Efficacy of an Online Nursing Consultation to Encourage Breastfeeding.

IF 1.7 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Maternal and Child Health Journal Pub Date : 2025-10-01 Epub Date: 2025-09-05 DOI:10.1007/s10995-025-04166-8

Jenifer Araque García, Azucena Pedraz Marcos, Rosa María Alba Diego, Ana Palmar Santos, María Eva García Perea

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引用次数: 0

Abstract

Objective: To evaluate the efficacy of an online nursing consultation on the Red Sinapsis (RS) Internet platform in increasing maternal self-efficacy and exclusive breastfeeding rates during the first month postpartum.

Methods: This study employed a controlled, randomised experimental design with two groups. Ninety women who had undergone caesarean sections were randomly assigned to either an intervention group (n = 45) or a control group (n = 45). The intervention group received follow-up care from a breastfeeding expert nurse on the RS online platform, while the control group received standard follow-up care from a midwife or primary care nurse. Breastfeeding success was measured using the LATCH scale at 15 days postpartum and the BSES-SF scale at 30 days postpartum. For comparative analysis between study groups, Fisher's exact test or the chi-squared test was used, depending on the contingency table dimensions. Missing values were not imputed. P-values below the 0.05 threshold were considered statistically significant.

Results: A total of 84% of the intervention group showed greater confidence in providing breast milk to their children, compared to 44% of the control group (p < 0.001). The intervention group also achieved better outcomes in terms of believing that breastfeeding alone is sufficient to nourish their baby, with 82% expressing confidence, compared to 59% in the control group (p = 0.041).

Conclusions: Online nursing follow-up during the immediate postpartum period improves maternal confidence in breastfeeding, promoting its initiation and establishment during the first month postpartum.

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在线护理咨询鼓励母乳喂养的效果。

目的：评价Red Sinapsis （RS）网络平台在线护理咨询对提高产后1个月产妇自我效能感和纯母乳喂养率的效果。方法：本研究采用对照、随机试验设计，分为两组。90名接受剖腹产手术的妇女被随机分为干预组（n = 45）和对照组（n = 45）。干预组接受RS在线平台母乳喂养专家护士的随访护理，对照组接受助产士或初级保健护士的标准随访护理。采用产后15天的LATCH量表和产后30天的BSES-SF量表测量母乳喂养成功程度。对于研究组之间的比较分析，根据列联表的维度，使用Fisher精确检验或卡方检验。缺失的值没有被输入。p值低于0.05阈值被认为具有统计学意义。结果：与对照组的44%相比，干预组中有84%的人对给孩子提供母乳表现出更大的信心(p)结论：产后期间的在线护理随访提高了母亲对母乳喂养的信心，促进了产后第一个月母乳喂养的开始和建立。

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

Maternal and Child Health Journal PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.20

自引率

4.30%

发文量

271

期刊介绍： Maternal and Child Health Journal is the first exclusive forum to advance the scientific and professional knowledge base of the maternal and child health (MCH) field. This bimonthly provides peer-reviewed papers addressing the following areas of MCH practice, policy, and research: MCH epidemiology, demography, and health status assessment Innovative MCH service initiatives Implementation of MCH programs MCH policy analysis and advocacy MCH professional development. Exploring the full spectrum of the MCH field, Maternal and Child Health Journal is an important tool for practitioners as well as academics in public health, obstetrics, gynecology, prenatal medicine, pediatrics, and neonatology. Sponsors include the Association of Maternal and Child Health Programs (AMCHP), the Association of Teachers of Maternal and Child Health (ATMCH), and CityMatCH.