Empowering New Mothers: A Randomized Trial Exploring the Effect of a Nursing Educational Programme on Breastfeeding Practices and Self-Efficacy Among Primigravida in Saudi Arabia
Asmaa Mohamed Ali AlAbd, Salwa Ali Marzouk, Aziza Ibrahim Mohamed Hassan, Mahmoud Abdelwahab Khedr, Hamdan Mohamed Albaqawi, Nojoud Abdullah Alrashidi, Layla Salem Alshammari, Joyce B. Buta, Sarah Sulieman Al Nawasreh
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Abstract
Introduction
Breastfeeding is vital for the health of both the mother and the child, but many primigravida, or first-time mothers, encounter obstacles that affect their ability to successfully breastfeed.
Aim
This study sought to explore the impact of a health educational programme on breastfeeding practices and maternal self-efficacy.
Methods
A randomized controlled intervention design was employed, with participants allocated to either a control group or a study group receiving the educational programme. The study was conducted at the Maternal and Children Hospital in the Saudi Arabian cities of Hail and Bisha. A total of 442 primigravida mothers were enrolled, with 221 assigned to the study group and 221 to the control group. Data collection utilized the Self-Efficacy Scale Short-Form and a validated questionnaire assessing breastfeeding knowledge, attitude and practices (KAP). Each woman completed a structured interview and observations at five time points: pre-intervention (within the first week post-partum), post-intervention (2–3 weeks post-partum) and at 2, 4 and 6 months.
Results
The study group showed statistically significant improvements in total KAP scores compared to the control group (p < 0.001). Self-efficacy increased significantly in the study group, with more women reporting high self-efficacy at 2 months (25.2%), 4 months (45.1%) and 6 months (50.5%).
Conclusion
A breastfeeding educational programme is a powerful tool for new mothers, enhancing practical skills and self-efficacy, leading to a more positive and sustained breastfeeding experience, supporting maternal and infant health outcomes.
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.
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