Effectiveness of family integrated lactation management on breastmilk feeding outcomes among preterm babies - A pilot study.

Abstract

Preterm infants often face challenges with breastfeeding due to the delayed lactogenesis and feeding complications, while families, especially fathers, play a pivotal role in supporting breastfeeding. Family Integrated Lactation Management (FILM) is a structured intervention designed to address these challenges through family engagement, skill training, and personalized lactation support. This pilot study assessed the feasibility of implementing FILM and its impact on breastfeeding outcomes among preterm infants. A randomized controlled trial (RCT) with 30 preterm babies was conducted, assigning participants to FILM or Attention Control Group (ACG) using stratified block randomization. FILM included simulation-based parental training, lactation counseling, and family support sessions. The primary outcomes were breastfeeding rates at discharge, maternal and paternal breastfeeding self-efficacy, measured using translated and validated tools. This study is registered in Clinical Trials Registry-India (CTRI/2022/10/046204). FILM demonstrated higher exclusive breastfeeding rates at discharge (77%) compared to ACG (62%). Participants in the FILM group reported improved breastfeeding self-efficacy and satisfaction. The Tamil-translated lactation scales were found feasible and culturally appropriate. Recruitment and follow-up processes were successfully executed, with minor logistical challenges. FILM is a feasible and effective intervention to enhance breastfeeding outcomes among preterm infants. Its structured, family-integrated approach addresses both clinical and cultural needs, making it a promising model for lactation management for preterm babies.