department of education and early childhood development supporting breastfeeding in local...
TRANSCRIPT
![Page 1: Department of Education and Early Childhood Development Supporting breastfeeding In Local Communities (SILC): a cluster randomised trial Assoc Prof Helen](https://reader035.vdocuments.us/reader035/viewer/2022070402/56649f225503460f94c3b58b/html5/thumbnails/1.jpg)
Department of Education and Early Childhood Development
Supporting breastfeeding In Local Communities (SILC):
a cluster randomised trial
Assoc Prof Helen McLachlanMother & Child Health Research, La Trobe University
Maternal and Child Health Conference14 Feb 2012
![Page 2: Department of Education and Early Childhood Development Supporting breastfeeding In Local Communities (SILC): a cluster randomised trial Assoc Prof Helen](https://reader035.vdocuments.us/reader035/viewer/2022070402/56649f225503460f94c3b58b/html5/thumbnails/2.jpg)
A/Prof Helen McLachlanProf Della ForsterA/Prof Lisa AmirProf Rhonda SmallDr 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)
Research teamResearch team
![Page 3: Department of Education and Early Childhood Development Supporting breastfeeding In Local Communities (SILC): a cluster randomised trial Assoc Prof Helen](https://reader035.vdocuments.us/reader035/viewer/2022070402/56649f225503460f94c3b58b/html5/thumbnails/3.jpg)
Background to SILC – MCH dataBackground 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.
![Page 4: Department of Education and Early Childhood Development Supporting breastfeeding In Local Communities (SILC): a cluster randomised trial Assoc Prof Helen](https://reader035.vdocuments.us/reader035/viewer/2022070402/56649f225503460f94c3b58b/html5/thumbnails/4.jpg)
Background to SILCBackground 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.
Breastfeeding in Victoria:
A Report
J uly 2010
![Page 5: Department of Education and Early Childhood Development Supporting breastfeeding In Local Communities (SILC): a cluster randomised trial Assoc Prof Helen](https://reader035.vdocuments.us/reader035/viewer/2022070402/56649f225503460f94c3b58b/html5/thumbnails/5.jpg)
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
SILC trial informationSILC trial information
![Page 6: Department of Education and Early Childhood Development Supporting breastfeeding In Local Communities (SILC): a cluster randomised trial Assoc Prof Helen](https://reader035.vdocuments.us/reader035/viewer/2022070402/56649f225503460f94c3b58b/html5/thumbnails/6.jpg)
Questions SILC will investigateQuestions SILC will investigate
1. 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)?
2. 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)?
![Page 7: Department of Education and Early Childhood Development Supporting breastfeeding In Local Communities (SILC): a cluster randomised trial Assoc Prof Helen](https://reader035.vdocuments.us/reader035/viewer/2022070402/56649f225503460f94c3b58b/html5/thumbnails/7.jpg)
Trial arms and study processTrial arms and study process
Trial arm 1: Standard care by MCHNs (the comparison arm)
Trial arm 3: Standard care by MCHNs plus early home-based breastfeeding support by a SILC-MCHNplus access to a local breastfeeding drop-in
centre
Trial arm 2: Standard care by MCHNs plus early home-based breastfeeding support
by additional funded MCHNs (SILC-MCHN)
![Page 8: Department of Education and Early Childhood Development Supporting breastfeeding In Local Communities (SILC): a cluster randomised trial Assoc Prof Helen](https://reader035.vdocuments.us/reader035/viewer/2022070402/56649f225503460f94c3b58b/html5/thumbnails/8.jpg)
Thank you for your attentionThank you for your attention
LGAs involved in SILC:City of BallaratCardinia Shire City of Greater Bendigo City of Hume Macedon Ranges ShireMitchell ShireWellington ShireCity of WhittleseaCity of WodongaCity of Wyndham
AcknowledgementsAcknowledgementsFunding for SILC:Department of Education and Early Childhood Development
Department of Education and Early Childhood Development