ClinicalTrials.gg
RecruitingNCT06673160PUMMPPUpdated Jul 16, 2026

Pumping to Up Maternal Milk Production for Preterms

An interventional study of Pumping every 2 hours and breast pumping every 3 hours in Breastfeeding and Breastmilk Expression, sponsored by University of Alabama at Birmingham. Recruiting at 1 site in United States. Open to participants aged Up to 28 Days. Per ClinicalTrials.gov, last updated 2026-07-16.

Primary conditionBreast Milk ExpressionRegistry: Breast FeedingReclassifiedWhy we changed it
Registry
Breast Feeding — the first condition term the registry derived for this study.
ClinicalTrials.gg
Breast Milk Expression
Why
  1. The study's listed conditions name Breast Milk Expression, a narrower term within Breast Feeding.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by University of Alabama at Birmingham · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Started Jun 2025; still recruiting 1 year 5 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
Up to 28 Days
Sex
All
01

Study summary

The goal of this clinical trial is to learn about the effect of breast-pumping frequency on breast milk supply/ volume in mothers of preterm infants. The main question it aims to answer is:

- What effect does pumping frequency have on breast milk supply.

Researchers will compare breastmilk supply of mothers who pump every 2 hours to the supply of those who pump every 3 hours to see if there is a difference in the amount of breastmilk they produce.

Participants will be assigned to either pump every 2 hours or every 3 hours and record how many milliliters of breastmilk they produce daily for the first 28 days of their baby's life.

02

Conditions studied

  • Breastfeeding
  • Breastmilk Expression

Browse trials for

Keywords

  • breastmilk supply in preterm infant
  • breastfeeding preterm infants
03

In context

Breast Milk Expression Reclassified

88 studies on the registry are indexed under Breast Milk Expression; 20 are open to participants now.

This study's planned enrollment of 70 is above the median of 60 across 49 interventional studies indexed under Breast Milk Expression.

Browse Breast Milk Expression studies →

Lead sponsor

University of Alabama at Birmingham is the lead sponsor of 1,421 studies on the registry; 277 are open to participants now.

Of its 164 completed or terminated interventional studies of FDA-regulated products, 130 (79%) have results posted.

Compared within Breast Milk Expression, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Breast Feeding. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
Up to 28 Days
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Inborn infants \<32 weeks gestation
  • Out-born infants transferred to our facility \<48hours of life
  • Infants \<1500 grams at birth
  • Infants whose parents/ guardians have provided legal consent for study participation

Exclusion criteria

Exclusion Criteria:

  • Infants with birthing persons' that are severe/critically ill
  • Birthing persons of infants \<18 years old
  • Infants with terminal illness or decision to withhold or limit support
  • infants with major congenital anomalies, chromosomal disorders, or congenital infections
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Investigator, Outcomes assessor)
Enrollment
70 participants (estimated)

Study arms

  • Experimental
    Pumping every 2 hours

    Mothers of patients in this group will be assigned to pump/ express breastmilk every 2 hours.

    Behavioral: Pumping every 2 hours

  • Active comparator
    Pumping every 3 hours

    Mothers of patients in this group will be assigned to pump/ express breastmilk every 3 hours.

    Behavioral: breast pumping every 3 hours

Interventions

  • BehavioralPumping every 2 hours

    The intervention will be pumping every 2 hours.

    Also known as: breast pumping every 2 hours

  • Behavioralbreast pumping every 3 hours

    The intervention will be pumping every 3 hours

06

What researchers measure

Primary outcomes

  1. Volume of expressed breastmilk

    The primary outcome measure will be the volume of expressed breastmilk obtained in mL per day in the group pumping every 2 hours compared the group pumping every 3 hours

    Time frame: From enrollment to 28 days of life

Secondary outcomes

  1. The percentage of donor breast milk feedings

    This outcome will assess the percentage of any enteral feeding that is derived from donor breast milk.

    Time frame: From enrollment to 28 days of life

  2. The number of days alive on full feedings

    The total number of days the infant received full enteral feeds (≥120 milliliters(mL)/kilogram(kg)/day).

    Time frame: From enrollment to 28 days of life

  3. The time to full feedings

    The number of days it takes to initially reach full enteral feeds (≥120mL/kg/day)

    Time frame: From enrollment to 28 days of life

  4. The number of infants with clinical evidence of feeding intolerance

    Infants that have enteral feeds withheld, or in other words made "nothing by mouth" (NPO) \> 24 hours for feeding or abdominal issues

    Time frame: From enrollment to first 28 days after birth

  5. Number of central line days

    The total number of days the infant maintained any type of central line access.

    Time frame: In the first 28 days of life

  6. The number of infants receiving any volume of breastmilk at time of discharge

    Infants who are still receiving any volume of expressed breastmilk upon discharge will be identified and noted.

    Time frame: From enrollment to hospital discharge

  7. The number of infants exclusively feeding breastmilk at discharge

    Whether or not enrolled infants are receiving all their nutrition from their mom's own expressed breastmilk upon discharge will be noted

    Time frame: From enrollment to hospital discharge

  8. Average change in weight

    Changes in weight measured in grams (g) from birth to 36 weeks corrected gestational age

    Time frame: from birth to 36 weeks' corrected gestational age

  9. Average change in length

    Changes in length measured in centimeters (cm)

    Time frame: from birth to 36 weeks corrected gestational age

  10. Average change in head circumference

    Change in head circumference measured in centimeters (cm)

    Time frame: from birth to 36 weeks' corrected gestational age

  11. The Bayley Scales of Infant and Toddler Development (BSID)

    The Bayley's cognitive component composite score will be assessed and noted. The cognitive composite score is determined by comparing the child's performance to a normative age-matched sample defined by the assessment. They are interpreted as follows: Mean score of 100 (Standard deviation=15) at the 50th percentile signifies mid-average functioning. Scores below 85 (1 Standard deviation below the mean), at the 16th percentile, indicate mild impairment of being 'at risk' of developmental delay. Monitoring is recommended, along with advice to parents on techniques to enhance development or referral to a therapist based on the level of impairment. Score below 70 (2 Standard deviation below the mean), at the second percentile, indicate moderate to severe impairment. In general, scores falling in the lowest 10th percentile indicate developmental delay.

    Time frame: from 18-26 months of age

  12. The Bayley Scales of Infant and Toddler Development (BSID)

    The Bayley's motor component composite score will be assessed and noted. The motor composite score is determined by comparing the child's performance to a normative age-matched sample defined by the assessment. They are interpreted as follows: Mean score of 100 (Standard deviation=15) at the 50th percentile signifies mid-average functioning. Scores below 85 (1 Standard deviation below the mean), at the 16th percentile, indicate mild impairment of being 'at risk' of developmental delay. Monitoring is recommended, along with advice to parents on techniques to enhance development or referral to a therapist based on the level of impairment. Score below 70 (2 Standard deviation below the mean), at the second percentile, indicate moderate to severe impairment. In general, scores falling in the lowest 10th percentile indicate developmental delay.

    Time frame: From 18-26 months of age

07

Study locations

1 of 1 sites recruiting
08

References and documents

Publications

  • Travers CP, Carlo WA, McDonald SA, Das A, Ambalavanan N, Bell EF, Sanchez PJ, Stoll BJ, Wyckoff MH, Laptook AR, Van Meurs KP, Goldberg RN, D'Angio CT, Shankaran S, DeMauro SB, Walsh MC, Peralta-Carcelen M, Collins MV, Ball MB, Hale EC, Newman NS, Profit J, Gould JB, Lorch SA, Bann CM, Bidegain M, Higgins RD; Generic Database and Follow-up Subcommittees of the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Racial/Ethnic Disparities Among Extremely Preterm Infants in the United States From 2002 to 2016. JAMA Netw Open. 2020 Jun 1;3(6):e206757. doi: 10.1001/jamanetworkopen.2020.6757. PubMed 32520359 ↗
  • Santoli CMA, Taylor-Cho IA, Darling AJ, Montoya MN, Gilner JB, Wheeler SM, Dotters-Katz SK. Predictors of Breastfeeding among Patients Admitted with Preterm Prelabor Rupture of Membranes. Am J Perinatol. 2024 May;41(S 01):e3196-e3201. doi: 10.1055/a-2211-1787. Epub 2023 Nov 15. PubMed 37967869 ↗
  • Quintero SM, Strassle PD, Londono Tobon A, Ponce S, Alhomsi A, Maldonado AI, Ko JS, Wilkerson MJ, Napoles AM. Race/ethnicity-specific associations between breastfeeding information source and breastfeeding rates among U.S. women. BMC Public Health. 2023 Mar 17;23(1):520. doi: 10.1186/s12889-023-15447-8. PubMed 36932332 ↗
  • Huang Y, Liu Y, Yu XY, Zeng TY. The rates and factors of perceived insufficient milk supply: A systematic review. Matern Child Nutr. 2022 Jan;18(1):e13255. doi: 10.1111/mcn.13255. Epub 2021 Aug 12. PubMed 34382733 ↗
  • Meek JY, Tippins S, American Academy of Pediatrics. American Academy of Pediatrics new mother's guide to breastfeeding. New York: Bantam Books; 2002. xiv, 258 p. p.

Related links

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06673160
Responsible party
Colm Travers (Associate Professor, University of Alabama at Birmingham) — Principal investigator
First posted
Nov 4, 2024
Start date
Jun 11, 2025
Primary completion
Sep 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Jul 16, 2026

Study contacts

Colm Travers, MD
Contact
cptravers@uabmc.edu
205-934-8793
Folasade Aderibigbe, MD
Contact
Sade.Aderibigbe72@gmail.com
205-934-8793

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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