Impact of maternal nutritional supplementation in conjunction with a breastfeeding support program on breastfeeding performance, birth, and growth outcomes in a Vietnamese population

Abstract

Purpose: This study aimed to evaluate the effects of maternal nutritional supplementation (MNS) in conjunction with a breastfeeding support program on birth outcomes and breastfeeding performance.

Methods: A total of 228 singleton Vietnamese mothers aged 20–35 years at 26–29 weeks of gestation with pre-pregnancy body mass index (BMI) < 25.0 kg/m² were randomized to the intervention (n = 114), receiving MNS (252 kcal/day) daily up to 12 weeks postpartum and four breastfeeding education and support sessions or to the control (n = 114), receiving standards of care.

Results: The intervention was 2.09 times more likely to exclusively breastfeed over the 12 weeks than the control (95%CI: 1.05–4.13, p = .0358), after controlling for potential confounders. Infant’s breast milk intake was significantly higher in the intervention than the control among mothers with baseline mid-upper arm circumference (MUAC) < 50th (p = .0251). Infants in the intervention had significantly higher birth weight (p = .0312), birth weight-for-age (p = .0141) and birth head circumference-for-age (p = .0487), and higher head circumference-for-age z-score (p = .0183) development over the postnatal period, compared with the control.

Conclusions: Use of MNS and breastfeeding support improve birth outcomes and exclusive breastfeeding (EBF) rate in Vietnamese mothers. Additionally, it promotes breast milk production among mothers with lower baseline MUAC.

Keywords:

• Maternal nutritional supplementation
• breastfeeding support
• birth outcomes
• exclusive breastfeeding
• breast milk intake

Acknowledgements

We would like to thank participating women. Special thanks to the study team of Abbott Nutrition and the study team of NIN, Hai Phong, Ha Nam, Ninh Binh and Thai Nguyen Provinces for coordination and assistance during study execution. We thank Agnes Siew Ling Tey for her helpful comments on the earlier draft of the manuscript.

Disclosure statement

D.T.T.H. and Y.L.L. are employees of Abbott Nutrition. Y.B. is an employee of Cognizant Technologies Solution Pvt. Ltd, a Contract Research Organization providing statistical services to Abbott Nutrition.

Additional information

Funding

The study was funded by Abbott Nutrition. Abbott Nutrition was responsible for the study design, monitoring, data analysis and manuscript preparation and submission.