BMC Pregnancy and Childbirth最新文献

{"title":"Factors associated with antibiotic use during pregnancy in Sweden: a population-based cohort study.","authors":"Aya Olivia Nakitanda, Laura Pazzagli, Björn Pasternak, Ingvild Odsbu","doi":"10.1186/s12884-025-07736-4","DOIUrl":"10.1186/s12884-025-07736-4","url":null,"abstract":"<p><strong>Background: </strong>Understanding determinants of antibiotic use during pregnancy is crucial for optimizing their utilization in clinical practice. We aimed to investigate which individual-level factors are associated with antibiotic use among pregnant women.</p><p><strong>Methods: </strong>Population-based cohort study using linked data from the Swedish national health and population registers spanning from 2006 to 2019. Sociodemographic characteristics, medical and obstetric history, lifestyle and healthcare utilization were investigated as independent variables. Any systemic antibiotic use during pregnancy, the primary outcome, was determined from filled prescriptions, with broad-spectrum antibiotics and multiple courses of antibiotics as secondary outcomes. Multiple logistic regression was used to estimate odds ratios (ORs), including all independent variables in the model.</p><p><strong>Results: </strong>Among 20 variables associated with any systemic antibiotic use during pregnancy, preconception prescription drug use (OR 1.93 [95% CI 1.87-1.98] for > 4 vs. 0-1 unique therapeutic subgroups), chronic renal disease (1.82 [1.73-1.93]) and low maternal age (1.67 [1.61-1.74] for ages < 20 vs. 30-34 years) had the highest odds. Chronic renal disease, immunodeficiency disorders and preconception drug use (> 4 vs. 0-1 therapeutic subgroups) had the highest odds of broad-spectrum antibiotic use and use of multiple antibiotic courses.</p><p><strong>Conclusions: </strong>Pre-existing morbidities and low maternal age were most strongly associated with antibiotic use during pregnancy, suggesting a needs-based approach in prescribing. Proactive management of morbidities and infection prevention strategies, particularly targeting young women of reproductive age, could potentially reduce the need for antibiotic treatment in prenatal care.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"672"},"PeriodicalIF":2.8,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180237/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of manual perineal protection and pushing techniques used in the second stage of labor on perineal outcomes: a randomized controlled trial of combinations of strategies.","authors":"Refika Genç Koyucu, Fatma Ketenci Gencer, Sema Rumeysa Bilici","doi":"10.1186/s12884-025-07564-6","DOIUrl":"10.1186/s12884-025-07564-6","url":null,"abstract":"<p><strong>Background: </strong>Manual perineal protection and pushing techniques can impact the incidence of perineal trauma. Limited data exist on the impact of combinations of management strategies employed during the second stage of labor on perineal outcomes. The objective of this study was to evaluate the combined impact of interventional and relatively more spontaneous techniques employed during the second stage of labor on perineal outcomes.</p><p><strong>Materials and methods: </strong>This randomized controlled study was carried out in the maternity clinic of a state hospital. Low-risk, term nulliparous women with vertex presentation upon admission to the delivery unit were included in the study. The participants in the study were randomly assigned to either the hands-on perineal protection and directed pushing group or the hands-poised perineal protection and coached pushing group at the onset of the second stage of labor. The frequencies of episiotomy and perineal injury were the primary outcomes of the study. The secondary outcomes included maternal satisfaction, breastfeeding, Apgar scores, perineal muscle function and perineal pain scores, and the amount of postpartum hemorrhage.</p><p><strong>Results: </strong>The frequency of episiotomy was significantly lower in the hands-poised-undirected pushing group than in the hands-on-coached pushing group (RR: 0.65, 95% CI: 0.44-0.98, P = 0.04). The frequency of first-degree perineal injury was significantly greater in the hands-poised - undirected pushing group than in the hands-on-directed pushing group (RR: 2.04, 95% CI: 1.06-3.90, P = 0.02). The frequencies of second-degree and higher perineal injuries were similar between the groups. No significant differences were observed between the groups in terms of secondary outcomes.</p><p><strong>Conclusions: </strong>Second-stage management strategies with fewer interventions can be used to reduce the frequency of episiotomy. Both hands-on directed pushing and hands-poised undirected pushing combinations for second-stage management exhibit similar frequencies of intact perineum.</p><p><strong>Trial and protocol registration: </strong>Clinical Trials; ID: NCT04823598; Date: 25.03.2021; URL: https://clinicaltrials.gov/study/NCT04823598 .</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"671"},"PeriodicalIF":2.8,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal satisfaction and birth experiences after elective induction vs. spontaneous onset in late-term pregnancy: a register-based study.","authors":"Sahruh Turkmen, Linnea Binfare","doi":"10.1186/s12884-025-07818-3","DOIUrl":"10.1186/s12884-025-07818-3","url":null,"abstract":"<p><strong>Background: </strong>Earlier studies highlight that a positive birth experience enhances both short-term recovery and long-term maternal well-being. However, the factors influencing this experience are complex and not yet fully understood. We aimed to investigate the influence of labour commencement method on late-term pregnant women's satisfaction with care and the birth experience, and to determine whether women's perception of their birth experience changes over time.</p><p><strong>Methods: </strong>In this register-based retrospective cohort study, we included pregnant women in late term (≥ 41 + 0 to < 42 + 0) who gave birth in Sweden during 2020-2021. Eligible women were classified into two groups: spontaneous onset of labour (SOL) and induced onset of labour (IOL). Women's satisfaction with care at birth and the childbirth experience at 8 weeks and 1 year postpartum were measured with a visual analogue scale, where 0 indicates \"very unsatisfied\" and 10 \"very satisfied\".</p><p><strong>Results: </strong>Satisfaction with care at the time of discharge from the hospital was significantly different between the IOL and SOL groups, with mean scores of 6.53 ± 3.34 and 6.97 ± 3.34, respectively (P = 0.007). Furthermore, the IOL group reported a less positive birth experience at 8 weeks (7.15 ± 2.37 and 7.74 ± 2.17, respectively, P = 0.004) and 1 year postpartum (6.87 ± 2.40 and 7.53 ± 2.15, respectively, P = 0.002) compared to the SOL group. Both groups experienced a decline in birth experience positivity from 8 weeks to 1 year postpartum (P < 0.001 in both groups). Common factors influencing satisfaction with care and birth experience included parity, heavy bleeding during labour, and the mode of delivery.</p><p><strong>Conclusion: </strong>Satisfaction with care during labour and women's childbirth experiences differed between the SOL and IOL groups, indicating a relationship between labour commencement method and satisfaction scores. Women in the SOL group were more satisfied with care at birth and reported a more positive birth experience at both 8 weeks and 1 year postpartum compared to the IOL group. Over time, women's childbirth experience scores in both groups may change, becoming less positive 1 year after birth compared to 8 weeks postpartum.</p><p><strong>Trial registration: </strong>Retrospectively registered.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"673"},"PeriodicalIF":2.8,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144332429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: \"We need more guidance, more encouragement and empowerment for what our bodies are capable of\", pregnant and postpartum women's knowledge and experiences of receiving physical activity guidance and support on the island of Ireland: an online survey study.","authors":"Maria Faulkner, Sinéad Currie, Ben Fitzpatrick, Elizabeth Deery","doi":"10.1186/s12884-025-07791-x","DOIUrl":"10.1186/s12884-025-07791-x","url":null,"abstract":"","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"670"},"PeriodicalIF":2.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164068/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food insecurity characteristics and related factors among pregnant women attending antenatal care in Karachi.","authors":"Nasreen Fatima, Muhammad Saad Khan, Marium Fatima, Maliha Khalid, Izere Salomon, Muhammad Tarish Abro","doi":"10.1186/s12884-025-07795-7","DOIUrl":"10.1186/s12884-025-07795-7","url":null,"abstract":"<p><strong>Background: </strong>Food insecurity (FI), defined as the lack of consistent access to sufficient and nutritious food, remains a critical public health issue in low- and middle-income countries. In Pakistan, approximately 37% of the population experiences FI. Pregnant women are particularly vulnerable, as nutritional challenges during pregnancy may affect their health-seeking behaviors. This study aimed to describe the prevalence of household food insecurity and patterns of antenatal care (ANC) utilization among pregnant women in Karachi, Pakistan.</p><p><strong>Methods: </strong>This descriptive cross-sectional study was conducted at the Department of Gynecology and Obstetrics, Jinnah Postgraduate Medical Center, Karachi, from June to August 2024. Through convenience sampling, 358 pregnant women in their third month of gestation or later were enrolled in the study. Data were collected using a structured questionnaire that included the validated household food security access scale (HFIAS). Data were analyzed using SPSS version 25. Frequencies, percentages, and cross-tabulations were used for description.</p><p><strong>Results: </strong>The mean age of the 358 participants was 26.45 ± 4.9 years. A total of 60.3% of the respondents were from food-insecure households. ANC utilization was reported by 89.3% of the participants. The highest ANC attendance was observed among women aged 21-26 years, women with primary or secondary education, and housewives. Most ANC users have household incomes ranging between PKR 30,000 and 60,000. ANC use was common among multigravida women and among those without any prior stillbirths or abortions. Most women who underwent ANC were informed or guided about their importance.</p><p><strong>Conclusion: </strong>A considerable proportion of pregnant women in Karachi reported utilizing ANC services, including those from food-insecure households. Various demographic, educational, and reproductive characteristics of ANC attendance have been described. These findings provide an overview of ANC utilization patterns in an urban tertiary care setting and highlight the coexistence of food insecurity among ANC users.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"669"},"PeriodicalIF":2.8,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12147342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the impact of complex health systems strengthening programs on maternal health care utilization in fragile and conflict-affected states: evidence from the Democratic Republic of the Congo.","authors":"David R Hotchkiss, Lauren S Blum, Leslie S Craig, Anicet Yemweni, Janna Wisniewski, Paul-Samson Lusamba-Dikassa","doi":"10.1186/s12884-025-07470-x","DOIUrl":"10.1186/s12884-025-07470-x","url":null,"abstract":"<p><strong>Background: </strong>The maternal mortality ratio in the Democratic Republic of the Congo (DRC) remains among the highest globally. Despite ongoing investments in maternal health, there is only limited evidence on the effectiveness of health systems strengthening interventions in improving maternal health service quality and utilization in fragile settings. The study assesses the impact of a large, complex health systems strengthening program on maternal health care utilization in the DRC.</p><p><strong>Methods: </strong>A difference-in-differences approach was applied using population-based household survey data at baseline (2014) and endline (2017) from treatment and matched comparison areas in three provinces. The dependent variables were antenatal care (ANC) utilization and facility-based delivery. Additionally, qualitative data were analyzed to assess perceptions of maternal health care offered and identify barriers and strategies to improve care delivery.</p><p><strong>Results: </strong>The health systems strengthening program significantly increased the probability of facility-based delivery, but had no significant impact on receiving at least four ANC visits. Qualitative findings suggest that uptake of ANC was constrained by travel distance, time burdens, limited community outreach, and cultural norms discouraging early ANC initiation.</p><p><strong>Conclusions: </strong>Findings highlight the reliance on health centers and posts offering basic maternal services and limited accessibility of hospitals offering lifesaving comprehensive emergency obstetric care. This underscores the importance of formative research to inform interventions that align with social norms, address local barriers, and enhance the effectiveness of maternal health programs in fragile settings.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"665"},"PeriodicalIF":2.8,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Device measured physical activity before pregnancy and the risk of adverse pregnancy outcomes in the HUNT study: a population-based cohort study.","authors":"Laura Vatn Slapgaard, Signe Nilssen Stafne, Vegar Rangul, Ingrid Aanesland Dahle, Julie Horn","doi":"10.1186/s12884-025-07779-7","DOIUrl":"10.1186/s12884-025-07779-7","url":null,"abstract":"<p><strong>Background: </strong>Adverse pregnancy outcomes (APOs), including gestational diabetes mellitus (GDM), hypertensive disorders of pregnancy (HDP), small for gestational age (SGA) offspring, preterm birth and placental abruption, pose significant short and long-term health consequences for mothers and their offspring. Engaging in physical activity may reduce the risk of APOs. We aimed to examine the association between objectively measured physical activity before pregnancy and risk of APOs.</p><p><strong>Methods: </strong>The study population consisted of women with one or more singleton births registered in the Medical Birth Registry of Norway (MBRN) after participating in the fourth survey of the Trøndelag Health Study (HUNT4, 2017-2019). HUNT4 provided data on accelerometer measures on physical activity. We used multivariable adjusted logistic regression models to estimate associations between physical activity (total daily physical activity and metabolic equivalent of task (MET) min/week of moderate to vigorous physical activity (MVPA)) and risk of APOs (GDM, HDP, SGA offspring, preterm birth and/or placental abruption).</p><p><strong>Results: </strong>Among 700 women included in the study population, 145 (20.7%) experienced at least one APO. Compared to women in the lowest tertile of total physical activity/day, those in the highest tertile had lower odds of GDM (OR 0.19; 95% CI: 0.38-0.93) and potentially lower odds of any APO (OR 0.69; 95% CI: 0.43-1.11). Women with higher levels of total daily physical activity and higher levels of MVPA had lower odds for the composite outcome HDP, GDM, and/or SGA (OR 0.49; 95% CI: 0.28-0.87, highest tertile compared to lowest tertile and OR 0.53; 95% CI: 0.28-1.01, > 1000 MET minutes/week compared to < 500 MET minutes/week).</p><p><strong>Conclusions: </strong>Increased prepregnancy physical activity, including total daily activity, may reduce the risk APOs. Promoting preconceptional everyday activity could be key to improving pregnancy health. Larger studies are needed to confirm these findings.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"661"},"PeriodicalIF":2.8,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Linking self-esteem and marital adjustment among couples in the third trimester of pregnancy: the mediating role of dyadic coping.","authors":"Shihan Zhi, Wei Gu, Nan Zhou, Lei Liang, Meng Wang, Rui Gao, Si Qi Yoong, Wenru Wang","doi":"10.1186/s12884-025-07757-z","DOIUrl":"10.1186/s12884-025-07757-z","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy poses a significant stressor for married couples. Alterations in marital dynamics may affect the marital adjustment of both parties, particularly in the third trimester of pregnancy. Self-esteem serves as a protective factor for marital adjustment; however, the extent to which dyadic coping strategies, which are jointly enacted by both partners, contribute to this process remains unexplored. Therefore, the objective of this study was to examine the effect of self-esteem on marital adjustment among couples in the third trimester of pregnancy, while exploring the potential mediating role of dyadic coping in this association.</p><p><strong>Methods: </strong>A total of 228 pregnant women and their spouses (n = 456) participated in the study, completing the Rosenberg Self-Esteem Scale, the Dyadic Coping Inventory, and the Revised Dyadic Adjustment Scale independently. The actor-partner interdependence mediation model was used to examine the associations between these three variables within the dyad.</p><p><strong>Results: </strong>Regarding the intra-individual aspect, a direct effect of self-esteem on marital adjustment (β = 0.282, P = 0.027 for women and β = 0.298, P = 0.014 for men) and an indirect effect of self-esteem on marital adjustment through dyadic coping (β = 0.334, 95% CI = 0.183, 0.526 for women and β = 0.315, 95% CI = 0.165, 0.510 for men) were found. As for the inter-individual aspect, an indirect effect was found, with actors' self-esteem being associated with partners' marital adjustment through partners' dyadic coping (β = 0.174, 95% CI = 0.043, 0.350 for women and β = 0.161, 95% CI = 0.048, 0.327 for men).</p><p><strong>Conclusions: </strong>These findings highlight the importance of assessing the dyadic coping strategies of couples during late pregnancy to regulate the effect of self-esteem on marital adjustment and targeting them in the couple-based psychological support offered to couples to improve their dyadic coping and, consequently, their marital adjustment.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"662"},"PeriodicalIF":2.8,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of gum chewing and cold therapy on postoperative cesarean women's self-assessed pain levels and narcotics use: a comparative study.","authors":"Reda Mhmoud Mohamed Hables, Nor El-Hoda Mohamed El-Sayed ElShabory, Esraa Mostafa Abd El-Aty Ibrahim","doi":"10.1186/s12884-025-07770-2","DOIUrl":"10.1186/s12884-025-07770-2","url":null,"abstract":"<p><strong>Background: </strong>One of the most important things for women having cesarean deliveries to focus on is effective pain management. Nursing practice to lessen labor pain may be significantly impacted by the application of a nonpharmacologic treatment.</p><p><strong>Aim: </strong>Evaluate the effect of gum chewing and cold therapy on postoperative cesarean women's self-assessed pain levels and narcotics use.</p><p><strong>Method: </strong>A Quasi Experimental intervention design was used in the study at inpatient units of Dar Sahet Elmar`Aa hospital that follow Egypt healthcare authority in Port Said city. Purposive sample of 159 pregnant women who enrolled randomly in the three parallel groups. Two tools were used for collecting data in the study as A self-Administered questionnaire and the visual analog scale (VAS) were used.</p><p><strong>Results: </strong>The overall mean VAS score among the Cold pack gel group was 4.216 ± 0.716, Gum chewing group was 4.314 ± 0.908, while control group was 5.714 ± 1.232 with statistically significance differences among groups. Furthermore, over one quarter in cold therapy group, less than one quarter in Gum chewing group (32.1 and 28.3%, respectively) stopped taking analgesics 24 h after surgery, compared to only 7.5% of control group.</p><p><strong>Conclusion: </strong>Cold pack gel and gum chewing offer simple and cost-effective alternatives for postoperative pain management; however, cold pack gel has been shown to be substantially more effective in improving pain scores at four, eight, twelve, and twenty-four hours after surgery. In addition to its impact on reducing the need for opioid prescription drugs. Trial Registration Number (TRN). The study protocol was registered by the Research Ethics Committee of the Faculty of Nursing, Port Said University with code number: NUR22 on 6/2/2023.</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"660"},"PeriodicalIF":2.8,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of hybrid breastfeeding counseling on women's breastfeeding behaviors: a randomized controlled longitudinal study.","authors":"Tuğçe Sönmez, Şule Gökyıldız Sürücü, Burcu Avcıbay Vurgeç","doi":"10.1186/s12884-025-07781-z","DOIUrl":"10.1186/s12884-025-07781-z","url":null,"abstract":"<p><strong>Background: </strong>Effective and accessible breastfeeding practices are essential for enhancing breastfeeding success, strengthening mother-infant bonding, and promoting optimal maternal and infant health. As a personalized support, breastfeeding counseling provides accurate information, supports breastfeeding continuity, and fosters bonding. Therefore, integrating breastfeeding counseling, which is applied in a hybrid (face-to-face and tele-consulting) manner, into maternal care is predicted to be a key strategy in strengthening maternal and child health.</p><p><strong>Objective: </strong>This study aims to investigate the effects of hybrid breastfeeding counseling (face-to-face and online), which was started in the last trimester and continued at certain intervals in the postnatal period, on primiparous women's breastfeeding behaviors.</p><p><strong>Methods: </strong>This is a randomized controlled trial with a pretest-posttest design conducted in Türkiye on 90 primiparous women (experimental = 46, control = 44). Data were collected through the Antenatal-Postnatal Information Form, the Breastfeeding Motivation Scale (BMS), the IOWA Infant Feeding Attitude Scale (IIFAS), and the Mother-to-Infant Bonding Scale (MIBS). Data were analyzed using SPSS 25.0.</p><p><strong>Results: </strong>The average age of all the participating women was 25.83 ± 4.63 years. The findings show that women in the experimental group had more positive attitudes and high motivation in terms of IIFAS scores and BMS subscale scores. In addition, data on MIBS scores and infants' 4th month weight and 4th to 6th month length revealed that the experimental group showed more positive results compared to the control group (p < 0.05).</p><p><strong>Conclusion: </strong>Continuous hybrid breastfeeding support (face-to-face and online) given to primiparous mothers increased their breastfeeding motivation and attitude to breastfeed, and it was found to be effective in ensuring positive mother-to-infant bonding.</p><p><strong>Trial registration: </strong>The clinical trial registration number is NCT05484076/ https://clinicaltrials.gov/study/NCT05484076 Date of registration 07/28/2022 (registered prospectively).</p>","PeriodicalId":9033,"journal":{"name":"BMC Pregnancy and Childbirth","volume":"25 1","pages":"663"},"PeriodicalIF":2.8,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144246289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}