Effect of antenatal educational intervention on maternal breastfeeding self-efficacy and breastfeeding success: a quasi-experimental study

Öztürk, Rukiye; Ergün, Sibel; Özyazıcıoğlu, Nurcan

doi:10.1590/1980-220X-REEUSP-2021-0428

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ORIGINAL ARTICLE • Rev. esc. enferm. USP 56 • 2022 • https://doi.org/10.1590/1980-220X-REEUSP-2021-0428 copy

Effect of antenatal educational intervention on maternal breastfeeding self-efficacy and breastfeeding success: a quasi-experimental study^* * Extracted from the thesis: “The Effects of Education Concerning Breast Milk and Breastfeeding During Antenatal Period on Breastfeeding Success and Breastfeeding Self-Efﬁcacy”, Balıkesir University, Turkey, 2018.

O efeito do apoio educacional pré-natal na autoeficácia da amamentação e na eficácia da amamentação: um investigação semi-experimental

El efecto del apoyo educativo prenatal en la autoeficacia y la eficacia de la lactancia materna: una investigación semi-experimental

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To examine the effect of breastfeeding educational intervention given in the antenatal period on LATCH and breastfeeding self-efficacy scores.

Method:

A total of 80 pregnant who met the research criteria were randomly assigned to intervention (n = 40) or control (n = 40) groups. Pregnant women received to the control group received only standard care while breastfeeding education was accepted to the intervention group along with standard care. Both groups were visited at their home, and the personal data form, the LATCH Breastfeeding Assessment Tool, and Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF) were applied in the postpartum 1st week. End of the study, brochures prepared by the researcher were given to both groups.

Result:

The mean breastfeeding self-efficacy and LATCH scores were higher in the intervention group compared to the control group. Breastfeeding success was found to increase as the maternal breastfeeding self-efficacy perception increased.

Conclusion:

Breastfeeding education given in the antenatal period increased maternal breastfeeding self-efficacy perception and breastfeeding success in the postpartum 1st week period.

Study is registered at ClinicalTrials.gov NCT04757324.

DESCRIPTORS
Breast Feeding; Human Milk; Lactation; Nursing Education; Prenatal Education

	Intervention		Control		Total		χ²	P
	n	%	n	%	n	%	χ²	P
Age
18–25	15	44.1	15	45.4	30	44.8	0.23	0.89
26–30	14	41.2	12	36.4	26	38.8
31+	5	14.7	6	18.2	11	16.4
Educational status
Primary education	0	0	3	9.1	3	4.5	1.79	0.18
High school	13	38.2	15	45.5	28	41.8
University	21	61.8	15	45.4	36	53.7
Working status
Employed	14	41.2	6	18.2	20	29.8	3.20	0.07
Unemployed	20	58.8	27	81.8	47	70.2	3.20	0.07
Planning of pregnancy
Planned	27	79.4	27	81.8	54	80.6		1.00^a
Not planned	7	20.6	6	18.2	13	19.4		1.00^a
Type of delivery
Vaginal	19	55.9	16	48.5	35	52.2	0.13	0.71
Cesarean section	15	44.1	17	51.5	32	47.8	0.13	0.71
Parity
Primiparous	27	79.4	25	75.8	52	77.6	0.004	0.94
Multiparous	7	20.6	8	24.2	15	22.4	0.004	0.94
Gestational week
38 week	0	0	1	3.0	1	1.5		1.00^b
39 week	5	14.7	4	12.1	9	13.5
40 week	28	82.3	27	81.8	55	82.1
41-42 week	1	3.0	1	3.1	2	2.9
Infant gender
Male	17	50.0	13	39.3	30	44.8	0.39	0.53
Female	17	50.0	20	60.7	37	55.2	0.39	0.53
Total	34	100	33	100	67	100

Breastfeeding characteristics	Intervention		Control		Total		χ²	P
Breastfeeding characteristics	n	%	n	%	n	%	χ²	P
Immediately after birth
Within first 30 minutes	16	47.0	7	21.2	23	34.3	5.34	0.06
30–60 minutes	14	41.2	18	54.5	32	47.8
61 minutes and above	4	11.8	8	24.2	12	17.9
Planned breastfeeding period
Within first 6 months	4	11.8	16	48.5	20	29.9	16.6	0.001
6–12 months	3	8.8	7	21.2	10	14.9
12–24 months	27	79.4	10	30.3	37	55.2
Skin-to-skin contact
Yes	12	35.3	1	3.0	13	19.4	11.14	0.001
No	22	64.7	32	97.0	54	80.6	11.14	0.001
Total	34	100	33	100	67	100

	n	Mean	Median	Min	Max	SD	Mean rank	z	P
Breastfeeding self-efficacy (BSES-SF) score
Intervention	34	61.12	62.0	50.0	68.0	4.06	39.21	−2.2	0.03
Control	33	58.39	59.0	48.0	67.0	5.17	28.64	−2.2	0.03
Total	67	59.78	61.0	48.0	68.0	4.80
LATCH breastfeeding assessment tool score
Intervention	34	8.38	9.0	5.0	10.0	1.50	40.78	−3	0.003
Control	33	7.30	7.0	4.0	10.0	1.51	27.02	−3	0.003
Total	67	7.85	8.0	4.0	10.0	1.59

LATCH breastfeeding assessment tool scores
Breastfeeding Self-Efficacy (BSES-SF) Scores	r	0.345
	p	0.004
	n	67

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author:

Rukiye Öztürk

Balıkesir, Turkey
rkyztrk89@gmail.com