Breast Feeding, Exclusive Breastfeeding, Salutogenesis
Conditions
Keywords
Breastfeeding, Salutogenesis, Sense of coherence
Brief summary
The study is a randomized control trial to assess the effect of a salutogenic intervention on breastfeeding initiation and duration of exclusive breastfeeding in Lebanon. In this Salutogenic intervention, infant feeding helpers will provide subjects of the intervention group breastfeeding related information , and will support these subjects by counseling and guiding them to find general resistance resources. This aims to increase sense of coherence and its parameters: comprehensibility, manageability and meaningfulness, which are the base of salutogenesis.
Detailed description
Pregnant women were recruited in their 3rd trimester of pregnancy and were randomly assigned to either an intervention or control group. Both groups received standard breastfeeding education at the maternity ward. Additionally, the intervention is based on informative and supportive videos and a whatsapp group for interpersonal support. Videos and whatsapp groups were created and moderated by Infant Feeding Helpers. These are women from the same socio-economical background as the subjects, and have previous history of breastfeeding a minimum of 6 months exclusive breastfeeding. The aim of the intervention was to increase initiation and duration of breastfeeding by increasing comprehensibility, manageability and meaningfulness of the breastfeeding period and therefore by enhancing their sense of coherence. Chi-squared tests were used for descriptive statistics, Wilcoxon test was used for pre- post results of SOC and (SE) within each group. The change in pre-post SOC, SOC parameters and SE scores between control and intervention groups was analyzed with Quade non parametric.
Interventions
BEHAVIORALVideos with breastfeeding education material and encouraging messages
Distributed videos aim to increase breastfeeding related knowledge and to receive support
BEHAVIORALWhatsapp group
The Whatsapp group is used in the intervention as a platform for interpersonal exchange of information and experience, in addition to peer support.
Sponsors
Universitat de Girona
Nabiha Ramadan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* Pregnant women * Singleton * Healthy * New born not admitted to Neonatal Intensive Care Unit * Residing in Lebanon
Exclusion criteria
* Pregnant with more than 1 fetus * Mothers with a health condition contraindicating breastfeeding * Newborn admitted to NICU
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| breastfeeding initiation | 1 hour after birth | Number of women who breastfed their infants within 1 hour after birth |
| Duration of Exclusive breastfeeding | at 6 months postpartum | number of women who are exclusively breastfeeding at 6 months postpartum. Exclusive breastfeeding indicates feeding infants only breastmilk without any other complementary food nor beverage. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean change in Self- esteem in participants from baseline to 6 months postpartum | The first measurement was taken 10 days before delivery and the second measurement was taken at 6 months postpartum | Measuring the scores of the Rosenberg Self Esteem Scale- 10 items. Scores are from 0 to 30. Higher scores indicate higher self esteem |
| The Change in Sense of Coherence (SOC) scores from baseline to 6 months postpartum | 1st measurement: 10 days before delivery. 2nd measurement: 6 months postpartum. Score measurements were taken twice per subject for comparison at the end of the intervention. | The score of the Sense of Coherence- 13 items questionnaire. The minimum score is 13, and the maximum score is 91. Higher score indicates higher sense of coherence |
Countries
Lebanon
Outcome results
None listed