PUMP (Providing the Underprivileged With Manual Pumps): An RCT

The primary objective of this study is to pilot an intervention of providing manual breast
pumps at hospital discharge to low-income, first-time mothers and to generate initial
estimates of the effect of this intervention on exclusive breastfeeding rates at 3 months (12
weeks). In this pilot study, we will compare receipt of a breast pump and brief instructions
of its use to the active control of receipt of a children's book and brief instructions about
reading with baby. As a secondary objective, we will investigate mothers' attitudes and
opinions about the manual breast pump intervention with the goal of fine-tuning it to best
fit mothers' needs before a larger, multi-center trial. To support our objectives, we will
examine the following specific aims:

1. To test the intervention of providing low-income, first time mothers with a manual
breast pump at hospital discharge on exclusive breastfeeding rates at 12 weeks.

Hypothesis: Among low-income first-time mothers, receipt of a manual breast pump at
hospital discharge will lead to improved exclusive breastfeeding rates at 12 weeks
postpartum compared to receipt of a children's book.

2. To use qualitative methods to determine best practices associated with successful
implementation of a breast pump intervention to improve breastfeeding rates among
low-income, first-time mothers.

3. To test the effect of receiving a children's board book during the birth hospitalization
on parents reading to the baby at 3 months (12 weeks).