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. 2020 Jun 3:11:63.
doi: 10.4103/ijpvm.IJPVM_494_17. eCollection 2020.

Enhancing Breastfeeding - Home-Based Education on Self-Efficacy: A Preventive Strategy

Katayon Vakilian  1 , Ome Colsum Tabarte Farahani  2 , Tooba Heidari  2
Affiliations

Enhancing Breastfeeding - Home-Based Education on Self-Efficacy: A Preventive Strategy

Katayon Vakilian et al. Int J Prev Med. .

Abstract

Background: The aim of this study is to evaluate the effects of home-based education intervention on the exclusivity and promoting the rates of self-efficacy of breastfeeding.

Materials and methods: A randomized controlled trial was conducted Arak University of Medical Sciences in Takeghani Hospital in Iran between June 2015 and October 2015. A total of 130 eligible and voluntary women hospitalized in Arak University of Medical Sciences Hospital postpartum wards were randomized to receive usual care (n = 65) or education with CD and pamphlets (n = 65). Data regarding exclusive breastfeeding were collected using Denis and Fox's breastfeeding self-efficacy questionnaire. The primary outcome was collected by one assistant researcher during first postpartum visit. The secondary outcome was collected 4 weeks after birth of babies by telephone interviews. Data analysis was performed using descriptive (frequency, mean), independent samples t-test, Student's t-test, t 2-test, and Chi-square test. All values of P < 0.05 were considered statistically significant.

Results: There was no significant differences between the intervention and control groups with regard to age (P = 0.086) and gestational age (P = 0.741). The breastfeeding self-efficacy scores were higher in the intervention group (63.66 ± 6.11) than in the control group (57.04 ± 6.18) after 1 month of childbirth (P = 0.001). The exclusive breastfeeding rate in intervention group was 89.2 (n = 58) at 1st month after education compared with 55.4% (n = 36) in control group (P = 0.001).

Conclusions: In a setting, a high breastfeeding rate and self-efficacy scores were found in education group. Therefore, nurses and midwives are thus required to adopt various health education strategies, such as home education, encourage breastfeeding.

Keywords: Breastfeeding; education; postpartum; reproductive health; self-efficacy.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Chart 1
Chart 1
The consort chart of postpartum mothers
See this image and copyright information in PMC

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