Trial reportBMC pregnancy and childbirth2025
Nurse-led telemedicine versus in-person lactation support for breastfeeding initiation in mothers of low-birth-weight infants: a non-inferiority randomized controlled trial.
Trial report in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06652386 (Nurse-Led Telemedicine Versus In-Person Lactation Support for Breastfeeding Initiation in Mothers of Low-Birth-Weight Infants), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Nurse-Led Telemedicine Versus In-Person Lactation Support for Breastfeeding Initiation in Mothers of Low-Birth-Weight Infants: A Non-inferiority Randomized Controlled Trial.
Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of Digital Health Interventions on Breastfeeding Rates, Self-Efficacy, and Knowledge: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- Nursing Leadership for Digital NICU Transformation: A Systematic Review of Strategies, Digital Health Integration, and Outcomes in High-Risk Neonates.SAGE open nursingReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly breastfeeding initiation is crucial for low-birth-weight (LBW) infants, yet in-person lactation support may be limited in resource-poor settings. Telemedicine holds promise but lacks robust comparative evidence with traditional care.
objectiveTo evaluate whether nurse-led telemedicine is non-inferior to in-person support on routine early-initiation performance in LBW/NICU settings, and to describe breastfeeding processes within 24 h postpartum.
methodsThis parallel-group, non-inferiority randomized controlled trial included 200 mothers of LBW infants admitted to four neonatal intensive care units (NICUs) in Egypt. Participants were randomized (1:1) to receive nurse-led telemedicine or standard in-person lactation support. Primary Process Outcome: Direct Breastfeeding Initiation within 1 Hour, assessed against a 5% non-inferiority margin. Secondary outcomes of maternal self-efficacy, satisfaction, state anxiety, and infant growth parameters were measured at baseline, one week, and one month postpartum. Analyses followed both intention-to-treat and per-protocol approaches.
resultsBreastfeeding initiation occurred in 65% of mothers in the telemedicine group versus 70% in the in-person group, confirming non-inferiority (p = 0.04). Although in-person support provided a minor short-term advantage in maternal self-efficacy at one week (49.2 ± 6.5 vs. 47.5 ± 7.2, p = 0.03), scores converged by one month (p = 0.45). Telemedicine participants reported higher satisfaction with accessibility (p = 0.03), while overall support quality, anxiety reduction, and infant growth measures were comparable between groups. Parity and socioeconomic status independently predicted breastfeeding initiation (p < 0.01).
conclusionsNurse-led telemedicine did not reduce first-hour initiation relative to in-person support; given stabilization protocols in LBW/NICU care, this endpoint functions as a process benchmark rather than a direct target of the support modality. Although in-person support may offer early advantages in maternal self-efficacy, telemedicine effectively sustains key outcomes over time and can expand equitable breastfeeding support in regions with limited healthcare resources.
trial registrationClinicalTrials.gov NCT06652386, Registered 22 October 2024.
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