Abstract

Objective:to assess the effect of a breastfeeding educational intervention on the counseling provided to postpartum women.Method:this is a randomized controlled trial including 104 postpartum women (intervention group = 52 and control group = 52) from a private hospital, whose educational intervention was based on the pragmatic theory and on the use of a soft-hard technology called Breastfeeding Educational Kit (Kit Educativo para Aleitamento Materno, KEAM). Women were followed-up for up to 60 days after childbirth. Chi-Squared Test, Fischer’s Exact Test, and Generalized Estimating Equation were used, with a significance level of 5% (p-value <0.05). The analyses were performed using the Statistical Package for the Social Sciences, version 24.Results:the postpartum women in the intervention group had fewer breastfeeding difficulties and a higher percentage of exclusive breastfeeding at all time points compared with those in the control group.Conclusion:the educational intervention based on active methodologies and stimulating instructional resources was effective in developing greater practical mastery among postpartum women with regard to adherence and maintenance of exclusive breastfeeding. Registry REBEC RBR – 8p9v7v.

Highlights

  • The World Health Organization[1] recommends exclusive breastfeeding (EBF) up to six months of the infant’s life and supplemental breastfeeding up to two years of age and beyond, since it is directly related to health promotion and prevention of infant morbidity and mortality

  • The women in the Intervention Group (IG) showed a higher percentage of EBF compared to those in the Control Group (CG) at all time points, with statistical significance (p

  • At day 10, there was a higher percentage of EBF than at days 30 or 60 (Table 1)

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Summary

Introduction

The World Health Organization[1] recommends exclusive breastfeeding (EBF) up to six months of the infant’s life and supplemental breastfeeding up to two years of age and beyond, since it is directly related to health promotion and prevention of infant morbidity and mortality. The implementation of innovative strategies and technological resources in the field of health education may greatly contribute to women’s learning in order to strengthen engagement in preventive behaviors and to promote BF. Nurses are understood as having a key role in the use of these Health Technologies to achieve the best indicators in BF promotion This is a dual challenge in facing barriers and in encouraging good BF practices mediated by different scientific knowledge, research methods, and educational processes conducted by the nursing team[3]

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