[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"lactation-insufficient-partial\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:lactation-insufficient-partial":45},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,67],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":19,"enrollmentInfo":20,"targetDuration":4,"studyType":23,"phases":24,"briefSummary":26,"conditions":27,"keywords":46,"overallStatus":54,"whyStopped":4,"lastUpdateSubmitDate":55,"lastUpdatePostDateStruct":56,"startDateStruct":59,"completionDateStruct":61,"leadSponsor":63,"locationsCount":66},"100598934","comparing-integrative-midwife-led-vs-fragmented-inpatient-postpartum-care-impact-on-satisfaction-and-transition-to-motherhood-100598934",false,"NCT07077941","Comparing Integrative Midwife-led vs. Fragmented Inpatient Postpartum Care: Impact on Satisfaction and Transition to Motherhood","Supporting Mothers With Integrative Care by Midwives for Lifelong Empowerment (SMILE): A Randomized Controlled Trial Comparing Midwife-led Integrative and Fragmented Standard Inpatient Postpartum Care Models on Maternal Satisfaction and Transition to Motherhood","SMILE","Inclusion Criteria:\n\n* Women aged 18 to 50 years at the time of delivery\n* Classified as \"low-risk\" by the obstetric team in the delivery room\n* Gestational age at birth between 36+0 and 42+0 weeks\n* Singleton birth (only one child born)\n* Intent to breastfeed\n* Consent to participate in the study\n\nExclusion Criteria:\n\n* Women younger than 18 or older than 50 at the time of delivery\n* Classified as \"high-risk\" by the obstetric team\n* Multiple birth (e.g., twins, triplets)\n* No intention or ability to breastfeed the newborn","FEMALE","18 Years","50 Years",{"count":21,"type":22},784,"ESTIMATED","INTERVENTIONAL",[25],"NA","The goal of this clinical trial is to compare two different forms of postnatal care to find out which is most beneficial for mothers and their children after birth and with which they are most satisfied. One is a nurse-led, seperate model of care and the other is a midwife-led, integrative model of care. Participants are healthy women between the ages of 18 and 50. They gave birth between 36+0 and 42+0 weeks of pregnancy and had a child. The type of birth is not an inclusion or exclusion criteria. Our hypotheses are: i) that maternal satisfaction with care in a midwife-led, integrative care model is higher than in separate maternal and infant care; ii) that a positive postpartum experience leads to earlier and increased maternity competence; iii) that a higher breastfeeding rate at the time of the survey in the fourth month can be achieved through integrative care. Participants will be randomly assigned, after birth of their child, to either the group cared for by a nurse or the group cared for by a midwife.",[28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45],"Maternal Health Services","Infant, Newborn","Postnatal Care","Breast Feeding","Maternal-Child Relations","Postpartum Depression (PPD)","Mental Health","Lactation","Breast Feeding, Exclusive","Patient Satisfaction and Experience With Integrative Therapies","Neonatal Jaundice","Maternal Behavior","Body Weight Decreased","Breast Feeding of Healthy Full Term Infants","Lactation Mastitis","Lactation Disorder - Postpartum Condition or Complication","Lactation Disorder With Baby Delivered","Lactation; Insufficient, Partial",[47,48,49,50,51,52,53],"Postnatal care","inpatient","maternity competence","satisfaction","integrative care","breastfeeding","maternal behavior","NOT_YET_RECRUITING","2025-07-12",{"date":57,"type":58},"2025-07-22","ACTUAL",{"date":60,"type":22},"2025-10-01",{"date":62,"type":22},"2026-12-31",{"name":64,"class":65},"Medical University of Vienna","OTHER",1,{"id":68,"slug":69,"hasResults":11,"nctId":70,"briefTitle":71,"officialTitle":72,"acronym":73,"eligibilityCriteria":74,"healthyVolunteers":11,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":75,"targetDuration":4,"studyType":23,"phases":77,"briefSummary":78,"conditions":79,"keywords":4,"overallStatus":83,"whyStopped":4,"lastUpdateSubmitDate":84,"lastUpdatePostDateStruct":85,"startDateStruct":87,"completionDateStruct":89,"leadSponsor":91,"locationsCount":5},"100559407","sodium-awareness-in-lactation-trial-100559407","NCT06563726","Sodium Awareness in Lactation Trial","Partnering With Parents for Pumping Success: Feasibility of Personalized Lactation Support Utilizing Point-of-Care Human Milk Biomarkers","SALT","Inclusion Criteria:\n\n1. Consent provided\n2. Have delivered a preterm singleton or twin infant at \\\u003C35 weeks gestation admitted to a study NICU at birth or transferred into a study NICU from another NICU within the first 72 hours postpartum\n3. Day 5 or less postpartum (Day 1 = day of delivery) upon enrollment (ideally day 3 or less)\n4. Plans to lactate at least 2 weeks and initiate lactation with a breast pump\n5. Expected infant NICU stay of 7+ (ideally 14+) days in enrollment NICU(s)\n\nExclusion Criteria:\n\n1. Potential study participant's infant is critically ill and not expected to survive or has lethal diagnosis with plans by medical team\u002Ffamily to redirect care\n2. Has delivered triplets or higher order multiples (potential confounder for lactation challenges; of note, triplets or higher are rare, on the order of a few parents annually)\n3. Lactation contraindication(s) (i.e., active chemotherapy) or declines lactation initiation\n4. History of breast surgery that may affect ability to lactate (i.e., breast reduction; breast augmentation that utilized nipple incisions)\n5. Using or planning to use hormonal birth control in the first 14 days post-partum as may affect secretory activation\u002Flactation\n6. Unable\u002Funwilling to be present in study NICU during any of first 5 days postpartum\n7. Presumption by the medical team that infant will be in study NICU for \\\u003C5 days",{"count":76,"type":22},40,[25],"SALT is a multi-centre, non-blinded, non-randomized prospective interventional pilot study teaching lactating parents of hospitalized preterm infants how to test their breastmilk sodium (Na) using point-of-care (POC) meters. A drop in Na is a sign of secretory activation in the breast that is associated with adequate short and long-term breast milk volumes in this vulnerable population.\n\nPrimary Objective: Establish feasibility, acceptance, and time cost of parent-led parent milk Na testing in the first 14 days postpartum\n\nSecondary Objective: Further investigate relationships between pumping behaviours, lactation risk factors, daily milk Na and lactation outcomes\n\nExploratory Objective: Explore how POC Na data may be used to modify pumping behaviour and milk volumes",[80,81,82,45],"Breastfeeding","Preterm Birth","Breast Pumping","RECRUITING","2025-05-27",{"date":86,"type":58},"2025-05-28",{"date":88,"type":58},"2025-03-10",{"date":90,"type":22},"2026-03",{"name":92,"class":65},"The Hospital for Sick Children"]