Relactation Success: A Randomized Controlled Trial of Health Promotion Model-Based Education and Follow-Up.

IF 2.1 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Breastfeeding Medicine Pub Date : 2026-11-01 Epub Date: 2026-07-21 DOI:10.1177/15568253261470188

Ayşe Daştan Yilmaz, Kıymet Yeşilçiçek Çalik

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引用次数: 0

Abstract

Background: Early breastfeeding cessation due to physiological and psychosocial factors limits long-term maternal and infant health benefits. Relactation, the reinitiation of breastfeeding, is a promising strategy to restore lactation and improve well-being. This study aimed to evaluate the effect of education and follow-up based on Pender's Health Promotion Model (HPM) on relactation success among mothers who had discontinued breastfeeding or experienced low milk supply.

Methods: This randomized controlled trial was conducted between July and December 2023 in a hospital and five family health centers in eastern Türkiye. Seventy-three mothers (38 intervention, 35 control) with infants aged 15 days to 4 months who had ceased breastfeeding or used formula for 2-8 weeks were included. The intervention group received 8 weeks of relactation education and follow-up based on the HPM, whereas the control group received routine postnatal care. Data were collected using a personal information form, the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), the Breastfeeding Motivation Scale (BMS), the LATCH tool, and a tool for assessing the level of maternal milk intake (IMDAT).

Results: At the final follow-up, 65.8% of mothers in the intervention group achieved complete relactation, compared to 8.6% in the control group. The intervention group also had significantly higher BSES-SF, LATCH, and IMDAT scores. However, no significant differences were found in the BMS intrinsic motivation and identified regulation subscales.

Conclusion: HPM-based education and follow-up significantly enhanced relactation success, self-efficacy, and breastfeeding skills.

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关联成功：基于健康促进模式的教育与随访的随机对照试验。

背景：由于生理和社会心理因素而过早停止母乳喂养限制了母婴健康的长期益处。哺乳，即重新开始母乳喂养，是一种很有希望的恢复泌乳和改善健康的策略。本研究旨在评估基于Pender健康促进模型（HPM）的教育和随访对停止母乳喂养或母乳供应不足的母亲的关系成功的影响。方法：本随机对照试验于2023年7月至12月在乌克兰东部的一家医院和五个家庭保健中心进行。73名母亲（38名干预，35名对照）的婴儿年龄在15天至4个月，停止母乳喂养或使用配方奶粉2-8周。干预组以HPM为基础进行8周的关系教育和随访，对照组进行常规产后护理。使用个人信息表、母乳喂养自我效能量表-短表（BSES-SF）、母乳喂养动机量表（BMS）、LATCH工具和母乳摄入水平评估工具（IMDAT）收集数据。结果：在最后的随访中，干预组中65.8%的母亲达到完全亲和，对照组为8.6%。干预组的BSES-SF、LATCH和IMDAT评分也显著升高。然而，在BMS的内在动机和确定的调节子量表上没有发现显著差异。结论：以hpm为基础的教育和随访可显著提高母乳喂养成功率、自我效能感和母乳喂养技能。

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

Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS

CiteScore

4.20

自引率

11.10%

发文量

130

审稿时长

6-12 weeks

期刊介绍： Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.