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Clinical Obstetrics

Poster Session 3

(913) Use of postpartum text-based support platform is not associated with breastfeeding outcomes

Wednesday, February 14, 2024
8:30 AM – 10:00 AM  
Location: Prince George's Exhibit Hall CDE, Lower Atrium Level
Objective:

To describe the relationship between utilization of a text-based breastfeeding support platform and feeding outcomes at 6 weeks postpartum.


Study Design:

This is a secondary analysis of a randomized controlled trial (RCT) conducted at an urban tertiary care center from January 2020 to January 2021 comparing (1) a control group (2) an intervention group receiving weekly educational text messages and personalized text-based breastfeeding support as needed. Only patients randomized to intervention arm were included. The exposure of interest was engagement with the breastfeeding support platform as defined by asking one or more questions on the platform during 6 postpartum weeks of trial enrollment. The primary outcome was breastfeeding exclusivity at 6 weeks postpartum.


Results:

Of the 216 subjects in the RCT, 106 were randomized to the intervention arm, and 93 subjects had data on the primary outcome. Clinical characteristics of the cohort included a mean age of 31.9 years, 46.2% self-identified Black, 51.6% nulliparous and 58.1% had commercial insurance. Fifty (53.8%) of the subjects asked at least one breastfeeding question of the platform. Nulliparous subjects and those who saw a lactation consultant in the hospital were more likely to ask a question. There was, however, no difference in the primary outcome between those who queried the platform and those who did not (48% v. 48.8% p =0.94). This remained true after adjustment for prior lactation consultation (aOR 0.80, 95% CI 0.34-1.86).  Number of interactions with the platform ranged from 0-21 with a median of 1; there was also no difference in breastfeeding exclusivity by number of interactions (p=0.69). There were no differences in measured secondary outcomes (Table).


Conclusion:

There was no relationship between utilization of a personalized text-based breastfeeding support platform and breastfeeding outcomes at 6 weeks postpartum. This finding warrants further exploration as we consider innovative ways to improve breastfeeding rates.