Trial Outcomes & Findings for Social Media and Risk Reduction Teaching-Enhanced Reach (NCT NCT04387552)

NCT ID: NCT04387552

Last Updated: 2026-08-26

Results Overview

An investigator-developed maternal survey will be used to assess infant's sleep position during the previous two weeks with categorical responses of supine (back), prone (stomach), side, and other.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

2093 participants

Primary outcome timeframe

Between 2 and 6 months following postnatal randomization, on average 67.7 days

Results posted on

2026-08-26

Participant Flow

303 of the 2093 enrolled were not randomized prenatally due to: participant choice (165), study ended (56), pregnancy loss (26), delivery \<34 wks (17), contraindications (17), not pregnant (15), other (7). Infants were not considered to be enrolled.

There was a 2- step randomization process- prenatally to 2 arms (n=1790, 897 randomized to prenatal safe sleep/SS and 893 randomized to prenatal breastfeeding/BF) and postnatally to 4 arms (n=1775). 15 of the 1790 randomized prenatally were not randomized postnatally- 7 of the 897 randomized to safe sleep/SS due to: participant choice (6), pregnancy loss (1), and 8 of the 893 randomized to breastfeeding/BF due to: participant choice (6), changed contact (1), pregnancy loss (1).

Participant milestones

Participant milestones
Measure
Prenatal SS/Postnatal SS
Prenatal Safe Sleep/Postnatal Safe Sleep Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal SS/Postnatal BF
Prenatal Safe Sleep/Postnatal Breastfeeding Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Prenatal BF/Postnatal SS
Prenatal Breastfeeding/Postnatal Safe Sleep Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal BF/Postnatal BF
Prenatal Breastfeeding/Postnatal Breastfeeding Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Safe Sleep/SS
Participants randomized to this arm received safe sleep messaging in the prenatal period.
Breastfeeding/BF
Participants randomized to this arm received infant feeding messaging in the prenatal period.
Prenatal Randomization Into 2 Arms
STARTED
0
0
0
0
897
893
Prenatal Randomization Into 2 Arms
COMPLETED
0
0
0
0
890
885
Prenatal Randomization Into 2 Arms
NOT COMPLETED
0
0
0
0
7
8
Postnatal Randomization Into 4 Arms
STARTED
440
450
438
447
0
0
Postnatal Randomization Into 4 Arms
COMPLETED
346
350
338
349
0
0
Postnatal Randomization Into 4 Arms
NOT COMPLETED
94
100
100
98
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Prenatal SS/Postnatal SS
Prenatal Safe Sleep/Postnatal Safe Sleep Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal SS/Postnatal BF
Prenatal Safe Sleep/Postnatal Breastfeeding Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Prenatal BF/Postnatal SS
Prenatal Breastfeeding/Postnatal Safe Sleep Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal BF/Postnatal BF
Prenatal Breastfeeding/Postnatal Breastfeeding Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Safe Sleep/SS
Participants randomized to this arm received safe sleep messaging in the prenatal period.
Breastfeeding/BF
Participants randomized to this arm received infant feeding messaging in the prenatal period.
Prenatal Randomization Into 2 Arms
Withdrawal by Subject
0
0
0
0
6
6
Prenatal Randomization Into 2 Arms
pregnancy loss
0
0
0
0
1
1
Prenatal Randomization Into 2 Arms
Lost to Follow-up
0
0
0
0
0
1
Postnatal Randomization Into 4 Arms
Lost to Follow-up
89
91
91
89
0
0
Postnatal Randomization Into 4 Arms
Discontinued intervention
5
9
9
9
0
0

Baseline Characteristics

Social Media and Risk Reduction Teaching-Enhanced Reach

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Prenatal SS/Postnatal SS
n=346 Participants
Prenatal Safe Sleep/Postnatal Safe Sleep Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal SS/Postnatal BF
n=350 Participants
Prenatal Safe Sleep/Postnatal Breastfeeding Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Prenatal BF/Postnatal SS
n=338 Participants
Prenatal Breastfeeding/Postnatal Safe Sleep Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal BF/Postnatal BF
n=349 Participants
Prenatal Breastfeeding/Postnatal Breastfeeding Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Total
n=1383 Participants
Total of all reporting groups
Age, Customized
<24 years
69 Participants
n=31 Participants
77 Participants
n=49 Participants
72 Participants
n=80 Participants
66 Participants
n=29 Participants
284 Participants
n=106 Participants
Age, Customized
24-29 years
112 Participants
n=31 Participants
113 Participants
n=49 Participants
101 Participants
n=80 Participants
117 Participants
n=29 Participants
443 Participants
n=106 Participants
Age, Customized
30-34 years
94 Participants
n=31 Participants
98 Participants
n=49 Participants
97 Participants
n=80 Participants
86 Participants
n=29 Participants
375 Participants
n=106 Participants
Age, Customized
35+ years
71 Participants
n=31 Participants
62 Participants
n=49 Participants
68 Participants
n=80 Participants
80 Participants
n=29 Participants
281 Participants
n=106 Participants
Sex: Female, Male
Female
346 Participants
n=31 Participants
350 Participants
n=49 Participants
338 Participants
n=80 Participants
349 Participants
n=29 Participants
1383 Participants
n=106 Participants
Sex: Female, Male
Male
0 Participants
n=31 Participants
0 Participants
n=49 Participants
0 Participants
n=80 Participants
0 Participants
n=29 Participants
0 Participants
n=106 Participants
Race/Ethnicity, Customized
Hispanic, any race
96 Participants
n=31 Participants
74 Participants
n=49 Participants
78 Participants
n=80 Participants
77 Participants
n=29 Participants
325 Participants
n=106 Participants
Race/Ethnicity, Customized
Non-Hispanic, Black
83 Participants
n=31 Participants
76 Participants
n=49 Participants
78 Participants
n=80 Participants
86 Participants
n=29 Participants
323 Participants
n=106 Participants
Race/Ethnicity, Customized
Non-Hispanic, Other
28 Participants
n=31 Participants
28 Participants
n=49 Participants
22 Participants
n=80 Participants
31 Participants
n=29 Participants
109 Participants
n=106 Participants
Race/Ethnicity, Customized
Non-Hispanic, White
131 Participants
n=31 Participants
165 Participants
n=49 Participants
153 Participants
n=80 Participants
149 Participants
n=29 Participants
598 Participants
n=106 Participants
Race/Ethnicity, Customized
Unknown
8 Participants
n=31 Participants
7 Participants
n=49 Participants
7 Participants
n=80 Participants
6 Participants
n=29 Participants
28 Participants
n=106 Participants
Region of Enrollment
United States
346 participants
n=31 Participants
350 participants
n=49 Participants
338 participants
n=80 Participants
349 participants
n=29 Participants
1383 participants
n=106 Participants

PRIMARY outcome

Timeframe: Between 2 and 6 months following postnatal randomization, on average 67.7 days

Population: The number of participants analyzed in each arm reflects the total number of participants that provided information about their infant's sleep position.

An investigator-developed maternal survey will be used to assess infant's sleep position during the previous two weeks with categorical responses of supine (back), prone (stomach), side, and other.

Outcome measures

Outcome measures
Measure
Prenatal SS/Postnatal SS
n=337 Participants
Prenatal Safe Sleep/Postnatal Safe Sleep Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal SS/Postnatal BF
n=344 Participants
Prenatal Safe Sleep/Postnatal Breastfeeding Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Prenatal BF/Postnatal SS
n=334 Participants
Prenatal Breastfeeding/Postnatal Safe Sleep Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal BF/Postnatal BF
n=348 Participants
Prenatal Breastfeeding/Postnatal Breastfeeding Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Number of Infants Usually Sleeping Supine in the Previous Two Weeks
308 Participants
317 Participants
299 Participants
305 Participants

PRIMARY outcome

Timeframe: Between 2 and 6 months following postnatal randomization, on average 67.7 days

Population: The number of participants analyzed in each arm reflects the total number of participants that provided information about their infant's sleep location.

An investigator-developed maternal survey will be used to assess the infant's sleep location during the previous two weeks with categorical responses of room sharing without bed sharing, room sharing with bed sharing, no room sharing and no bed sharing.

Outcome measures

Outcome measures
Measure
Prenatal SS/Postnatal SS
n=332 Participants
Prenatal Safe Sleep/Postnatal Safe Sleep Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal SS/Postnatal BF
n=334 Participants
Prenatal Safe Sleep/Postnatal Breastfeeding Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Prenatal BF/Postnatal SS
n=327 Participants
Prenatal Breastfeeding/Postnatal Safe Sleep Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal BF/Postnatal BF
n=334 Participants
Prenatal Breastfeeding/Postnatal Breastfeeding Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Number of Infants Usually Room Sharing Without Bedsharing in the Previous Two Weeks
297 Participants
292 Participants
287 Participants
280 Participants

PRIMARY outcome

Timeframe: Between 2 and 6 months following postnatal randomization, on average 67.7 days

Population: The number of participants analyzed in each arm reflects the total number of participants that provided information about soft bedding around their infant.

An investigator-developed maternal survey will be used to assess soft bedding placed in and around the infant (while sleeping) during the previous two weeks with categorical responses of Yes or No.

Outcome measures

Outcome measures
Measure
Prenatal SS/Postnatal SS
n=336 Participants
Prenatal Safe Sleep/Postnatal Safe Sleep Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal SS/Postnatal BF
n=344 Participants
Prenatal Safe Sleep/Postnatal Breastfeeding Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Prenatal BF/Postnatal SS
n=326 Participants
Prenatal Breastfeeding/Postnatal Safe Sleep Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal BF/Postnatal BF
n=344 Participants
Prenatal Breastfeeding/Postnatal Breastfeeding Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Number of Infants With no Soft Bedding Use in the Previous Two Weeks
284 Participants
274 Participants
251 Participants
260 Participants

PRIMARY outcome

Timeframe: Between 2 and 6 months following postnatal randomization, on average 67.7 days

Population: The number of participants analyzed in each arm reflects the total number of participants that provided information about their pacifier use.

An investigator-developed maternal survey will be used to assess the infant's pacifier use during the previous two weeks with categorical responses of Yes or No.

Outcome measures

Outcome measures
Measure
Prenatal SS/Postnatal SS
n=333 Participants
Prenatal Safe Sleep/Postnatal Safe Sleep Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal SS/Postnatal BF
n=342 Participants
Prenatal Safe Sleep/Postnatal Breastfeeding Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Prenatal BF/Postnatal SS
n=331 Participants
Prenatal Breastfeeding/Postnatal Safe Sleep Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal BF/Postnatal BF
n=339 Participants
Prenatal Breastfeeding/Postnatal Breastfeeding Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Number of Infants With Pacifier Use in the Previous Two Weeks
249 Participants
260 Participants
240 Participants
255 Participants

PRIMARY outcome

Timeframe: Between 2 and 6 months following postnatal randomization, on average 67.7 days

Population: The number of participants analyzed in each arm reflects the total number of participants that provided information about their infant's feeding.

An investigator-developed maternal survey will be used to assess whether the infant was breast fed during the previous two weeks with categorical responses of exclusively breast fed, partially breast fed, or not breast fed.

Outcome measures

Outcome measures
Measure
Prenatal SS/Postnatal SS
n=340 Participants
Prenatal Safe Sleep/Postnatal Safe Sleep Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal SS/Postnatal BF
n=347 Participants
Prenatal Safe Sleep/Postnatal Breastfeeding Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Prenatal BF/Postnatal SS
n=337 Participants
Prenatal Breastfeeding/Postnatal Safe Sleep Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal BF/Postnatal BF
n=348 Participants
Prenatal Breastfeeding/Postnatal Breastfeeding Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Number of Infants With Any Breastmilk Feeding in the Previous Two Weeks
234 Participants
222 Participants
212 Participants
223 Participants

SECONDARY outcome

Timeframe: Between 2 and 6 months following postnatal randomization, on average 67.7 days

Population: The number of participants analyzed in each arm reflects the total number of participants that provided information about their infant's sleep position.

An investigator-developed maternal survey will be used to assess infant's sleep position during the previous two weeks

Outcome measures

Outcome measures
Measure
Prenatal SS/Postnatal SS
n=337 Participants
Prenatal Safe Sleep/Postnatal Safe Sleep Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal SS/Postnatal BF
n=343 Participants
Prenatal Safe Sleep/Postnatal Breastfeeding Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Prenatal BF/Postnatal SS
n=334 Participants
Prenatal Breastfeeding/Postnatal Safe Sleep Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal BF/Postnatal BF
n=348 Participants
Prenatal Breastfeeding/Postnatal Breastfeeding Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Number of Infants Exclusively Sleeping Supine in the Previous Two Weeks
254 Participants
240 Participants
220 Participants
212 Participants

SECONDARY outcome

Timeframe: Between 2 and 6 months following postnatal randomization, on average 67.7 days

Population: The number of participants analyzed in each arm reflects the total number of participants that provided information about their infant's sleep location.

An investigator-developed maternal survey will be used to assess the infant's sleep location during the previous two weeks with categorical responses of room sharing without bed sharing, room sharing with bed sharing, no room sharing and no bed sharing.

Outcome measures

Outcome measures
Measure
Prenatal SS/Postnatal SS
n=336 Participants
Prenatal Safe Sleep/Postnatal Safe Sleep Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal SS/Postnatal BF
n=344 Participants
Prenatal Safe Sleep/Postnatal Breastfeeding Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Prenatal BF/Postnatal SS
n=324 Participants
Prenatal Breastfeeding/Postnatal Safe Sleep Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal BF/Postnatal BF
n=338 Participants
Prenatal Breastfeeding/Postnatal Breastfeeding Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Number of Infants Exclusively Room Sharing Without Bedsharing in the Previous Two Weeks
243 Participants
240 Participants
232 Participants
219 Participants

SECONDARY outcome

Timeframe: Between 2 and 6 months following postnatal randomization, on average 67.7 days

Population: The number of participants analyzed in each arm reflects the total number of participants that provided information about their infant's feeding.

An investigator-developed maternal survey will be used to assess whether the infant was breast fed during the previous two weeks with categorical responses of exclusively breast fed, partially breast fed, or not breast fed.

Outcome measures

Outcome measures
Measure
Prenatal SS/Postnatal SS
n=340 Participants
Prenatal Safe Sleep/Postnatal Safe Sleep Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal SS/Postnatal BF
n=347 Participants
Prenatal Safe Sleep/Postnatal Breastfeeding Mobile Health Messages Prenatal Safe Sleep Mobile Health (mHealth) Messaging: Participants will receive prenatal Safe Sleep mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Prenatal BF/Postnatal SS
n=337 Participants
Prenatal Breastfeeding/Postnatal Safe Sleep Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Safe Sleep Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Safe Sleep mHealth messaging for a two month period.
Prenatal BF/Postnatal BF
n=348 Participants
Prenatal Breastfeeding/Postnatal Breastfeeding Mobile Health Messages Prenatal Breastfeeding Mobile Health (mHealth) Messaging: Participants will receive prenatal Breastfeeding mHealth messaging starting at 34 weeks gestation until birth of their baby. Postnatal Breastfeeding Mobile Health (mHealth) Messaging: Upon birth of baby, participants will begin receiving postnatal Breastfeeding mHealth messaging for a two month period.
Number of Infants With Exclusive Breastmilk Feeding in the Previous Two Weeks
116 Participants
106 Participants
107 Participants
117 Participants

Adverse Events

Prenatal SS/Postnatal SS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Prenatal SS/Postnatal BF

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Prenatal BF/Postnatal SS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Prenatal BF/Postnatal BF

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Michael J. Corwin, MD

Boston University School of Public Health & Pediatrics, Chobanian & Avedisian BUSM

Phone: (617) 734-6006

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place