Breastfeeding
Conditions
Keywords
Attachment, Breastfeeding Motivation, Breastfeeding Self-Efficacy, Mother, Motivational Interview
Brief summary
This study aimed to determine the effect of breastfeeding education given to mothers who gave birth vaginally using motivational interviewing technique on breastfeeding motivation, self-efficacy and attachment. The study will be conducted as a single-blind, randomized controlled trial.
Detailed description
The study will be conducted as a single-blind, randomized controlled trial with 80 mothers who gave birth vaginally. In the experimental group, just before discharge from the hospital (within the last 4 hours before discharge), on the 2nd-5th, 13th-17th, 30th-42nd days after birth. Breastfeeding training based on motivational interviewing technique will be given 4 times in total. The control group will continue to receive the current standard care and service of the relevant hospital and other postpartum health institutions. Hypotheses of the Research 1. The effect of breastfeeding education given to mothers who gave birth vaginally with motivational interviewing technique on increasing the mother's breastfeeding motivation. are there?(H1) 2. Breastfeeding education given to mothers who gave birth vaginally with motivational interviewing technique has no effect on increasing the mother's breastfeeding self-efficacy. Does it have any effect?(H2) 3. The effect of breastfeeding education given to mothers who gave birth vaginally with motivational interviewing technique on increasing the level of mother-infant attachment. are there?(H3)
Interventions
Breastfeeding education based on motivational interviewing technique; Breast milk properties, benefits to mother and baby, breastfeeding positions, the relationship between breastfeeding and attachment, signs of hunger in the newborn, Breastfeeding frequency, duration and termination, Breast milk expressing methods, Expressions showing that the newborn has enough milk, Breast milk storage will cover the topics. These topics will be given based on motivational interviewing technique. According to the motivational interviewing technique, the mother's intention, importance and confidence-sufficiency regarding breastfeeding will be determined and firstly, an agenda will be created on issues related to breastfeeding with the mother. Each session will be conducted by following the open-ended questioning, verification, reflective listening and summarizing approaches of the motivational interviewing technique.
Sponsors
Study design
Masking description
While it is known by the researcher whether the mothers are in the experimental or control group, it is not known by the mother.
Intervention model description
The sample of the research will consist of mothers who gave primary vaginal birth (40 experimental group and 40 control group)
Eligibility
Inclusion criteria
Maternal criteria; * Agreeing to participate in the research * Being 20 years or older * Having had a vaginal birth * being primiparous * Being at least a primary school graduate * Ability to speak Turkish * Not having any condition that would prevent communication * No medical breast problem Criteria for the baby; * Being born at term (38-41 gestational weeks) * There is no congenital anomaly such as cleft palate or lip of the newborn that may prevent sucking. * Birth weight over 2500 grams
Exclusion criteria
Maternal criteria; * Having a chronic disease that prevents breastfeeding * Having major breast problems that will prevent breastfeeding * The mother has a diagnosed psychiatric disease * Having 2 or more live newborns in this birth Criteria for the baby; * Premature birth (37th gestational week and before) * Having a congenital disease * Being in the risk group/being diagnosed with a disease in the newborn screening program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mother Introductory Information Form | one day | It was prepared in line with the literature. The form consists of a total of 27 questions, including information about socio-demographic information, obstetric, newborn characteristics.breastfeeding characteristics |
| Primipara Breastfeeding Motivation Scale | Three months | It was developed to determine the factors affecting breastfeeding motivation in primiparous women. The scale is a 7-point Likert type, consisting of a total of 29 items and 4 sub-dimensions. These sub-dimensions; the value placed on breastfeeding, self-efficacy, perceived midwife support and expectation of success. There is no cut-off value and total score in the evaluation of the scale. As the score obtained from each sub-dimension increases, the breastfeeding motivation level of that sub-dimension increases. |
| Breastfeeding Self-Efficacy Scale Short Form | Three months | The scale is a 5-point Likert type and consists of 14 questions in total. The lowest score that can be obtained from the scale is 14 and the highest score is 70. High scores are interpreted as high breastfeeding self-efficacy. |
| Mother-Baby Attachment Scale | Three months | The scale has a total of 8 items and is a 4-point Likert type. Responses are scored between 0-3. In the evaluation, items with positive emotion expressions (1, 4, 6.) were scored as 0, 1, 2, 3, while items with negative emotion expressions (2, 3, 5, 7, 8.) were scored as 3, 2, 1,0. It is scored as. The lowest score that can be obtained from the scale is 0 and the highest score is 24. As the score obtained from the scale increases, the level of mother-infant attachment decreases |
Countries
Turkey (Türkiye)