life: the Mother Infant Lactation Questionnaire (MILQ) study
title_short Protocol for a multicentre prospective observational study of families with full-term infants on postnatal wards and in the community to capture feeding practices across the first year of life: the Mother Infant Lactation Questionnaire (MILQ) study
title_sort protocol for a multicentre prospective observational study of families with full term infants on postnatal wards and in the community to capture feeding practices across the first year of life the mother infant lactation questionnaire milq study
url https://bmjopen.bmj.com/content/12/10/e066355.full
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