Abstract

Objective To evaluate whether intervention application of theory of planned behavior (TPB) on breastfeeding of primiparas can increase exclusive breastfeeding rate and prolong breastfeeding time. Methods A total of 283 pregnant women without severe complications in production inspection chosen from a certain hospital in Shanghai were randomly divided to experimental group and control group. Their breastfeeding data were collected by questionnaires before childbirth, at the time of leaving hospital, 6 weeks after childbirth, and 4 months after childbirth. Their exclusive breastfeeding rate in various stages were analyzed by Chi-squared test. Results At the time of leaving hospital, 6 weeks after childbirth and 4 months after childbirth, exclusive breastfeeding rate in the intervention group were respectively 32.5%, 54.5% and 58.9%, all higher than that of the control group (χ2=18.62, 7.07, 6.86; P<0.05). 4 months after childbirth, continued exclusive breastfeeding rate in the intervention group was 87.9%, higher than that in the control group (χ2=3.52, P=0.038). Conclusions Nursing intervention based on TPB can increase exclusive breast feeding rate of primiparas in various stages, and prolong duration of breastfeeding after 4 months after childbirth. Key words: Breastfeeding; Exclusive breastfeeding; Theory of planned behavior; Primipara

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