Results of Interventions to Increase Breastfeeding Self-Efficacy: Systematic Review and Meta-Analysis

IF 2 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2025-09-24 DOI:10.1111/ijn.70063

Doğan Çağrı Tanrıverdi, Aysu Yıldız Karaahmet, Fatma Şule Bilgiç

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引用次数: 0

Abstract

Aim

The objective of this study was to determine the effectiveness of various interventions—including educational programmes, counselling, mobile applications, peer support and home visits—on improving breastfeeding self-efficacy, breastfeeding success and infant-feeding attitudes in pregnant and postpartum women.

Method

The literature review for this systematic review was conducted between September and October 2024 by searching four electronic databases. Studies related to ‘in vivo’ were identified using MeSH-based keywords. Only Randomized Controlled Trials (RCTs) published within the last decade were eligible for inclusion in the review.

Result

The analysis was conducted with 3677 women and a total of 26 studies. Subgroup analysis showed no significant difference in breastfeeding self-efficacy before the intervention (MD: −0.53, 95% CI: −1.43 to 0.38, p = 0.25), while a significant increase was observed after the intervention (MD: 53.53, 95% CI: 29.34 to 77.72, p < 0.0001). Breastfeeding success also improved significantly postintervention (MD: 1.22, 95% CI: 0.52 to 1.92, p = 0.0007). No significant change was found in infant-feeding attitudes (SMD: 0.01, 95% CI: −0.18 to 0.16, p = 0.47). Postnatal interventions were significantly more effective than antenatal ones in increasing breastfeeding self-efficacy (MD: 53.53, 95% CI: 29.34 to 77.72, p < 0.0001).

Conclusion

Subgroup analyses demonstrated that interventions significantly increased breastfeeding self-efficacy and success, particularly when delivered in the postnatal period. Antenatal interventions were not found to be effective. These findings highlight the importance of the timing of maternal support, suggesting that postnatal interventions are more beneficial in improving breastfeeding-related outcomes.

Abstract Image

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提高母乳喂养自我效能的干预结果：系统回顾和荟萃分析。

目的：本研究的目的是确定各种干预措施的有效性，包括教育计划、咨询、移动应用程序、同伴支持和家访，以提高孕妇和产后妇女的母乳喂养自我效能感、母乳喂养成功率和婴儿喂养态度。方法：本系统综述的文献检索时间为2024年9月- 10月，检索4个电子数据库。使用基于mesh的关键词识别与“体内”相关的研究。只有在过去十年中发表的随机对照试验（RCTs）才有资格纳入本综述。结果：对3677名女性进行了分析，共26项研究。亚组分析显示，干预前母乳喂养自我效能无显著差异（MD: -0.53, 95% CI: -1.43 ~ 0.38, p = 0.25），干预后显著提高（MD: 53.53, 95% CI: 29.34 ~ 77.72, p）。结论：亚组分析表明，干预显著提高了母乳喂养自我效能和成功率，特别是在产后分娩时。产前干预没有发现是有效的。这些发现强调了产妇支持时机的重要性，表明产后干预对改善母乳喂养相关结果更有益。

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

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.