Effects of the Community-Based Breastfeeding Promotion Program for Working Mothers: A Quasi-experimental Study
Keywords:
Breastfeeding, Breastfeeding Program, Exclusive Breastfeeding, Self-efficacy theoryAbstract
This quasi-experimental study tested the effectiveness of the Community-based Breastfeeding Promotion Program for working mothers. The purposive sample of 52 working mothers living in Chonburi Province, Thailand were divided into comparison and intervention groups. Before implementing the Program, the first 26 dyads were assigned to the comparison group and received the usual activity. Seven months later, the Program was implemented in the district and another 26 dyads were assigned to the intervention groups. The Program was developed from the situation analysis phase, a literature review, and self-efficacy theory. Its effectiveness was measured and breastfeeding knowledge, breastfeeding self-efficacy, perceived breastfeeding support from family, and breastfeeding behavior of the intervention group were significantly higher than in the comparison group. The exclusive breastfeeding duration of the intervention group was significantly longer than the comparison group. Further, 69.23% of the intervention group exclusively breastfed for 6 months and 53.85% continued to breastfeed for 1 year whereas none of the participant of the comparison group exclusively breastfed for 6 months and continued to breastfeed for 1 year. It can be concluded that this Program bridged the gap of breastfeeding support in the health care system to encourage working mothers to continue breastfeeding after hospital discharge.
References
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28. Dennis C. Theoretical underpinnings of breastfeeding confidence: A self-efficacy framework. Journal of Human Lactation. 1999; 15:195-201
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30. Yazgan, H., Yazgan, Z., Keleş, E., & Gebeşçe. The effect of family members on breastfeeding practices among Turkish mothers. Breastfeeding Medicine. 2013; 8:232.
31. Komkham W. The community participation for modification of breast feeding pratices a village of Udornthani province [Master’s thesis]. [Khon Kaen]: Khon Kaen University; 2005.
32. Tsai S. Influence of partner support on an employed mother’s intention to breastfeed after returning to work. Breastfeeding Medicine. 2014; 9:222-30.
33. Blyth R, Creedy DK, Dennis C, Moyle W, Pratt J, De Vries SM. Effects of maternal confidence on breastfeeding duration: An application of breastfeeding self-efficacy. BIRTH. 2002; 29:278-284.
34. Olenick PL. The effect of structured group prenatal education on breastfeeding confidence, duration, and exclusivity to 12 weeks postpartum. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2010; 39:S104-5.
35. Thussanasupap B. The effects of a systematic instructional program on breastfeeding self-efficacy, nipple pain, nipple skin changes, and incision pain of cesarean mothers [Master’s thesis]. [Bangkok]: Mahidol University; 2006.
36. Dennis C. The breastfeeding self-efficacy scale: Phychometric assessment of the short form. JOGNN. 2003;32(6):734-744.
37. Suriyakhan A. Effects of family nursing on family’s perception and family’s support in exclusive breastfeeding [Master’s thesis]. [Khon Kaen]: Khon Kaen University; 2005.
38. Rungreang K. The effect of the perceived-self-efficacy promoting program, on breastfeeding behavior of working mothers [master’s thesis]. [Bangkok]: Chulalongkorn University; 2006.
39. Walker MW. Clinics in human lactation: Breastfeeding and employment. Amarillo (TX): Hale; 2011.
2. United States Department of Health and Human Services. The surgeon general’s call to action to support breastfeeding. Washington, D.C.: United States Department of Health and Human Services; 2011.
3. Abul-Fadl A. The economics of breastfeeding promotion: Could breastfeeding promotion be a strategy for preventing global economic demise. Egyptian Journal of Breastfeeding. 2011;3:18-28.
4. American Academy of Pediatrics. Breastfeeding and the use of human milk. PEDIATRICS. 2012;129(3):e827-41.
5. Spatz DL, Lessen R. Risks of not breastfeeding. Morrisville, North Carolina: International Lactation Consultant Association; 2011.
6. World Health Organization. Learning from large-scale: Community-based programmes to improve breastfeeding practices. Geneva: World Health Organization; 2008.
7. United Nations Children’s Fund & World Health Organization. Fulfilling the health agenda for women and children. Geneva: World Health Organization; 2014.
8. World Health Organization. Global strategy for infant and young child feeding. Geneva: World Health Organization; 2003.
9. National Statistical Office. Thailand multiple indicator cluster survey December 2005- February 2006: Final report. Bangkok: National Statistical Office; 2006.
10. United Nations Children’s Fund. The state of the world’s children 2008 child survival. New York: United Nations Children’s Fund; 2007.
11. Thai Breastfeeding Center. Mother’s milk: The greatest love to my beloved prince. Bangkok: The War Veterans Organization of Thailand under Royal Patronage of His Majesty the King; 2006.
12. National Statistical Office. Executive summary: Multiple indicator cluster survey 2012. Bangkok: National Statistical Office; 2013.
13. Dennis C, Hodnett E, Gallop R, Chalmers B. The effect of peer support on breast-feeding duration among primiparous women: a randomized comparisonled trial. Canadian Medical Association Journal. 2002;166:21-8.
14. Pugh LC, Milligan RA, Brown LP. The breastfeeding support team for low-income, predominantly-minority women: A pilot intervention study. Health Care for Women International. 2001;22:501-15.
15. Pugh LC, Serwint JR, Frick KD, Nanda JP, Sharps PW, Spatz DL, et al. A randomized comparisonled communitybased trial to improve breastfeeding rates among urban low-income mothers. Academic Pediatrics. 2010;10:14-20.
16. Ogbuanu C, Glover S, Probst J, Liu J, Hussey J. The effect of maternity leave length and time of return to work on breastfeeding. PEDIATRICS. 2011;127(6):e1414-27.
17. Flower KB, Willoughby M, Cadigan RJ, Perrin EM, Randolph G. Understanding breastfeeding initiation and continuation in rural communities: A combined qualitative/ quantitative approach. Maternal and Child Health Journal. 2008;12(3):402-14.
18. Rojjnanasrirat W, Wambach K. Maternal employment and breastfeeding. In: Wambach K, Riordan J, editors. Breastfeeding and human lactation. 5th ed. Burlington, Massachusetts: Jones and Bartlett Learning; 2016. p. 635-66.
19. Hector D, King L, Webb K, Heywood P. Factors affecting breastfeeding practices: applying a conceptual framework. New South Wales Public Health Bulletin. 2005;16: 52-5.
20. Mlay RS, Keddy BK, Stern PN. Demands out of context: Tanzanian women combining exclusive breastfeeding with employment. Health Care for Women International. 2004;25:242-54.
21. Sutiprapha S. Workplace support for breast feeding among working mothers [master’s thesis]. [Chiang Mai]: Chiang Mai University; 2001.
22. Wisarapun P. The effects breastfeeding promoting program on the rate and duration of exclusive breastfeeding in working mothers [master’s thesis]. [Bangkok]: Mahidol University; 2008.
23. Tiedje LB, Schiffman R, Omar M, Wright J, Buzzitta C, McCann A, et al. An ecological approach to breastfeeding. The American Journal of Maternal Child Nursing. 2002; 27(3):154-61.
24. World Health Organization. Community-based strategies for breastfeeding promotion and support in developing countries. Geneva: World Health Organization; 2003.
25. Twisk JWR. Applied longitudinal data analysis for epidemiology: A practical guide. 2nd ed. Cambridge: Cambridge University Press; 2003.
26. Chonburi Public Health Office. Summary of the operation of maternal and child health in 2011. Paper presented at the meeting of Chonburi Public Health Office; 2011, October 26; Chonburi, Thailand.
27. Tangsuksan P, Ratinthorn A. Experiences and contextual factors related to exclusive breastfeeding in full-time working mothers. Journal of Nursing Science. 2011; 29:52-63.
28. Dennis C. Theoretical underpinnings of breastfeeding confidence: A self-efficacy framework. Journal of Human Lactation. 1999; 15:195-201
29. United States Department of Health and Human Services. The surgeon general’s call to action to support breastfeeding. Washington, D.C.: United States Department of Health and Human Services; 2011
30. Yazgan, H., Yazgan, Z., Keleş, E., & Gebeşçe. The effect of family members on breastfeeding practices among Turkish mothers. Breastfeeding Medicine. 2013; 8:232.
31. Komkham W. The community participation for modification of breast feeding pratices a village of Udornthani province [Master’s thesis]. [Khon Kaen]: Khon Kaen University; 2005.
32. Tsai S. Influence of partner support on an employed mother’s intention to breastfeed after returning to work. Breastfeeding Medicine. 2014; 9:222-30.
33. Blyth R, Creedy DK, Dennis C, Moyle W, Pratt J, De Vries SM. Effects of maternal confidence on breastfeeding duration: An application of breastfeeding self-efficacy. BIRTH. 2002; 29:278-284.
34. Olenick PL. The effect of structured group prenatal education on breastfeeding confidence, duration, and exclusivity to 12 weeks postpartum. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2010; 39:S104-5.
35. Thussanasupap B. The effects of a systematic instructional program on breastfeeding self-efficacy, nipple pain, nipple skin changes, and incision pain of cesarean mothers [Master’s thesis]. [Bangkok]: Mahidol University; 2006.
36. Dennis C. The breastfeeding self-efficacy scale: Phychometric assessment of the short form. JOGNN. 2003;32(6):734-744.
37. Suriyakhan A. Effects of family nursing on family’s perception and family’s support in exclusive breastfeeding [Master’s thesis]. [Khon Kaen]: Khon Kaen University; 2005.
38. Rungreang K. The effect of the perceived-self-efficacy promoting program, on breastfeeding behavior of working mothers [master’s thesis]. [Bangkok]: Chulalongkorn University; 2006.
39. Walker MW. Clinics in human lactation: Breastfeeding and employment. Amarillo (TX): Hale; 2011.
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2016-07-11
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Thussanasupap B, Lapvongwatana P, Kalampakorn S, Spatz DL. Effects of the Community-Based Breastfeeding Promotion Program for Working Mothers: A Quasi-experimental Study. PRIJNR [Internet]. 2016 Jul. 11 [cited 2024 Nov. 6];20(3):196-209. Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/43772
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