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Table 1 Study characteristics (n = 20)

From: Evaluating antenatal breastmilk expression outcomes: a scoping review

Author (year of publication), Country of origin

Study objective(s)

Study design

Study setting

Sample size

Study population

Timing of aBME

Blaikley et al. (1953) [44] United Kingdom

Breast-feeding: factors affecting success A report of a trial of the Woolwich methods in a group of primiparae.

Interventional study

Hospital lying-in ward

n = 222

Pregnant women

After 32–33 weeks’ gestation

Brisbane et al. (2015) [34] Australia

To discuss the qualitative outcomes of women who attended a prenatal care clinic at 37 weeks’ gestation which supports the antenatal expression of colostrum.

Descriptive study - Qualitative study and/or survey

Antenatal breastfeeding clinic

n = 57

Pregnant women

After 37 weeks’ gestation

Brown et al. (1975) [47] United States

Preparation of the breast for breastfeeding.

Interventional study – randomized prospective cohort

Hospital in Colorado

n = 57

Pregnant women

3 weeks prior to expected delivery

Casey et al. (2019) [36] Australia

To compare rates of neonatal hypoglycaemia in babies born to mothers who express and store antenatal colostrum to babies born to mothers who do not.

Observational study - Retrospective cohort

Regional public hospital

n = 303

Pregnant women with diabetes

Between 34 and 36 weeks’ gestation

Casey et al. (2019) [35] Australia

To explore the perspectives and experiences of women who have had diabetes in pregnancy and were encouraged to collect and store colostrum in the antenatal period.

Descriptive study - Qualitative study and/or survey

Regional public hospital

n = 6

Pregnant women with diabetes

Not defined

Clay (2005) [43] United Kingdom

To provide an example of a collaborative partnership approach between a multidisciplinary team in a joint antenatal diabetes clinic and a mother with type 1 diabetes to help her experience the harvesting of colostrum in the antenatal period and enable a positive breast-feeding outcome for her newborn daughter.

Descriptive study - Case study

Antenatal diabetes clinic

n = 1

Pregnant woman with type 1 diabetes

After 36 weeks’ gestation

Demirci et al. (2018) [38] United States

To report on maternal experiences and breastfeeding outcomes in mothers with a hypertensive disorder of pregnancy who engaged in aBME.

Descriptive study - Case series

Hospital-based midwife practice

n = 4

Pregnant women with hypertension

Beginning ‘around’ 37 weeks’ gestation

Demirci et al. (2019) [37] United States

To examine the experiences of first-time mothers in the United States who participated in a pilot study of aBME.

Descriptive study - Qualitative study and/or survey

Hospital-based midwife practice

n = 19

Pregnant women

After 37 weeks’ gestation

Fair et al. (2018) [39] United Kingdom

To assess women’s knowledge, practices, and opinions of aBME as well as any differences within the overweight and obese subgroups.

Descriptive study - Qualitative study and/or survey

Online recruitment through a maternity service user and Facebook parenting group

n = 688

Women who are pregnant or who have given birth

Between 34 and 36 weeks' gestation

Forster et al. (2011) [13] Australia

To determine the feasibility and begin assessing the safety and efficacy of conducting a randomised control trial to evaluate antenatal breastmilk expression in mothers with diabetes.

Interventional study - Pilot study

Public, tertiary, women’s hospital

n = 43

Pregnant women with diabetes

After 36 weeks’ gestation

Forster et al. (2017) [21] Australia

To determine the safety and efficacy of aBME in women with diabetes in pregnancy.

Interventional study - Randomised controlled trial

Multi-center study across six hospitals

n = 632

Pregnant women with diabetes

After 36 weeks’ gestation

Ingelman-Sundberg (1958) [46] Sweden

To study the advantages of antenatal nipple message and expression of colostrum in pregnant women.

Observational study - Prospective cohort

Private lying-in ward

n = 656

Pregnant women

After 20 weeks’ gestation

Lamba et al. (2016) [40] India

To study the effect of aBME at term pregnancy and subsequent effect on postnatal lactation performance.

Interventional study

Tertiary care hospital

n = 200

Pregnant women

After 37 weeks’ gestation

O’Sullivan et al. (2019) [24] Australia

To determine whether an online instructional video can improve knowledge and confidence around the antenatal expression of colostrum.

Interventional study - before/after comparison

Online recruitment through social media via university and research institutions, infant and mother organizations, and personal contacts

n = 95

Pregnant women

Not defined

Rietveld (2011) [42] New Zealand

To determine if pregnant woman with Type 1, Type 2 or gestational diabetes mellitus can effectively achieve antenatal colostrum harvesting and banking.

To assess the feasibility of mothers and core midwifery staff using banked colostrum as part of the care of hypoglycaemic babies in the hospital setting.

Interventional study - Pilot study

Antenatal diabetic outpatient clinic

n = 10

Pregnant women with diabetes

After 34 weeks’ gestation

Singh et al. (2009) [16] India

To study the effect of aBME at term in reducing breast feeding failure compared to conventional method of breastfeeding initiation.

Interventional study

Not stated

n = 180

Pregnant women

After 37 weeks’ gestation

Soltani et al. (2012) [20] United Kingdom

To examine the adoption of aBME as an intervention and investigate its relationship to birth outcomes among mothers with diabetes.

Observational study - Retrospective cohort

National health service trust

n = 85

Pregnant women with diabetes

After 36 weeks’ gestation

Uikey et al. (2017) [41] India

To study the effect of aBME in improving lactational performance.

Interventional study

Tertiary care center

n = 200

Pregnant women

After 37 weeks’ gestation

Waller (1946) [45] United Kingdom

The early failure of breastfeeding: A clinical study of its cause and their prevention.

Interventional study

Hospital lying-in ward

n = 200

Pregnant women

Last 3 months of pregnancy

Weinel et al. (2019) [33] Australia

To support mothers who had pre-existing or gestational diabetes, and who were on more than 20 units of insulin per day, to express colostrum in the antenatal period at 36 weeks’ gestation and to promote breastfeeding.

Quality improvement study

Diabetic antenatal care education clinic

n = 207

Pregnant women with diabetes

After 36 weeks’ gestation