UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000054517
Receipt number R000062289
Scientific Title Feasibility Study of a Breast Stimulation Program Using a Electric Breast Pump from the Day of Cesarean Section
Date of disclosure of the study information 2024/08/14
Last modified on 2025/01/14 12:40:55

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Basic information

Public title

Feasibility Study of a Breast Stimulation Program Using a Breast Pump from the Day of Cesarean Section

Acronym

Feasibility Study of a Breast Stimulation Program Using a Breast Pump from the Day of Cesarean Section

Scientific Title

Feasibility Study of a Breast Stimulation Program Using a Electric Breast Pump from the Day of Cesarean Section

Scientific Title:Acronym

Feasibility Study of a Breast Stimulation Program Using a Breast Pump from the Day of Cesarean Section

Region

Japan


Condition

Condition

Breastfeeding after cesarean section

Classification by specialty

Nursing

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Program Development

Feasibility of the Program: All mothers will receive nipple stimulation using an electric milking device. This will involve four stimulations within the first 24 hours after birth by cesarean section, and another four stimulations in the subsequent 24 hours. Direct breastfeeding should be used as additional stimulation.

Measurements of Programmed Milk Volume, Oxytocin Concentration, Prolactin Concentration, and Response to Primary Metabolites:

Total Amount of Breast Milk Fed in 24 Hours: This will be determined by the weight difference before and after breastfeeding and the total amount of milk expressed.

Measurement of Oxytocin and Prolactin Levels in Breast Milk and Saliva: Previous studies have shown that oxytocin concentration is affected by the measurement method and individual differences16-18). Following the procedure of a previous study18), we will assess the variation in the obtained data.

Changes in Primary Metabolites in Milk (Comparison between 3 and 5 Days Postpartum): This will help determine the changes in primary metabolites in vivo in response to the intervention.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

1) Program feasibility (acceptability, implementation, practicality)
2) Milk volume on the third and fifth postpartum days (total 24-hour milk volume)
3) Degree of breast fullness

Key secondary outcomes

1) Oxytocin and prolactin levels (saliva and milk) at 3 and 5 days postpartum
2) Lactation status after 1 month


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

At least 4 breast stimulations in 24 hours using an electric breast pump from the day of cesarean section until the start of mother-infant rooming-in on the second day. The electric milking machine is a double pump for 15 minutes per session. Start with a pressure of 3 and adjust to a painless pressure depending on the mother.

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

43 years-old >=

Gender

Female

Key inclusion criteria

1) The participants will be pregnant women who are eligible for the study if they fulfill all of the following criteria.
(1) Patients scheduled for cesarean section after 37 weeks (indications: pelvic position, placenta plevia, and cephalopelvic disproportion), (2) Patients between the ages of 20 and 43 years
(2) Between 20 and 43 years of age
(3) prefer breastfeeding
(4) Can read, write, and speak Japanese fluently
(5) who have given written consent.

Key exclusion criteria

(1) Obstetric complications (severe gestational hypertension, gestational diabetes)
(2) Non-obstetric endocrine complications (psychiatric disorders, epilepsy, heart disease, etc.)
(3) Infectious diseases transmitted from mother to child (HIV, HBV, HCV, HTLV-1)
(4) Emergency cesarean section
(5) Drug addiction, alcoholism, or smoking that affects hormones
(6) Age less than 20 years, 44 years or older
(7) Multiple pregnancy

Target sample size

8


Research contact person

Name of lead principal investigator

1st name Ai
Middle name
Last name Miyauchi

Organization

St Luke's International University Graduate school of nursing science

Division name

PhD Programs Midwifery

Zip code

104-0044

Address

10-1 Akashi-cho, Chuo-ku, Tokyo

TEL

03-3543-6391

Email

23dn014@slcn.ac.jp


Public contact

Name of contact person

1st name Ai
Middle name
Last name Miyauchi

Organization

St Luke's International University Graduate school of nursing science

Division name

Doctoral Programs Midwifery

Zip code

104-0044

Address

10-1 Akashi-cho, Chuo-ku, Tokyo

TEL

03-3543-6391

Homepage URL


Email

23dn014@slcn.ac.jp


Sponsor or person

Institute

St Luke's International University Graduate school of nursing science

Institute

Department

Personal name



Funding Source

Organization

self-procurement

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

St Luke's International University Graduate school of nursing science

Address

10-1 Akashi-cho, Chuo-ku, Tokyo

Tel

03-3543-6391

Email

23dn014@slcn.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2024 Year 08 Month 14 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

7

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2023 Year 11 Month 20 Day

Date of IRB

2023 Year 11 Month 20 Day

Anticipated trial start date

2023 Year 12 Month 20 Day

Last follow-up date

2024 Year 04 Month 30 Day

Date of closure to data entry

2024 Year 06 Month 30 Day

Date trial data considered complete

2024 Year 07 Month 31 Day

Date analysis concluded

2024 Year 12 Month 31 Day


Other

Other related information



Management information

Registered date

2024 Year 05 Month 30 Day

Last modified on

2025 Year 01 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062289