Fruit and Vegetable Intervention in Lactating Women to Reduce Breast Cancer Risk

Overview of home visits and activities completed by all participants Visit 1 Introductory Visit (1.5 hours) 24-Hour Dietary Recalls completed during the week (1-2 hours) Occurs at 5 weeks postpartum * Informed Consent document administered. * Public Data Sharing Informed Consent document administered. * Three questionnaires: New Moms Health, Physical Activity, and Breastfeeding Practices * Maternal height, weight, and waist circumference measured. * Instructions provided for future collection of biospecimens. * Complete one 24-Hour Dietary Recall * Instructions provided for two additional 24-Hour Dietary Recalls. Visit 2 Sample Collection 1 (1.5 hours) Occurs at 6 weeks postpartum * Provide bilateral breast milk samples and completed questionnaire. * Provide infant stool sample and completed questionnaire. * Two questionnaires: Infant Feeding, and Medication \& Supplement * Infant length and weight measured. * Maternal and infant skin carotenoids measured. * Nutrition education provided. * Optional collection of maternal stool sample and completed questionnaire. Visit 3 Sample Collection 2 (1.5 hours) 24-Hour Dietary Recalls completed during the week (1-2 hours) Occurs at 16 weeks postpartum * Provide bilateral breast milk samples and completed questionnaire. * Provide infant stool sample and completed questionnaire. * Three questionnaires: Physical Activity, Infant Feeding, and Medication \& Supplement * Infant length and weight measured. * Maternal weight and waist circumference measured. * Maternal and infant skin carotenoids measured. Visit 4 Sample Collection 3 (1.5 hours) 24-Hour Dietary Recalls completed during the week (1-2 hours) Occurs at 26 weeks postpartum * Provide bilateral breast milk samples and completed questionnaire. * Provide infant stool sample and completed questionnaire. * Three questionnaires: Physical Activity, Infant Feeding, and Medication \& Supplement. * Infant length and weight measured. * Maternal weight and waist circumference measured. * Maternal and infant skin carotenoids measured. * Optional collection of maternal stool samples and completed questionnaire. Visit 5 Sample Collection 4 (1.5 hours) 24-Hour Dietary Recalls completed during the week (1-2 hours) Occurs at 58 weeks postpartum * Provide bilateral breast milk samples and completed questionnaire. * Provide infant stool sample and completed questionnaire. * Four questionnaires: Physical Activity, Infant Feeding, Medication and Supplement, and Breast Health * Infant length and weight measured. * Maternal weight and waist circumference measured. * Maternal and infant skin carotenoids measured. * Optional collection of maternal stool samples and completed questionnaire. Annual Follow-up Visit (Maximum of 2) (1 hour) 24-Hour Dietary Recalls completed during the week (1-2 hours) Occurs at one-year intervals after Visit 5 * Three questionnaires: Physical Activity, Breast Health, Young Child Feeding * Infant height and weight measured. * Maternal weight and waist circumference measured. * Maternal and infant skin carotenoids measured. Monthly Inquiry (1 - 2 minutes) Occurs monthly until no longer breastfeeding • Complete the Breast Feeding Update Questionnaire online via a survey sent through REDCap, or through a phone call.