Abstract

Objective: evaluating the effects of using a flipchart as an educational intervention in improving maternal self-efficacy inbreastfeeding. Methods: a quasi-experimental study with 41 postpartum women: Intervention Group (n = 20) and ControlGroup (n = 21) of a public hospital. The intervention consisted of implementing the flipchart “I can breastfeed my baby” inthe immediate postpartum and were contacted by telephone after 15 days. For both groups, Breastfeeding Self-Efficacy Scale-Short Form was applied at baseline and after 30 days. Results: before the intervention, the intervention group was 75% withhigh self-efficacy and 71% of the mothers in the control group of had high self-efficacy. It was found that after educationalintervention, all the mothers in the intervention group showed high self-efficacy, while the percentage remained similar tobefore in the control group (76%). Conclusion: the flipchart had a positive effect on the elevation of self-efficacy in nursingmothers.

Highlights

  • Breastfeeding is the most sensitive and economical way mothers feed their children, and is considered an effective intervention in reducing child mortality(1).According to Research of Breastfeeding Prevalence II in Brazilian capitals and the Federal District(2), breastfeeding rates have risen

  • We opted for the quasi-experimental model because even with an intervention group and a control group, the groups were not randomly assigned

  • The age of participants ranged from 15-38 years, with a mean of 25.7 years (SD= 6.03) in the intervention group and 24.6 years (SD= 7.37) in the control group

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Summary

Introduction

According to Research of Breastfeeding Prevalence II in Brazilian capitals and the Federal District(2), breastfeeding rates have risen. The comparison of the percentage of children aged nine to twelve months breastfed in 1999 and 2008 showed an increase from 42.4% in 1999 to 58.7% in 2008. Despite these indicators, the profile of breastfeeding in the country is still considered unsatisfactory. A higher percentage of exclusive breastfeeding is in the North (45.9%) and the lowest is in the Northeast of Brazil (37%), and the capital city of Fortaleza had the worst exclusive breastfeeding situation (32.9%)(2). Several factors interfere in early weaning, including the mother’s self-efficacy in nursing, which is defined as a maternal confidence in her ability to breastfeed her child being the fundamental aspect for the onset, duration and exclusivity of breastfeeding(3)

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