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Randomized Controlled Trial
. 2020 May 5;20(1):94.
doi: 10.1186/s12905-020-00947-1.

The effect of prenatal counseling on breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding: a randomized controlled clinical trial

Fahimeh Sehhatie Shafaei  1 , Mojgan Mirghafourvand  2 , Shiva Havizari  3
Affiliations
Randomized Controlled Trial

The effect of prenatal counseling on breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding: a randomized controlled clinical trial

Fahimeh Sehhatie Shafaei et al. BMC Womens Health. .

Abstract

Background: Breastfeeding is one of the most important interfering factors in infants' health. Monitoring mothers' performance and providing them with the feedback helps to increase their self-efficacy, interest in learning, and level of performance. The present research evaluates the effect of prenatal counseling on the breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding.

Methods: This randomized controlled clinical trial was conducted on 108 pregnant women with unsuccessful breastfeeding in Tabriz health centers during 2017-2018. The participants were randomly assigned to intervention and control groups. The intervention group had four prenatal counseling sessions and the controls only received routine care. Then, the mothers who gave birth to their children received a counseling session up to 4 months after the delivery. The Breastfeeding Self-Efficacy (BSES) questionnaire and the frequency of breast feeding problems checklist on the 15th day, and 2nd and 4th month were completed both by the intervention and control groups.

Results: The mean (SD) of breastfeeding self-efficacy was 119.3 (10.5), 128.3 (8.3) and 133.8 (10.3) in the intervention group and 105.3 (16.1), 105.7 (19.7) and 109.4 (24.7) in the control group on the 15th day, 2nd and 4th month after the delivery, respectively. There was a significant difference in terms of breastfeeding self-efficacy between intervention and control group on the 15th day (p < 0.001), and 2nd (p < 0.001) and 4th (p < 0.001) month after the delivery. The frequency of breastfeeding problems on the 15th (p = 0.008), 2nd (p < 0.001) and 4th (p < 0.001) after the delivery was significantly different in most cases of the intervention group when compared to the controls.

Conclusion: The results indicated that prenatal counseling can increase mothers' breastfeeding self-efficacy and solves most breastfeeding problems during postpartum period.

Trial registration: IRCT20100109003027N19.

Keywords: Counseling; Exclusive breastfeeding; Infant; Problems; Self-efficacy.

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Conflict of interest statement

The authors declare that they have no conflict of interests.

Figures

Fig. 1
Fig. 1
Trial Profile
Fig. 2
Fig. 2
Comparison of the mean of self-efficacy score in mothers with Previous Unsuccessful Breastfeeding on days 15, 2 and 4 months postpartum in two groups of intervention (counseling) and control group
See this image and copyright information in PMC

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References

    1. Kliegman RM, Behrman RE, Jenson HB, Stanton BM. Nelson textbook of pediatrics e-book: Elsevier Health Sciences. 2007.
    1. Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane Database Syst Rev. 2012;8. 10.1002/14651858.CD003517. - PMC - PubMed
    1. Mullany LC, Katz J, Li YM, Khatry SK, LeClerq SC, Darmstadt GL, et al. Breast-feeding patterns, time to initiation, and mortality risk among newborns in southern Nepal. J Nutr. 2008;138(3):599–603. doi: 10.1093/jn/138.3.599. - DOI - PMC - PubMed
    1. Veghari G, Rahmati R. Breastfeeding status and some of its related factors in the Golestan Province. IJN. 2011;24(71):8–18.
    1. Ystrom E, Niegel S, Klepp K-I, Vollrath ME. The impact of maternal negative affectivity and general self-efficacy on breastfeeding: the Norwegian mother and child cohort study. J Pediatr. 2008;152(1):68–72. doi: 10.1016/j.jpeds.2007.06.005. - DOI - PubMed

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