Abstract
BackgroundThe objective of this study is to determine the effect of a consultation model, Beliefs, Attitudes, Subjective Norms and Enabling Factors (BASNEF), and the counselling steps using GATHER-Greet clients, Ask clients about themselves, Tell clients about their choices, Help clients choose, Explain what to do, and Return for follow-up-on the continuation rates of exclusive breastfeeding in mothers of premature infants.MethodsThis is a randomized controlled clinical trial carried out on 124 mothers with premature infants hospitalized in Fatemieh Hospital, city of Hamadan, in 2014. Participants were randomly assigned to either the intervention or control groups. The initial demographic questionnaire carried out in both groups included three questions about the continuation of exclusive breastfeeding, BASNEF, a checklist related to the lactation performance documented by mothers and the weight gain of their infants. Five breastfeeding consultation sessions based on the BASNEF model and counselling steps using GATHER, were held for the mothers in the intervention group for five consecutive days. Then follow-up weight gain and the questionnaire completion were performed in both groups at 1, 2, 3 and 4 months after the intervention.ResultsBaseline characteristics were similar in the two groups. There were no significant differences between both groups in the rate of exclusive breastfeeding, lactation performance and infant weight at baseline. The intervention group had significantly higher rates of exclusive breastfeeding, 72.6% versus the control group of 16.1%, at the end of the 4 month follow-up. Also the intervention group had significantly higher mean scores of lactation performance (8.62 ± 2.08 vs 6.40 ± 1.84 in the control group) and infant weight (5694.80 ± 779.43 vs 4760.17 ± 859.12 in the control group) at the end of the 4 month follow-up.ConclusionBreastfeeding consultation of mothers based on the BASNEF model and using GATHER counselling steps increased the rate of exclusive breastfeeding, lactation performance and weight gain of premature infants. Therefore, breastfeeding counselling sessions are recommended for all mothers of premature infants.Trial registrationIranian Registry of Clinical Trials number IRCT2014111013405N6 and date registered, January 5, 2015.
Highlights
The objective of this study is to determine the effect of a consultation model, Beliefs, Attitudes, Subjective Norms and Enabling Factors (BASNEF), and the counselling steps using Great clients (GATHER)-Greet clients, Ask clients about themselves, Tell clients about their choices, Help clients choose, Explain what to do, and Return for follow-up-on the continuation rates of exclusive breastfeeding in mothers of premature infants
Researchers have found that neural development is higher among the preterm infants fed on their mothers’ milk [5]
Different structures of BASNEF model To compare the mean scores in different structures of BASNEF model during the study in both groups, Repeated Measures ANOVA test was used
Summary
The objective of this study is to determine the effect of a consultation model, Beliefs, Attitudes, Subjective Norms and Enabling Factors (BASNEF), and the counselling steps using GATHER-Greet clients, Ask clients about themselves, Tell clients about their choices, Help clients choose, Explain what to do, and Return for follow-up-on the continuation rates of exclusive breastfeeding in mothers of premature infants. Despite all the comprehensive attempts for preventing preterm labor and the birth of preterm infants, the rate is still high. 9.6% of infants are born preterm worldwide [2] and in Iran the rate is 5.6–13.4% [3]. Researchers have found that neural development is higher among the preterm infants fed on their mothers’ milk [5]. Despite the highly valuable role of breastfeeding in preventing diseases and infection, preterm infants are more likely to be deprived of breastfeeding [8]. In most cases, replacing breastfeeding with artificial nutrition has been the mothers’ decision with concerns about their child’s weakness, lack of milk supply, and hunger, crying and unsettled children, and refusal to take the breast [9]
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