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S upporting breastfeeding I n L ocal C ommunities (SILC) : a cluster randomised trial. Assoc Prof Helen McLachlan Mother & Child Health Research, La Trobe University Maternal and Child Health Conference 14 Feb 2012. Department of Education and Early Childhood Development. Research team.

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Supporting breastfeeding In Local Communities (SILC): a cluster randomised trial

Assoc Prof Helen McLachlanMother & Child Health Research, La Trobe UniversityMaternal and Child Health Conference

14 Feb 2012

Department of Education and Early Childhood Development


Research team

A/Prof Helen McLachlan

Prof Della Forster

A/Prof Lisa Amir

Prof Rhonda Small

Dr Meabh Cullinane (Project co-ordinator)

Dr Touran Shafiei (Research officer)

Statisticians: Dr Lyn Watson and Mr Paul Agius

Toni Ormston, Project Manager Breastfeeding, DEECD

Funding: Department of Education and Early Childhood Development (DEECD)


Background to SILC – MCH data

  • Breastfeeding rates vary across Victoria

  • Data from Maternal & Child Health Services (Annual Report 2009-2010)

  • Initiation (hospital discharge): range from 67% to 97%

  • ‘Any’ breast milk at 6 months: range from 18% to 71% of infants

  • Lower in outer LGAs and rural/regional LGAs

    • Department of Education and Early Childhood Development, Maternal & Child Health Services Annual Report 2009-2010.


Background to SILC

  • The Victorian Government is committed to increasing breastfeeding rates

  • The Victorian Breastfeeding Research Project

    • Phase one

      • DEECD engaged Mother & Child Health Research to:

        • Provide an updated literature review

        • ‘Breastfeeding in Victoria: A Report’ 1

        • Design a community trial to improve the maintenance of breastfeeding

    • Phase two: SILC

    • DEECD contracted Mother & Child Health Research to undertake a trial evaluating interventions to increase breastfeeding in Victorian communities

    • 1Amir, Forster, McLachlan et al. (2010) Breastfeeding in Victoria: A Report. Mother & Child Health Research, La Trobe University.


SILC trial information

  • SILC has been offered to LGAs with low breastfeeding rates low rate of ‘any’ breastfeeding at hospital discharge and with more than 450 total record cards in drawer 2 (based on 2009/2010 MCH Annual Report)

  • Ethics approval: La Trobe University and DEECD

  • Trial registered with the Australian and New Zealand Clinical Trials Registry (ANZCTR) ACTR number ACTRN12611000898954

  • SILC is a three-arm cluster randomised trialParticipating LGAs will be randomly allocated to one of the three trial arms


Questions SILC will investigate

  • Does additional early home-based breastfeeding support for women with identified breastfeeding issues, compared with ‘comparison’ communities, increase ‘any’ breastfeeding rates at 4 and 6 months (Intervention 1)?

  • Does the early home-based support plus access to a community-based breastfeeding drop-in centre, compared with ‘comparison’ communities, increase ‘any’ breastfeeding rates at 4 and 6 months (Intervention 2)?


Trial arms and study process

Trial arm 1: Standard care by MCHNs (the comparison arm)

Trial arm 2: Standard care by MCHNs plusearly home-based breastfeeding support by additional funded MCHNs (SILC-MCHN)

Trial arm 3: Standard care by MCHNs

plusearly home-based breastfeeding support by a SILC-MCHNplus access to a local breastfeeding drop-in centre


Acknowledgements

LGAs involved in SILC:

City of Ballarat

Cardinia Shire

City of Greater Bendigo

City of Hume

Macedon Ranges Shire

Mitchell Shire

Wellington Shire

City of Whittlesea

City of Wodonga

City of Wyndham

Funding for SILC:

Department of Education and Early Childhood Development

Department of Education and Early Childhood Development

Thank you for your attention


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