Impact of breastfeeding self-efficacy intervention among unipara with inverted nipples

Abstract

Objective To evaluate the effects of breastfeeding intervention on breastfeeding self-efficacy, breastfeeding outcomes among unipara with inverted nipples. Methods From January 2014 to January 2015, 158 patients were sequentially divided into control group and study group. The patients of control group (n=78) received routine care with verbal education about breastfeeding and coaching skill. The patients of study group (n=80) received individualized nursing intervention based on the self-efficacy theory. All the participants completed Breastfeeding self-efficacy scale at discharge, 4 weeks and 8 weeks postpartum. Results At discharge, 4 and 8 weeks postpartum, the mean scores of BSES were (113.78±16.91), (121.20±19.18), (112.76±14.72) and (101.65±17.03), (93.48±14.01), (98.65±15.82) in the study group and control group. The rates of breastfeeding exclusivity were 88.75%, 86.25%, 83.75% in the study group, higher than 70.51%, 43.59%, 37.18% in the control group. Among 8 weeks postpartum, the occurrence of galactostasis was lower than that of the control group (P 0.05). Conclusions The intervention aimed at increasing self-efficacy can improve maternal breastfeeding self-efficacy and breastfeeding outcomes. Key words: Maternal women; Breastfeeding; Self-efficacy; Complication; Inverted nipple