UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000055824
Receipt number R000063806
Scientific Title Increasing Lactogenesis II Program Using a Breast Pump Shortly after Cesarean section: A Quasi-Experimental Research.
Date of disclosure of the study information 2025/01/31
Last modified on 2025/10/19 10:32:16

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Basic information

Public title

Increasing Lactogenesis II Program Using a Breast Pump
Shortly after Cesarean section: A Quasi-Experimental Research.

Acronym

Increasing Lactogenesis II Program Using a Breast Pump
Shortly after Cesarean section: A Quasi-Experimental Research.

Scientific Title

Increasing Lactogenesis II Program Using a Breast Pump
Shortly after Cesarean section: A Quasi-Experimental Research.

Scientific Title:Acronym

Increasing Lactogenesis II Program Using a Breast Pump
Shortly after Cesarean section: A Quasi-Experimental Research.

Region

Japan


Condition

Condition

Breastfeeding after cesarean section

Classification by specialty

Nursing

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to evaluate the effectiveness of an intervention that promotes milk production through physiological mechanisms by stimulating the nipple with a breast pump at least four times within 24 hours, starting on the day of cesarean delivery, for mothers who wish to breastfeed after cesarean delivery. This will be compared to a control group receiving usual care. The study aims to examine the effectiveness of methods to support the continuation of breastfeeding.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

The time from delivery to the onset of lactgenesis II in the intervention group is significantly shorter than that in the control group.

Key secondary outcomes

(1) 24-hour breast milk volume on days 3 and 5 is significantly higher in the intervention group than in the control group.
(2) The intervention group has a significantly higher rate of breastfeeding at 1 month compared to the control group.
(3) Oxytocin and prolactin levels are less inclined to fall from day 3 to day 5 postpartum in the intervention group than in the control group.
(4) Awareness of colostrum feeding and breastfeeding satisfaction is higher in the intervention group.
(5) Knowledge of breastfeeding is significantly higher in the intervention group.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

No treatment

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Pseudo-randomization


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Other

Interventions/Control_1

Provision of information on general knowledge of breastfeeding and nipple stimulation with a breast pumps at least four times in 24 hours from the day of caesarean section.

Interventions/Control_2

Provision of information on breastfeeding after caesarean section.

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

Eligibility criteria: Healthy postpartum women aged 20 to 43 who want to breastfeed after a cesarean section at 37 weeks or later (including planned cesarean sections and emergency cesarean sections)

Key exclusion criteria

(1) Vaginal delivery
(2) Premature birth
(3) Multiple pregnancy
(4) Complications (psychiatric disorders, epilepsy, heart disease, etc.)
(5) Infectious diseases that can be transmitted from mother to child (HIV, HBV, HCV, HTLV-1)
(6) Drug dependence, alcoholism or smoking that affects hormones
(7) Under 20 years old or over 44 years old

Target sample size

80


Research contact person

Name of lead principal investigator

1st name Ai
Middle name
Last name Miyauchi

Organization

National Center for Child Health and Development

Division name

Department of Sociomedical Research

Zip code

1570074

Address

2 Chome-10 Okura, Setagaya City, Tokyo

TEL

003-3416-0181

Email

miyauchi-a@ncchd.go.jp


Public contact

Name of contact person

1st name Ai
Middle name
Last name Miyauchi

Organization

St. Luke's International University Graduate School

Division name

St. Luke's International University Graduate School of Nursing Science

Zip code

1040045

Address

Tokyo Chuo City Tsukiji 3-8-5

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
Ai Miyauchi

Institute

Department

Personal name

Ai Miyauchi


Funding Source

Organization

JSPS KAKENHI Grant

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization

Japan


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

Tokyo Chuo City Tsukiji 3-8-5

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

2025 Year 01 Month 31 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


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

No longer recruiting

Date of protocol fixation

2024 Year 10 Month 20 Day

Date of IRB

2024 Year 11 Month 22 Day

Anticipated trial start date

2024 Year 12 Month 09 Day

Last follow-up date

2025 Year 10 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2024 Year 10 Month 13 Day

Last modified on

2025 Year 10 Month 19 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000063806