Evaluation of a Health Mediation Program in the Maternity Ward.

NCT07806942 | Recruiting

• 1 other identifier: MédiMAT
• Study Type: observational
• Target: 960
• Locations: 1 country
• Sites: 1

Brief Summary

The first months of life are considered a critical period that has a lasting impact on a child's future health. Breastfeeding is one of the fundamental factors contributing to healthy growth in children. It is reducing infant mortality, and supporting neurocognitive development. As part of the Nutri Pou Ti'moun program, a study on breastfeeding practices was conducted in French Guiana in 2024 to assess the current state of affairs. A complementary qualitative study of 15 mothers in situations of multidimensional vulnerability revealed barriers to exclusive breastfeeding, such as the perception of a lack of milk, the newborn's perceived refusal to breastfeed, or a lack of support from family and friends. The findings of these 2 studies encourage the investigators to support mothers in their choice to breastfeed from the moment they give birth, so that infant feeding practices align more closely with national and international recommendations and are as beneficial as possible for the child's health. The objective of this study is to compare the rate of exclusive breastfeeding at 1 month between women who received the intervention (exposed group) and those who did not (unexposed group). The study hypothesis is that the health intervention will improve the rate of exclusive breastfeeding.

Conditions

Breast Feeding, Exclusive

Keywords

mediation; breastfeeding; post-partum; population health intervention research

Outcome Measures

Primary Outcomes (1)

• Rate of exclusive breastfeeding at 1 month postpartum in the group of women who received health mediation support (exposed group) and in the group of women who did not receive such support (unexposed group).

  Measurement of the rate of exclusive breastfeeding using a questionnaire administred to mothers included in the study

  1 month

Secondary Outcomes (10)

• Rate of exclusive breastfeeding

  1 month; 3 months

• Duration of exclusive breasfeeding

  1 month; 3 months

• Characteristics of the exposed group, including socioeconomic and medical data and the level of health literacy.

  At enrollment

• Level of satisfaction within the maternity ward

  At enrollment

• Level of support for breastfeeding

  At enrollment

Study Arms (2)

exposed group

women who received health mediation services

Other: postpartum breastfeeding support from a health mediator

control group

women who did not receive health mediation services

Other: routine health care without health mediation

Interventions

routine health care without health mediation OTHER

routine health care for postpartum breastfeeding

control group

postpartum breastfeeding support from a health mediator OTHER

This pilot mediation program consists of the following activities: * Supporting healthcare teams in providing postpartum care for women, particularly those in vulnerable situations. * Providing in-room support to women to assist them with breastfeeding in collaboration with the healthcare teams. The content of the support is tailored to the woman's needs and follows national guidelines. This support may be provided multiple times during the hospital stay. This individual in-room support is provided at the request of the woman and/or the healthcare team. The initial request and the content of the intervention are recorded in the woman's electronic medical record. * Participate weekly in the childbirth and parenting preparation workshop on breastfeeding, organized by the maternity ward and led by midwives and/or childcare assistants.

exposed group

Eligibility Criteria

• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Women who gave birth at the French Guiana University Hospital Center

You may qualify if:

• Women who gave birth at the French Guiana University Hospital Center

You may not qualify if:

• Women refusal to participate to the study or lack of opposition collected
• lack of authorization from legal representatives for underage women or from legal guardians for women under legal protection
• foetal death, stillbirth, or neonatal death
• feeding with formula from birth

Sponsors & Collaborators

• Centre Hospitalier de Cayenne: lead

Study Sites (1)

Centre hospitalier de Cayenne

Cayenne, Guyane, 97300, French Guiana

RECRUITING

Related Publications (10)

• Basu S, Meghani A, Siddiqi A. Evaluating the Health Impact of Large-Scale Public Policy Changes: Classical and Novel Approaches. Annu Rev Public Health. 2017 Mar 20;38:351-370. doi: 10.1146/annurev-publhealth-031816-044208.

  PMID: 28384086 RESULT

• Dennis CL, McQueen K, Dol J, Brown H, Beck C, Shorey S. Psychometrics of the breastfeeding self-efficacy scale and short form: a systematic review. BMC Public Health. 2024 Feb 29;24(1):637. doi: 10.1186/s12889-024-17805-6.

  PMID: 38419045 RESULT

• Pugh LC, Serwint JR, Frick KD, Nanda JP, Sharps PW, Spatz DL, Milligan RA. A randomized controlled community-based trial to improve breastfeeding rates among urban low-income mothers. Acad Pediatr. 2010 Jan-Feb;10(1):14-20. doi: 10.1016/j.acap.2009.07.005. Epub 2009 Oct 23.

  PMID: 19854119 RESULT

• Chapman DJ, Morel K, Anderson AK, Damio G, Perez-Escamilla R. Breastfeeding peer counseling: from efficacy through scale-up. J Hum Lact. 2010 Aug;26(3):314-26. doi: 10.1177/0890334410369481.

  PMID: 20715336 RESULT

• McLeish J, Redshaw M. Peer support during pregnancy and early parenthood: a qualitative study of models and perceptions. BMC Pregnancy Childbirth. 2015 Oct 12;15:257. doi: 10.1186/s12884-015-0685-y.

  PMID: 26459281 RESULT

• Basurko C, Lyonnais E, Proquot M, Forsans G, Hcini N, Camara N, Galindo MS, Gatti C, Adenis A; NPTM study team; Nacher M, Savy M. Prevalence and risk factors of food insecurity during pregnancy: a multicenter survey in French Guiana. BMC Public Health. 2025 May 23;25(1):1910. doi: 10.1186/s12889-025-23173-6.

  PMID: 40410770 RESULT

• Suri S, Verlato G, Ray S. Editorial: The first 1000 days: window of opportunity for child health and development. Front Nutr. 2025 Aug 18;12:1673003. doi: 10.3389/fnut.2025.1673003. eCollection 2025. No abstract available.

  PMID: 40901286 RESULT

• Duijts L, Jaddoe VW, Hofman A, Moll HA. Prolonged and exclusive breastfeeding reduces the risk of infectious diseases in infancy. Pediatrics. 2010 Jul;126(1):e18-25. doi: 10.1542/peds.2008-3256. Epub 2010 Jun 21.

  PMID: 20566605 RESULT

• Victora CG, Bahl R, Barros AJ, Franca GV, Horton S, Krasevec J, Murch S, Sankar MJ, Walker N, Rollins NC; Lancet Breastfeeding Series Group. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016 Jan 30;387(10017):475-90. doi: 10.1016/S0140-6736(15)01024-7.

  PMID: 26869575 RESULT

• Gavine A, Shinwell SC, Buchanan P, Farre A, Wade A, Lynn F, Marshall J, Cumming SE, Dare S, McFadden A. Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database Syst Rev. 2022 Oct 25;10(10):CD001141. doi: 10.1002/14651858.CD001141.pub6.

  PMID: 36282618 RESULT

Related Links

• Les 1000 premiers jours
• HCSP. L'allaitement maternel. Rapport de l'HCSP \[Internet\]. Paris: Haut Conseil de la Santé Publique
• Masson E. EM-Consulte \[Internet\]. \[cited 2026 Mar 11\]. Allaitement maternel et alimentation des nourrissons âgés de 1 an en Guyane en 2024 - Étude quantitative descriptive et multicentrique.
• Masson E. EM-Consulte \[Internet\]. \[cited 2026 Mar 11\]. Étude qualitative réalisée entre 2024 et 2025, sur les représentations, pratiques et vécus de l'allaitement auprès de femmes haïtiennes résidant en Guyane.
• La médiation en santé : vers une reconnaissance professionnelle et une généralisation de la pratique ? Le dossier de La Santé en action n°460, juin 2022.
• Richard E. Condition d'efficacité de la médiation en santé pour favoriser le recours aux services de santé des populations éloignées du système de santé \[Theses\] \[Internet\]. Université de Bordeaux; 2023

MeSH Terms

Conditions

Breast Feeding; Negotiating

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior; Communication

Study Officials

• Célia BASURKO, MD

  Centre Hospitalier de Cayenne

  STUDY DIRECTOR

Central Study Contacts

Célia BASURKO, MD

CONTACT

+594594395050; celia.basurko@ch-cayenne.fr

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 2, 2026
• First Posted: September 8, 2026
• Study Start: May 26, 2026
• Primary Completion (Estimated): May 31, 2029
• Study Completion (Estimated): May 31, 2029
• Last Updated: September 8, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)