Effectiveness of Breastfeeding Skills Training and Support Program among First Time Mothers: A Randomized Control Trial

Authors

  • Piyaporn Prasitwattanaseree RN, PhD Candidate, Faculty of Nursing, Mahidol University, Thailand.
  • Nittaya Sinsuksai RN, PhD, Associate Professor, Faculty of Nursing, Mahidol University, Thailand.
  • Tassanee Prasopkittikun RN, PhD, Associate Professor, Faculty of Nursing, Mahidol University, Thailand.
  • Chukiat Viwatwongkasem PhD, Associate Professor, Department of Biostatistics, Faculty of Public Health, Mahidol University, Thailand.

Keywords:

Breastfeeding, Mothers, Pregnancy, Postpartum Period, Randomized Controlled Trial, Self-efficacy

Abstract

               Exclusive breastfeeding continuously for six months is difficult for new mothers. Breastfeeding problems are caused mostly by improper positioning and incorrect latch-on techniques. This randomized control trial investigated the effects of breastfeeding skills training and support program on 6-month-exclusive breastfeeding among Thai mothers giving birth to their first child in a university hospital of northern Thailand. Eighty-three first-time mothers were recruited and randomly assigned to either the experimental (n=41) or the control group (n=42). The experimental group received the usual care plus the breastfeeding skills training and support program. The control group received only usual care. Data were collected by the Demographic Data Questionnaire, Breastfeeding Self-Efficacy Scale: Short Form, Effective Suckling Checklist, and Food Record form. They were analyzed using descriptive statistics, Chi-square test, and Mann-Whitney U-test.

                   Results showed that the rate of 6-month-exclusive breastfeeding in the experimental group was significantly higher than those in the control group. Average scores of breastfeeding self-efficacy were significantly higher in the experimental group than those in the control group at discharge and at 6-weeks postpartum, respectively. It is recommended that this program needs further testing with different groups.

References

1. World Health Organization. Infant and young child feeding [Internet] 2018. [cited 2018 June 20]. Available from: http://www.who.int/news-room/fact-sheets/detail/ infant-and-young-child-feeding.

2. Office of the National Economic and Social Development Board, Office of the Prime Minister. The twelfth national economic and social development plan (2017-2021) [internet] 2018. [cited 2018 July 20]. Available from: https://www.nesdb.go.th/nesdb_en/ewt_w3c/ewt_dl_ link.php?nid=4345.

3. Lumbiganon P, Martis R, Laopaiboon M, Festin MR, Ho JJ, Hakimi M. Antenatal breastfeeding education for increasing breastfeeding duration. Cochrane Database Syst Rev. 2016; 12:CD006425.

4. Skouteris H, Nagle C, Fowler M, Kent B, Sahota P, Morris H. Interventions designed to promote exclusive breastfeeding in high-income countries: a systematic review. Breastfeed Med. 2014; 9(3): 113-27.

5. Meedya S, Fernandez R, Fahy K. Effect of educational and support interventions on long-term breastfeeding rates in primiparous women: a systematic review and metaanalysis. JBI Database System Rev Implement Rep. 2017; 15(9): 2307-32.

6. UNICEF. Infant and young child feeding [internet] 2018 [cite 2019 Feb 15]. Available from: https://data.unicef. org/topic/nutrition/infant-and-young-child-feeding/.

7. World Health Organization. Exclusive breastfeeding under 6-months data by country [Internet] 2018. [cited 2019 Feb 15]. Available from: http://apps.who.int/gho/data/ view.main.NUT1730.

8. Buttham S, Kongwattanakul K, Jaturat N, Soontrapa S. Rate and factors affecting non-exclusive breastfeeding among Thai women under the breastfeeding promotion program. Int J Womens Health. 2017; 9: 689-694.

9. Thepha T, Marais D, Bell J, Muangpin S. Perceptions of northeast Thai breastfeeding mothers regarding facilitators and barriers to six-month exclusive breastfeeding: focus group discussions. Int Breastfeed J. 2018; 13:14.

10. Prasopkittikun T, Sangperm P. Self-efficacy promoting interventions for breastfeeding outcomes: an integrative review of research conducted in Thailand. Pacific Rim Int J Nurs Res. 2017; 21(1): 44-58.

11. Sun K, Chen M, Yin Y, Wu L, Gao L. Why Chinese mothers stop breastfeeding: Mothers' self-reported reasons for stopping during the first six months. J Child Health Care. 2017; 21(3): 353-63.

12. Sheeran L, Buchanan K, Welch A, Jones LK. Women's experiences of learning to breastfeed. Breastfeed Rev. 2015; 23(3):15-22.

13. de Jesus PC, de Oliveira MI, Fonseca SC. Impact of health professional training in breastfeeding on their knowledge, skills, and hospital practices: a systematic review. J Pediatr (Rio J). 2016; 92(5): 436-50.

14. Pender N, Murdaugh C, Parsons MA. Health promotion in nursing practice (6th ed.). Upper Saddle River, New Jersey: Pearson Education, Inc; 2011.

15. Sullivan ML. Essentials of biostatistics in public health (2nd ed.). MA: Jones and Bartlett Publishers; 2011.

16. Kupratakul J, Taneepanichskul S, Voramongkol N, Phupong V. A randomized controlled trial of knowledge sharing practice with empowerment strategies in pregnant women to improve exclusive breastfeeding during the first six months postpartum. J Med Assoc Thai. 2010; 93(9): 1009-18.

17. Dennis C. The breastfeeding self-efficacy scale: psychometric assessment of the short form. J Obstet Gynecol Neonatal Nurs. 2003; 32(6):734-744.

18. Thussanasupap B. The effects of systematic instructional program on breastfeeding self-efficacy, nipple pain, nipple skin changes and incision pain of cesarean mothers (Unpublished master’s thesis) Mahidol University, Bangkok. 2006.

19. UNICEF. The community infant and young child feeding counselling package [internet] 2012 [cited 2017 Sep 10]. Available from: https://www.unicef.org/nutrition/files/ counseling_cards_Oct._2012small.pdf.

20. Ahmadi S, Kazemi F, Masoumi SZ, Parsa P, Roshanaei G. Intervention based on BASNEF model increases exclusive breastfeeding in preterm infants in Iran: a randomized controlled trial. Int Breastfeed J. 2016; 11:30.

21. Hatamleh W. Prenatal breastfeeding intervention program to increase breastfeeding duration among women Health. 2012; 4(3): 143-9.

22. Manal IH, Sherein AH, F, Hend E. Impact of health education on knowledge of, attitude to and practice of breastfeeding among women attending primary health care in Almadinah Almunawwarah, Kingdom of Saudi Arabia: Controlled pre-post study. 2014; 9(3): 187-93.

23. Prabha, Saha I, Nandy S. A study on feeding practice of under 6 month infants attending the nutrition clinic of a tertiary care hospital of West Bengal, India. Epidemiol Biostat Public Health. 2013; 10(2): e89471- 6.

24. Kent JC, Prime DK, Garbin CP. Principles for maintaining or increasing breast milk production. J Obstet Gynecol Neonatal Nurs. 2012; 41(1):114-21.

25. Mbada CE, Olowookere AE, Faronbi JO, OyinlolaAromolaran FC, Faremi FA, Ogundele AO, et al. Knowledge, attitude and techniques of breastfeeding among Nigerian mothers from a semi-urban community. BMC Res Notes. 2013; 6:552.

26. Schafer EJ, Campo S, Colaizy TT, Mulder PJ, Breheny P, Ashida S. First-time mothers' maintenance of experiences and changes in maternal perceptions. Public Health Nutr. 2017; 20(17):3099-108.

27. Troutman B, Moran TE, Arndt S, Johnson RF, Chmielewski M. Development of parenting self-efficacy in mothers of infants with high negative emotionality. Infant Ment Health J. 2012; 33(1).

28. Loke AY, Chan LK. Maternal breastfeeding self-efficacy and the breastfeeding behaviors of newborns in the practice of exclusive breastfeeding. J Obstet Gynecol Neonatal Nurs. 2013; 42(6):672-84.

29. Ansari S, Abedi P, Hasanpoor S, Bani S. The effect of program on breastfeeding self-efficacy and duration of exclusive breastfeeding in pregnant women in Ahvaz, Iran. Int Sch Res Notices. 2014; 2014:510793.

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Published

2019-06-19

How to Cite

1.
Prasitwattanaseree P, Sinsuksai N, Prasopkittikun T, Viwatwongkasem C. Effectiveness of Breastfeeding Skills Training and Support Program among First Time Mothers: A Randomized Control Trial. PRIJNR [Internet]. 2019 Jun. 19 [cited 2024 Dec. 11];23(3):258-70. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/154845

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