None listed
Conditions
Brief summary
This quasi-experimental study with pre-and-post-test design was conducted to evaluate the effect of a Breastfeeding Self-Care Program on breastfeeding self-efficacy. The study was carried out in postnatal unit of a tertiary care centre. A total of 90 primiparous women participated in this study. Equal numbers of participants (n=45) were allocated in the intervention group and the control group. Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) was used to measure women’s breastfeeding efficacy in early postpartum before intervention and after intervention at six week of postpartum period. The result showed that self-care program improved women’s breastfeeding self-efficacy.
Interventions
The Breastfeeding Self-Care Program (BSC-P) was given to primiparous women for one hour by primary researcher who was a nurse educator with midwifery qualification. The program included a booklet and a 14-minutes compact disk (CD) which focused on information about breastfeeding, for example; how to position and latch-on the baby, and how to identify if the baby was feeding well. We used the standard booklet from the Malaysian Ministry of Health together with breastfeeding self-checklist. The 14
The Breastfeeding Self-Care Program (BSC-P) was given to primiparous women for one hour by primary researcher who was a nurse educator with midwifery qualification. The program included a booklet and a 14-minutes compact disk (CD) which focused on information about breastfeeding, for example; how to position and latch-on the baby, and how to identify if the baby was feeding well. We used the standard booklet from the Malaysian Ministry of Health together with breastfeeding self-checklist. The 14-item checklist was extracted from Clinical guidelines for the establishment of exclusive breastfeeding (International Board of Certified Lactation Consultant, 2005). Two individualized sessions at the woman’s bedside in the postnatal ward was provided during early postpartum period. The first session was carried out soon after group allocation within 24 hours of delivery. The second session was within 24 hours of the first session. One week after hospital discharge, the woman was contacted via telephone for the third session. The primary researcher observed and assessed breastfeeding using the Breastfeed Observation Aid from UNICEF/WHO (2006), which consists of five components: a) general condition of the woman and baby, b) breast, c) baby’s position, d) baby’s attachment, and e) suckling. The participants were also reminded to read program booklet and watch the CD that would help to overcome the difficulties in breastfeeding.
Sponsors
University of Malaya
Study design
Allocation
Non-randomised trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 41 Years
Healthy volunteers
Yes
Inclusion criteria
1) first time delivery 2) singleton birth 3) delivered full term infant at or after 37 weeks of gestation 4) initiated breastfeeding, and 5) able to speak and understand English or Malay.
Exclusion criteria
The primiparous women having a condition that might interfere with breastfeeding were excluded; such conditions were women with psychosis or severe illness after delivery, antibiotic therapy that required pumping and discarding, infants with congenital anomaly and infants in NICU for more than 24 hours.
Outcome results
None listed