Effectiveness of a Reinforcement Intervention in the Breastfeeding Practice From Nutritional, Environmental and Postpartum Problem-solving Aspects to Increase the Prevalence of Breastfeeding at 6 Months Postpartum: The GREEN MOTHER Project
| Registry | NCT05729581 |
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| Status | Active not recruiting |
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| Phase | Not applicable |
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| Study type | Interventional; randomized, parallel, masking: single, other |
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| Enrollment | 429 (Actual) |
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| Sponsor | Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina (Other); collaborators: Parc Taulí Hospital Universitari, Fundació Institut Germans Trias i Pujol, Hospital de Granollers, University of Barcelona |
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| Conditions | Healthy Diet, Health Behaviour, Environmental-Pollution-Related Condition, Mothers, Child, Only |
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| Interventions | The educational programme on sustainable and healthy diet and breastfeeding (Behavioral) |
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| Dates | start 2022-04-11, primary completion 2025-10-15, completion 2026-12-31 (estimated), first posted 2023-02-15, last updated 2026-08-06 |
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| Locations | 1 site in Spain |
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Related Papers Related Patents Related Grants Related Experts
All trials for Healthy Diet All trials for Health Behaviour All trials of The educational programme on sustainable and healthy diet and breastfeeding
-Summary
Breastfeeding is the healthiest form of nutrition for the baby and is recommended to use exclusive breastfeeding (EB) until 6 months. The environmental footprint of artificial lactation (AL) has been studied, but that of EB is unknown.
Objectives:
The main objective of the first phase of the study is to identify the environmental impact in terms of the carbon footprint of breastfeeding and artificial breastfeeding, taking into account the accessories necessary for breastfeeding and of the diet and the factors associated with the diet of postpartum women in first month of life of the babies.
The main objective of the second phase is to evaluate the impact of a standardized intervention of educational programme on sustainable breastfeeding, diet and environment protection, providing inputs obtained from the first phase on the carbon footprint in the first month of life of the child and the prevalence of breastfeeding at the first month of the baby's life.
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+Arms and interventions
| Arm | Type | Interventions | Description |
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| Control group | No intervention | | This group of pregnant women (24-32 SG) will not be provided educational programme and information on sustainlably and healthy diet and sustainable breastfeeding. It is a control group. |
| Experimental group | Experimental | Behavioral: The educational programme on sustainable and healthy diet and breastfeeding | This group of pregnant women (24-32 SG) will be provided educational programme and information on sustainlably and healthy diet and sustainable breastfeeding |
- The educational programme on sustainable and healthy diet and breastfeeding (Behavioral), also known as The role of diet, products consumption, type of cooking, energy used and breastfeeding vs. artifitial lactancy in the carbon footprint: In the interventional group the educational programme of sustainable diet and breastfeeding will be provided before the delivery to see the impact on the prevalence of the breastfeeding at 1 and 6 months after delivery (compared with the group of control, without intervention)
+Outcome measures
Primary outcomes
- Rates (number of participants, %) that use breastfeeding (exclusive) up to 6 months after the delivery [months 30-36 of the project life]: The rate of breastfeeding (exclusive) will be observed up to 6 months after the participant's baby delivery and calucalted as a percentage or fraction compared to all participants: at month of the delivery (0 month) and 1, 3 and 6 months after the delivery (giving a birth)
- Rates (number of participants, %) that use EB (excusive breastfeeding) in EG (experimental group) vs. CG (group of control) [months 30-36 of the project life]: Rates (number of participants, fractions or percentages) of breasfeeding will be calculated and compared in both groups: CG (control) vs. EG (experimental).
Secondary outcomes
- To calculate the CO2 footprint and water consumption of different types of mother diet and lactation (breastfeeding and artificial one) based on data obtained from the questionnaires [fase I) months 15-17 of the project life & phase 2) 30-36 of the project life]: Calculation (with help of the external experts) of the environmental impacts on CO2 emissions (Climate change) and water consumption (Water scarcity), using the ISO 14040 and 14044, and other related ISOs impacts of a mother's daily diet and type of breastfeeding based on data obtained from questionnaires
- Assess the nutritional quality of the diet of postpartum mothers at the month of their children's life based on data obtained from the questionnaires [months 22-31 of the project life]: Assess the nutritional quality of the diet of postpartum mothers at the month of their newborn child's life: calculation of proportions of macro i micronutrients and comparison with standard recommendations (to see if the sustainable diet and breastfeeding is within healty standards or any supplementary of elements are required for it)
- Comparison of rates on breastfeeding vs. artificial lactation in the population of the Northern Metropolitan area: current study results (2022/2023 based on data obtained from the questionnaire) vs. 2017 (already published) [months 30-36 of the project life]: Compare the results obtained for the rates on breastfeeding in the population of the Northern Metropolitana in the current study (2022/2023) with those obtained in 2017 (reported in the Lactem study) to see if any trends on dynamical changes in lactancy patterns are observed with time.
+Eligibility
Sex: Female, ages: 16 Years to any, accepts healthy volunteers
Inclusion Criteria:
* pregnant women over 16 years of age, between 24 and 32 weeks of gestation
Exclusion Criteria:
* women with a language barrier, under 16 years of age and those who do not want to participate or who do not give birth in the study associated centers
+Locations (1)
| Facility | City | Country | Status |
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| ASSIR Metropolitana Nord | Sabadell | Spain | |
+Publications
- Results publication: Cabedo-Ferreiro RM, Cos-Busquets J, Liutsko L, Reyes-Lacalle A, Garcia-Sierra R, Colldeforns-Vidal M, Vicente-Hernandez MM, Gomez-Masvidal M, Montero-Pons L, Lopez-Gimeno E, Cazorla-Ortiz G, Toran-Monserrat P, Falguera-Puig G. The role of midwives in advancing planetary health: Insights from the GREEN MOTHER project in Spain. Women Birth. 2026 Apr;39(2):102169. doi: 10.1016/j.wombi.2026.102169. Epub 2026 Feb 4. PMID 41643357
- Results publication: Cabedo-Ferreiro RM, Liutsko L, Cos-Busquets J, Garcia-Sierra R, Colldeforns-Vidal M, Reyes-Lacalle A, Toran-Monserrat P, Vicente-Hernandez MM, Gomez-Masvidal M, Violan C, Montero-Pons L, Falguera-Puig G, Cazorla-Ortiz G. Effectiveness of an Educational and Counseling Program (the Green Mother Project Phase 2) to Enhance Breastfeeding and Improve Mothers' Diets From an Environmental Perspective: Protocol for a Cluster Randomized Controlled Trial. JMIR Res Protoc. 2026 Jan 26;15:e80358. doi: 10.2196/80358. PMID 41587088
- Results publication: Cos-Busquets J, Cabedo-Ferreiro RM, Liutsko L, Reyes-Lacalle A, Garcia-Sierra R, Colldeforns-Vidal M, Andrade EP, Vicente-Hernandez MM, Gomez-Masvidal M, Montero-Pons L, Toran-Monserrat P, Falguera-Puig G, Cazorla-Ortiz G; GREEN MOTHER Group. A Comprehensive Assessment of the Environmental Impact of Different Infant Feeding Types: The Observational Study GREEN MOTHER. J Adv Nurs. 2025 Dec;81(12):8230-8241. doi: 10.1111/jan.16473. Epub 2024 Oct 3. PMID 39362795
- Results publication: Cabedo-Ferreiro RM, Liutsko L, Cos-Busquets J, Garcia-Sierra R, Colldeforns-Vidal M, Reyes-Lacalle A, Vicente-Hernandez MM, Gomez-Masvidal M, Montero-Pons L, Cazorla-Ortiz G, Toran-Monserrat P, Violan C, Falguera-Puig G; GREEN MOTHER Group. Environmental impact of infant feeding type, accessories used and maternal dietary habits: The GREEN MOTHER-I project, a cross-sectional study protocol. Nutr J. 2024 Aug 21;23(1):97. doi: 10.1186/s12937-024-01000-9. PMID 39164727