Lactation Achievement With Texts at Home (LATcH)
Breastfeeding, Breastfeeding, Exclusive, Postpartum Depression
About this trial
This is an interventional supportive care trial for Breastfeeding
Eligibility Criteria
Inclusion Criteria:
- >18 years of age
- English-speaking
- Own a cellular phone with unlimited text-messaging
- Singleton gestation consented at 34-36 weeks of pregnancy
- Willing and able to sign consent form
Exclusion Criteria:
- Contraindication to breastfeeding
- Delivery of infant requiring ICN admission
- Physician discretion that patient will be unable to comply with the protocol
Sites / Locations
- Hospital of the University Of Pennsylvania
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Text-Based Support
Usual Care
Text-Based Support - Women randomized to this arm will receive text-based support via the Way to Health platform as described below. Supportive texts - Encouraging text messages with prompts to ask questions will be sent twice weekly during the first four weeks postpartum and once weekly thereafter for the remaining two weeks of the program Inquiry texts - Questions regarding infant feeding with prompts to answer will be sent three times weekly during the first two weeks postpartum and twice weekly thereafter for the remaining 4 weeks of the program. PHQ2 text - Women will be sent the PHQ2 at 2 weeks and 6 weeks postpartum to assess mood symptoms. Women in this group will also have the option to send a text with a question or concern at any time during the study. Weekdays from 8am to 5 pm these will be fielded by a trained obstetrician. If a text is received after-hours or on the weekend, women will be instructed to reach out to their primary OBGYN provider.
Usual care - Women randomized to this arm will receive usual postpartum care with the following exceptions: Inquiry texts- Questions regarding infant feeding with prompts to answer will be sent once weekly for all 6 weeks of the program. PHQ2 text - Women will be sent the PHQ2 at 2 weeks and 6 weeks postpartum to assess mood symptoms. Women in this group will be directed to their physician with any questions or concerns during the study period.