Breastfeeding, Promotion of Exclusive Breastfeeding Through Grandparent Breastfeeding Education
Conditions
Brief summary
Lactation is the period when new mothers breastfeed their babies and milk production is at its highest level. During this period, breast milk, as a natural source of nutrition, provides the baby with the necessary nutrients for the first six months following birth. Globally, 44% of newborns are breastfed within the first hour, and 40% are exclusively breastfed for the first six months. The goal is to increase these rates to 70% for breastfeeding within the first hour and to over 50% for exclusive breastfeeding for the first six months. According to the 2018 Turkish Population and Health Survey (TNSA), the rate of breastfeeding within the first hour of newborns was determined to be 71%, and the rate of exclusive breastfeeding for the first six months was 41%. Although breastfeeding is common in our country, breastfeeding rates are not at the level recommended by the World Health Organization. One of the factors that may cause a decrease in breastfeeding initiation and maintenance rates is inadequate support and management of breastfeeding . The older generation often plays an important role in supporting breastfeeding behavior. In traditional Turkish families, an experienced older generation is willing to have a say in breastfeeding behaviors such as initiating and maintaining breastfeeding. In the international literature, it is also reported that grandmothers guide mothers in matters such as taking care of the mother and baby, initiating and maintaining breastfeeding, giving the first milk to the baby, the mother's nutrition during the breastfeeding period, and the timing of the transition to complementary foods. Among the positive effects of grandmother support are; The benefits of grandmother support include strengthening mothers' decisions to start and continue breastfeeding by sharing information and experience about breastfeeding and increasing mothers' ability to continue breastfeeding. reported that grandmother support significantly affected mothers in the postpartum period. However, negative effects of grandmother support have also been reported. Some studies show that grandmothers may negatively affect breastfeeding duration because they recommend giving extra fluids to infants in the first months of life or encourage the early introduction of complementary foods. Studies show that grandmother support can affect mothers' breastfeeding behaviors in both positive and negative ways. However, there are no randomized controlled trials in the literature that examine the effect of guiding grandmother support with a scientifically structured educational program on the breastfeeding process, maternal motivation, and breastfeeding self-efficacy. In this context, the aim of this research is to determine how breastfeeding education given to grandmothers during the prenatal period affects mothers' motivation regarding the breastfeeding process, breastfeeding self-efficacy, and breastfeeding continuation.
Interventions
OTHERGrandma breastfeeding training
Structured breastfeeding training will be provided to the mothers or mothers-in-law of pregnant women.
OTHERfather breastfeeding training
Structured breastfeeding training will be provided for fathers.
OTHERinstitutional routine maintenance
No training will be provided in this group on any subject.
Sponsors
Nigde Omer Halisdemir University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
* Being between 18-35 years old, * Having at least a primary school diploma, * Having no communication barriers, * Being primigravid, * Being in the 37th-40th week of pregnancy, * Having a single pregnancy, * Sharing the same home environment with the spouse and/or mother/mother-in-law during the first 40 days postpartum
Exclusion criteria
* Having a risky situation requiring maternal and infant health care in the postpartum period * The baby having a condition that prevents breastfeeding * Having a high-risk pregnancy * Having a mental health problem * The mother having a condition that prevents her from breastfeeding * The mother receiving breastfeeding education from healthcare professionals during the antenatal period
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postnatal Breastfeeding Self-Efficacy Scale | postpartum days 7, 20 and 40 | The scale consists of a total of 14 items that assess breastfeeding self-efficacy. The scale is a 5-point Likert type, and the items are evaluated by rating them from (1) Never Sure to (5) Always Sure. The lowest possible score on the scale is 14, and the highest is 70; a higher score indicates higher breastfeeding self-efficacy. Cronbach Alpha values are 0.86 for PEÖ. |
| Breastfeeding Status During the Postpartum Period | postpartum 7, 20, 40 days | The form, created by researchers through a literature review, contains a total of 21 questions designed to assess the baby's breastfeeding status and the support provided by grandparents during the breastfeeding process. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Antenatal Breastfeeding Self-Efficacy Scale | 35-37 weeks of pregnancy | The scale consists of 14 items that assess breastfeeding self-efficacy. The scale is a 5-point Likert type, with items rated from (1) Never Sure to (5) Always Sure. The lowest possible score is 14, and the highest is 70; a higher score indicates higher breastfeeding self-efficacy. The scores and application method are the same as the PSE. Cronbach Alpha values are 0.87 for the AEO. |
| Primiparous Breastfeeding Motivation Scale | 35-37 weeks of pregnancy | The scale is a seven-point Likert type and consists of 29 items. The scale items, comprising four sub-dimensions, are scored from 1 to 7. The "Value Given to Breastfeeding" sub-dimension (items 1, 2, 4, 6, 8, 10, 12, 14, 15, 20, 24, 25, 28) can receive scores ranging from 13 to 91 points, the "Self-Efficacy" sub-dimension (items 9, 16, 17, 18, 19, 26, 29) sub-dimension can receive scores ranging from 7 to 49 points, and the "Perceived Midwifery Support" sub-dimension (items 21, 22, 23, 27) sub-dimension can receive scores ranging from 4 to 28 points. The perceived midwifery support sub-dimension was not examined in this study. The "Expectation of Success" sub-dimension (items 3, 5, 7, 11, 13) can receive scores ranging from 5 to 35 points. In this study, the scores obtained in each sub-group are summed for evaluation. As the score in a sub-dimension increases, the characteristic in that sub-dimension, and therefore motivation, increases. In the Turkish validity and reliability study o |
Countries
Turkey (Türkiye)
Contacts
CONTACTBİRNUR YEŞİLDAĞ
Outcome results
None listed