Effect of Breastfeeding Education Program and Nurse-led Breastfeeding Online Counseling System (BMUM) for Mothers: A Randomized Controlled Study.

IF 2.1 4区医学 Q2 NURSING

Journal of Human Lactation Pub Date : 2024-02-01 Epub Date: 2023-11-25 DOI:10.1177/08903344231210813

Şahika Şimsek-Çetinkaya, Gülçin Gümüş Çaliş, Şerife Kibris

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引用次数: 0

Abstract

Background: Breastfeeding is very important for maternal and infant health. With first pregnancies, many pregnant people face obstacles to achieving their breastfeeding goals.

Research aims: We aimed to investigate the outcomes of a breastfeeding education program and nurse-led online breastfeeding counseling system (BMUM) on breastfeeding self-efficacy, attitudes about breastfeeding, breastfeeding problems, breastfeeding frequencies and postpartum depression.

Methods: This study was a randomized controlled trial. Participants were randomly assigned to the intervention group (n = 36), or control group (n = 36). Assessments were conducted during pregnancy, between 32- and 37-weeks gestation, and on postpartum Day 1, Week 1, Week 3, and 6 months.

Results: The means of the Breastfeeding Self-Efficacy-Short Form scores, and the Infant Feeding Attitude Scale (IIFAS) scores were similar between the groups at the first assessment (p = 0.733). IIFAS scores in the intervention group were significantly higher in the follow-up measurements on postpartum Day 1, Week 1, Week 3, and 6 months compared to scores in the control group (p = 0.006; p = 0.000; p = 0.002; p = 0.001) Edinburgh Postpartum Depression Scale (EPDS) scores were similar between the two groups at 1 week (p = 0.678). EPDS scores were significantly higher in the control group on Day 1 and at 3 and 6 months postpartum (p = 0.000; p = 0.038; p = 0.042). There was no statistically significant difference in breastfeeding problems between the two groups (p > 0.05 across breastfeeding problems examined). The mean values of breastfeeding frequency were similar between groups on Day 1, and significantly higher in the intervention group on follow-up measurements.

Conclusion: The results of this intervention appear to promote positive attitudes toward breastfeeding and decrease feelings of postpartum depression. However, further randomized controlled trials are needed to support our outcomes.

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母乳喂养教育计划和护士主导的母乳喂养在线咨询系统(BMUM)对母亲的影响:一项随机对照研究

背景:母乳喂养对母婴健康非常重要。对于第一次怀孕，许多孕妇在实现母乳喂养目标方面面临障碍。研究目的:探讨母乳喂养教育项目和以护士为主导的母乳喂养在线咨询系统(BMUM)对母乳喂养自我效能感、母乳喂养态度、母乳喂养问题、母乳喂养频率和产后抑郁的影响。方法:采用随机对照试验。参与者被随机分为干预组(n = 36)和对照组(n = 36)。评估在妊娠期间、妊娠32- 37周、产后第1天、第1周、第3周和第6个月进行。结果:两组母乳喂养自我效能-短表评分和婴儿喂养态度量表(IIFAS)评分在第一次评估时均值相近(p = 0.733)。干预组在产后第1天、第1周、第3周和第6个月的IIFAS评分显著高于对照组(p = 0.006;p = 0.000;p = 0.002;p = 0.001)两组产后1周爱丁堡产后抑郁量表(EPDS)评分相近(p = 0.678)。对照组产后第1天、产后3、6个月EPDS评分显著高于对照组(p = 0.000;p = 0.038;p = 0.042)。两组在母乳喂养问题上无统计学差异(p > 0.05)。母乳喂养频率的平均值在第1天各组之间相似，并且在随访测量中干预组明显更高。结论:干预的结果是促进了积极的母乳喂养态度，减少了产后抑郁的感觉。然而，需要进一步的随机对照试验来支持我们的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Human Lactation 医学-妇产科学

CiteScore

5.00

自引率

11.50%

发文量

100

审稿时长

6-12 weeks

期刊介绍： Committed to the promotion of diversity and equity in all our policies and practices, our aims are: To provide our readers and the international communities of clinicians, educators and scholars working in the field of lactation with current and quality-based evidence, from a broad array of disciplines, including the medical sciences, basic sciences, social sciences and the humanities. To provide student and novice researchers, as well as, researchers whose native language is not English, with expert editorial guidance while preparing their work for publication in JHL. In each issue, the Journal of Human Lactation publishes original research, original theoretical and conceptual articles, discussions of policy and practice issues, and the following special features: Advocacy: A column that discusses a ‘hot’ topic in lactation advocacy About Research: A column focused on an in-depth discussion of a different research topic each issue Lactation Newsmakers: An interview with a widely-recognized outstanding expert in the field from around the globe Research Commentary: A brief discussion of the issues raised in a specific research article published in the current issue Book review(s): Reviews written by content experts about relevant new publications International News Briefs: From major international lactation organizations.