Effects of Breastfeeding Promotion-Father’s Involvement Program on 1-month Exclusive Breastfeeding and Perceived Father’s Support among First-time Mothers
Main Article Content
Abstract
Purpose: To evaluate the effects of breastfeeding promotion-father’s involvement program on the rate of 1-month exclusive breastfeeding and perceptions of father’s support among the first-time mothers.
Design: Quasi-experimental research, the posttest only control group design.
Methods: The study sample included 54 first-time mothers admitted to the postpartum unit at Phrachomklao Hospital, Phetchaburi Province. They were divided into control and experimental groups, with 27 participants in each group. The sample in the control group received only routine nursing care, whereas those in the experimental group received routine nursing care combined with breastfeeding promotion-father’s involvement program including provision of breastfeeding knowledge and practice, father’s participation of breastfeeding and child-rearing, and telephone follow-up for consultation. Data were collected using the personal data questionnaire, effective suckling assessment, breastfeeding problem interview form, feeding interview form and perceived father’s support questionnaire. Z test and independent t-test were used to analyze the data.
Main findings: The proportion of 1-month exclusive breastfeeding in the experimental group was significantly higher than those in the control group (z = 8.01; p < .001). Average scores of perceived father’s support were significantly higher in the experimental group than those in the control group (t = 11.40; p < .001).
Conclusion and recommendations: The breastfeeding promotion-father’s involvement program could increase 1-month exclusive breastfeeding in the first-time mothers and perception of father’s support. Therefore, nurses could apply this program to nursing practice. Furthermore, the program should be tested in other groups of mothers or setting.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright Notice: Nursing Science Journal of Thailand has exclusive rights to publish and distribute the manuscript and all contents therein. Without the journal’s permission, the dissemination of the manuscript in another journal or online, and the reproduction of the manuscript for non-educational purpose are prohibited.
Disclaimer: The opinion expressed and figures provided in this journal, NSJT, are the sole responsibility of the authors. The editorial board bears no responsibility in this regard.
References
World Health Organization. Infant and young child feeding [Internet]. Geneva, World Health Organization; 2021 [cited 2021 Jun 30]. Available from: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding.
National Statistical Office, United Nations Children’s Fund. Thailand multiple indicator cluster survey 2019: survey finding report. [Internet]. Bangkok: National Statistical Office; 2020 [cited 2021 Jun 21]. Available from: https://www.unicef.org/thailand/media/5151/file/Thailand_MICS_Full_Report_EN_0.pdf.
Phrachomklao Hospital. Percentage of newborns 6-months exclusively breastfeeding at provincial level. Phetchaburi: Phrachomklao Hospital; 2018. 12 p. (in Thai).
Nasrabadi M, Vahedian-Shahroodi M, Esmaily H, Tehrani H, Gholian-Aval M. Factors affecting exclusive breastfeeding in the first six months of birth: an exploratory-descriptive Study. J Midwifery Reprod Health. 2019;7(3):1747-62.
Agudile EP, Okechukwu CA, Subramanian SV, Geller AC, Langer A. The roles of social networks and social support on breastfeeding practices in Nigeria. International Journal of Medicine and Health Development. 2020;25(2):57-69. doi: 10.4103/ijmh.IJMH_44_19.
Agampodi TC, Dharmasoma NK, Koralagedara IS, Dissanayaka T, Warnasekara J, Agampodi SB, et al. Barriers for early initiation and exclusive breastfeeding up to six months in predominantly rural Sri Lanka: a need to strengthen policy implementation. Int Breastfeeding J. 2021;16(1):32. doi: 10.1186/s13006-021-00378-0.
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;9:689–94. doi: 10.2147/IJWH.S148464.
Nelson JM, Li R, Perrine CG, Scanlon KS. Changes in mothers’ intended duration of breastfeeding from the prenatal to neonatal periods. Birth. 2018;45(2):178-83. doi: 10.1111/birt.12323.
Peek C, Im-Em W, Tangthanaseth R. State of Thailand population report 2015: Thai family in the era of low births, longevity [Internet]. Bangkok: United Nations Population Fund; 2015 [cited 2020 Mar 20]. Available from: https://thailand.unfpa.org/sites/default/files/pub-pdf/State%20of%20Thailand%20Population%20report%202015-Thai%20Family_th.pdf. (in Thai).
Nilsson IMS, Strandberg-Larsen K, Knight CH, Hansen AV, Kronborg H. Focused breastfeeding counselling improves short- and long-term success in an early-discharge setting: a cluster-randomized study. Matern Child Nutr. 2017;13(4):e12432. doi: 10.1111/mcn.12432.
Su M, Ouyang Y-Q. Father's role in breastfeeding promotion: lessons from a quasi-experimental trial in China. Breastfeed Med. 2016;11:144-9. doi: 10.1089/bfm.2015.0144.
Ozluses E, Celebioglu A. Educating fathers to improve breastfeeding rates and paternal-infant attachment. Indian Pediatr. 2014;51(8):654-7. doi: 10.1007/s13312-014-0471-3.
Yurtsal ZB, Kocoglu G. The effects of antenatal parental breastfeeding education and counseling on the duration of breastfeeding, and maternal and paternal attachment. Integr Food Nutr Metab. 2015;2(4):222-30. doi: 10.15761/IFNM.1000134.
Fu ICY, Fong DYT, Heys M, Lee ILY, Sham A, Tarrant M. Professional breastfeeding support for first-time mothers: a multicentre cluster randomised controlled trial. BJOG. 2014;121(13):1673-83. doi: 10.1111/1471-0528.12884.
Prasitwattanaseree P, Sinsucksai N, Prasopkittikun T, Viwatwongkasem C. Effectiveness of breastfeeding skills training and support program among first time mothers: a randomized control trial. Pac Rim Int J Nurs Res Thail. 2019;23(3):258-70.
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(2):113-27. doi: 10.1089/bfm.2013.0081.
Bich TH, Cuong NM. Changes in knowledge, attitude and involvement of fathers in supporting exclusive breastfeeding: a community-based intervenntion study in a rural area of Vietnam. Int J Public Health. 2017;62 Suppl 1:17-26. doi: 10.1007/s00038-016-0882-0.
Abbass-Dick J, Stern SB, Nelson LE, Watson W, Dennis C-L. Coparenting breastfeeding support and exclusive breastfeeding: a randomized controlled trial. Pediatrics. 2015;135(1):102-10. doi: 10.1542/peds.2014-1416.
Maycock B, Binns CW, Dhaliwal S, Tohotoa J, Hauck Y, Burns S, et al. Education and support for fathers improves breastfeeding rates: a randomized controlled trial. J Hum Lact. 2013;29(4):484-90. doi: 10.1177/0890334413484387.
Hounsome L, Dowling S. The mum has to live with the decision much more than the dad: a qualitative study of men’s perceptions of their influence on breastfeeding decision-making. Int Breastfeeding J. 2018;13(3):1-10. doi: 10.1186/s13006-018-0145-1.
Murdaugh CL, Parsons MA, Pender NJ. Health promotion in nursing practice. 8th ed. New York: Pearson; 2018. 384 p.
Masuk P. The effects of breastfeeding-promoting program on the duration and the rate of exclusive breastfeeding in adolescent mothers: Sawanpracharak hospital [master's thesis]. Bangkok: Mahidol University; 2010. 125 p. (in Thai).
Pitisuthitham P, Pichiensunthorn C. Textbook of clinical research. Bangkok: Faculty of Tropical Medicine, Mahidol University; 2018. 660 p. (in Thai).
Schaefer C, Coyne JC, Lazarus RS. The health-related functions of social support. J Behav Med. 1981;4(4):381-406. doi: 10.1007/BF00846149.
Chunpia C. The anatomy and psychophysiology of lactation. In: Vichitsukon K, Sangperm P, Watthayu N, Ruangjiratain S, Payakkaraung S, editors. Breastfeeding. 5th ed. Bangkok: Pre-One; 2014. p.63-82. (in Thai).