Improving exclusive breastfeeding at six months among primiparous postpartum women. Pregnancy and Childbirth
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Primiparous women aged 18 years or older 2. Delivered a healthy singleton term infant (=37 completed weeks' gestation) 3. Intend to exclusively breastfeed their infant 4. Recruited within 24–48 hours postpartum prior to hospital discharge 5. Able to understand the study information and provide written informed consent 6. Have a partner who is available, willing to participate in the counselling session and follow-up assessments, and able to provide written informed consent
Exclusion criteria
Exclusion criteria: 1. Mothers with medical contraindications to breastfeeding 2. Infants requiring prolonged neonatal intensive care unit (NICU) admission or with significant medical conditions that preclude breastfeeding 3. Mothers or partners unable to understand the study information or communicate in the study languages 4. Mothers or partners with major psychiatric illness, cognitive impairment, or any condition that would limit participation or informed consent 5. Women who screen positive for intimate partner violence (IPV) using the HARK screening tool 6. Partners who are unavailable or unwilling to participate in the counselling session and follow-up assessments
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Exclusive breastfeeding at six months postpartum measured using the WHO 24-hour infant feeding recall method at 6 months postpartum | — |
Secondary
| Measure | Time frame |
|---|---|
| Maternal breastfeeding self-efficacy measured using the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF) at baseline, 3 months postpartum, 6 months postpartum;Partner breastfeeding attitudes measured using the Iowa Infant Feeding Attitude Scale for Partners (IIFAS-P) at baseline, 3 months postpartum, 6 months postpartum | — |
Countries
Malaysia