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. 2016 Nov 14:11:30.
doi: 10.1186/s13006-016-0089-2. eCollection 2016.

Intervention based on BASNEF model increases exclusive breastfeeding in preterm infants in Iran: a randomized controlled trial

Sheler Ahmadi  1 , Farideh Kazemi  2 , Seyedeh Zahra Masoumi  3 , Parisa Parsa  4 , Ghodratollah Roshanaei  5
Affiliations

Intervention based on BASNEF model increases exclusive breastfeeding in preterm infants in Iran: a randomized controlled trial

Sheler Ahmadi et al. Int Breastfeed J. .

Abstract

Background: The objective of this study is to determine the effect of a consultation model, Beliefs, Attitudes, Subjective Norms and Enabling Factors (BASNEF), and the counselling steps using GATHER-Greet clients, Ask clients about themselves, Tell clients about their choices, Help clients choose, Explain what to do, and Return for follow-up-on the continuation rates of exclusive breastfeeding in mothers of premature infants.

Methods: This is a randomized controlled clinical trial carried out on 124 mothers with premature infants hospitalized in Fatemieh Hospital, city of Hamadan, in 2014. Participants were randomly assigned to either the intervention or control groups. The initial demographic questionnaire carried out in both groups included three questions about the continuation of exclusive breastfeeding, BASNEF, a checklist related to the lactation performance documented by mothers and the weight gain of their infants. Five breastfeeding consultation sessions based on the BASNEF model and counselling steps using GATHER, were held for the mothers in the intervention group for five consecutive days. Then follow-up weight gain and the questionnaire completion were performed in both groups at 1, 2, 3 and 4 months after the intervention.

Results: Baseline characteristics were similar in the two groups. There were no significant differences between both groups in the rate of exclusive breastfeeding, lactation performance and infant weight at baseline. The intervention group had significantly higher rates of exclusive breastfeeding, 72.6% versus the control group of 16.1%, at the end of the 4 month follow-up. Also the intervention group had significantly higher mean scores of lactation performance (8.62 ± 2.08 vs 6.40 ± 1.84 in the control group) and infant weight (5694.80 ± 779.43 vs 4760.17 ± 859.12 in the control group) at the end of the 4 month follow-up.

Conclusion: Breastfeeding consultation of mothers based on the BASNEF model and using GATHER counselling steps increased the rate of exclusive breastfeeding, lactation performance and weight gain of premature infants. Therefore, breastfeeding counselling sessions are recommended for all mothers of premature infants.

Trial registration: Iranian Registry of Clinical Trials number IRCT2014111013405N6 and date registered, January 5, 2015.

Keywords: Counselling; Exclusive breastfeeding; Premature infant.

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Figures

Fig. 1
Fig. 1
Flow diagram of participants
See this image and copyright information in PMC

References

    1. Haram K, Mortensen JHS, Wollen AL. Preterm delivery: an overview. Acta Obstet Gynecol Scand. 2003;82(8):687–704. doi: 10.1034/j.1600-0412.2003.00218.x. - DOI - PubMed
    1. Beck S, Wojdyla D, Say L, Betran AP, Merialdi M, Requejo JH, Rubens C, Menon R, Van Look PF. The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity. Bull World Health Org. 2010;88(1):31–8. doi: 10.2471/BLT.08.062554. - DOI - PMC - PubMed
    1. Kamali Fard MAR, Sehati Shafaei F, Gojazadeh M. The effect of lifestyle on the rate of preterm birth. Iran J Ardabil Univ Med Sci. 2010;10(1):55–63.
    1. Pulver LS, Denney JM, Silver RM, Young PC. Morbidity and discharge timing of late preterm newborns. Clin Pediatr. 2010;49(11):1061–7. doi: 10.1177/0009922810376821. - DOI - PubMed
    1. Eidelman AI, Schanler RJ, Johnston M, Landers S, Noble L, Szucs K, Viehmann L. Breastfeeding and the use of human milk. Pediatrics. 2012;129(3):e827–41. doi: 10.1542/peds.2011-3552. - DOI - PubMed

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