Clinical trial Recruiting at 1 site Observational Ages 0 Days to 40

Comparing breast milk feeding methods for infants

Official title: At-the-Breast vs. Expressed Human Milk: Genesis of Infant Nutrition (BEGIN)

Run by University of Rochester · NCT06691932 · Data updated 2026-11-12

This study is testing how different ways of feeding breast milk to babies affect their sleep and gut health, and it's for families who use pumped breast milk.

Quick facts

Study typeObservational
Ages0 Days to 40 Years
SexAll
Enrollment240 (estimated)
SponsorUniversity of Rochester
Academic / other
Locations1 site (Rochester, New York)
StatusRecruiting
StartedNovember 12, 2024
Main results expectedNovember 1, 2029
Study endsNovember 1, 2029
Registry record updatedDecember 11, 2025
Trial IDNCT06691932 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include lactating mothers aged 20-40 with infants aged 0-1 month who primarily feed either at the breast or with expressed milk.

Probably not a fit

Patients who are non-English speaking or those who supplement with formula significantly may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This observational study aims to explore the dynamics of human milk as an ecosystem, focusing on how breast milk changes over time and its relationship with infant sleep patterns and microbiome development. The study will involve 240 mother-infant dyads, split between those feeding directly at the breast and those using expressed milk. By analyzing these dynamics, the research seeks to fill critical public health gaps and provide insights that can optimize infant feeding practices and health outcomes. The findings will be particularly beneficial for families who primarily use pumped breast milk.

Why it matters

Potential benefit: If successful, this study could lead to improved understanding of breast milk dynamics, enhancing infant health outcomes for those receiving breast milk.

How similar studies have gone: While this study addresses previously unexplored relationships in breast milk dynamics, similar studies have shown promise in understanding infant nutrition and health outcomes.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Lactating mothers between 20-40 years old at enrollment

  o 120 mother/infant dyads who primarily feed HM ATB (average \>75% of feeds,
* pumping no more than one time per day)

  o 120 mother/infant dyads who predominantly feed expressed HM (average \>75% of feeds)
* All races and ethnicities may enroll
* Singleton infant delivered after 37 weeks
* Infant between the ages of 0-1 months at the time of enrollment.
* No serious health complications in mother or infant

Exclusion Criteria:

* Non-English-speaking subjects as study personnel only speak English
* Lactating moms who will be feeding both ATB and expressed HM (over 25% of the time in either feeding mode)
* Infant supplementation with formula ≥10 oz before sample collections begin, and/or no more than 16 oz during active participation/ sample collections.

Where it's running

  • University of Rochester Medical Center
    Rochester, New York, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.