ABA-feed

  • Research type

    Research Study

  • Full title

    The effectiveness and cost-effectiveness of Assets-based feeding help Before and After birth (ABA-feed) for improving breastfeeding initiation and continuation

  • IRAS ID

    288028

  • Contact name

    Kate Jolly

  • Contact email

    c.b.jolly@bham.ac.uk

  • Sponsor organisation

    University of Birmingham

  • ISRCTN Number

    ISRCTN17395671

  • Duration of Study in the UK

    3 years, 1 months, 30 days

  • Research summary

    Breastfeeding can improve health of mothers and babies, but fewer UK women breastfeed compared to other countries. Many women stop breastfeeding within the first two weeks; most would have liked more support to help them continue. Younger mothers and those from lower income homes are less likely to breastfeed.
    The aim of the trial is to find out whether a ‘feeding helper’ service (ABA-feed) that supports women to feed their babies helps them to breastfeed for longer and whether it is good value for money.
    We will invite women aged 16 years or over expecting their first baby who have given informed consent, 20+0 to 35+6 weeks gestation at 10-15 sites to take part, approaching them in antenatal/scanning clinics. 2730 women will be allocated by chance to either receive usual care for feeding or the additional ABA-feed service.
    ‘Feeding helpers’ will respect women’s feeding choices. They will help them identify friends/family who may help and will provide information about local groups, helplines and websites about infant feeding. They will provide a ‘listening ear’ when women have had their baby.
    We will train existing peer supporters to become ‘feeding helpers’. They will contact women around 30 weeks of pregnancy and meet to talk about infant feeding; then keep in contact throughout pregnancy. After birth, the feeding helper will contact mothers daily for 2 weeks by text message or phone and refer those with particular difficulties to specialist feeding support. Women will be offered less frequent texts until their babies are 8 weeks old as participant preference.
    At 3 days, 8, 16 and 24 weeks after birth, women will be sent a text/web link which asks how they are feeding their baby. We will compare breastfeeding rates at 8-weeks between women who did/did not receive support from feeding helpers. We will interview women, feeding helpers and health care professionals about their experience of the service.

  • REC name

    East of Scotland Research Ethics Service REC 1

  • REC reference

    21/ES/0045

  • Date of REC Opinion

    18 May 2021

  • REC opinion

    Further Information Favourable Opinion