Breastfeeding Efficacy Research Articles

IJCM_13A: Effect of video based educational intervention in Gestational diabetic mothers on breast feeding self efficacy: a Randomized Control Trial

Background: Women with Gestational diabetes mellitus face a lot of challenges when it comes to breast feeding. Breast feeding self efficacy is an important factor for improving breast feeding outcomes. Objectives: To know the effect of educational intervention on breast feeding efficacy in immediate postpartum period among women with gestational diabetic mellitus using breast feeding self-efficacy scale short form (BSES-SF). Methodology: A randomized control trial was conducted between May 2022 to August 2023 in a tertiary care hospital in Mangalore. Ethics committee approval was obtained. Clinical trial registry was done (CTRI/2023/03/051176). 108 women with Gestational diabetes mellitus were enrolled in this study. Study participants were divided into control and intervention group. Intervention group were shown an informative video on breast feeding practices and techniques while both the groups were educated using flipcharts on essential newborn care. Breast feeding efficacy was scored in both the groups at admission, after intervention within 48 hours puerperium using breast feeding self-efficacy scale short form (BSES-SF) and results were analyzed. Results: The mean age group of the study was 30.15 ± 5.12. The demographic details in both the groups were comparable. The mean BSES-SF scores were 45.13 pre-intervention vs 55.15 post-intervention in the intervention group (p = <0.001) while mean BSES-SF scores were 44.60 pre-intervention vs 47.53 post-intervention in control group (p = <0.001). Conclusion: Video based educational intervention had a positive impact on breast feeding efficacy in women with Gestational Diabetes Mellitus.

Usability Study of the Mommy-Be App: Exploring the Experience of Breastfeeding Mothers in Eastern Indonesia

Objective: The rise of mobile health (mHealth) apps has brought attention to their potential in supporting breastfeeding mothers and preventing postpartum depression (PPD). This study aims to evaluate the usability of Mommy-Be, a mobile phone app designed to support breastfeeding women and help them to acknowledge of their mental health and breastfeeding efficacy during lactation period. Theoretical Framework: This study uses Usability theory to analyze the use of mHealth applications that proposed by Nielsen model. Method: This study combines quantitative and qualitative methods, that asses Mommy-Be app's usability among breastfeeding mothers using the Mobile Application Usability Questionnaire (MAUQ) and conducted in-depth interviews with a subset of participants. The study included 50 breastfeeding mothers in Makassar, Indonesia, who were primarily between the ages of 19 and 42 and had diverse educational and employment backgrounds. Four weeks after using the Mommy-Be app, revealed a generally positive impression of the application. Result: Based on MAUQ three dimensions, ease of use, interface satisfaction, usefulness, this study has been determined that the utilization of a Mommy-Be application is both acceptable and feasible as a mobile health (mHealth) solution for breastfeeding mothers. The mothers experience revealed diverse user impressions of the Mommy-Be application. Participants generally found it easy to use, with a favorable interface preference. Participants expressed various benefits of using Mommy-Be, including increased awareness of breastfeeding activities, assistance in meeting nutritional needs, and early detection of postpartum depressive disorders. Recommendations: To enhance the application's utility, participants suggested improvements, such as data export capabilities, better module integration, consideration of the target audience's resources regarding internet access and the inclusion of educational content, such as the provision of interconnection with multiple lactation counsellors.

THE RELATIONSHIP BETWEEN SOCIAL SUPPORT AND BREASTFEEDING SELF-EFFICACY IN PRIMIPAROUS PREGNANT WOMEN

Background/Purpose: Study was conducted to evaluate the relationship between social support and breastfeeding efficacy in primiparous pregnant women. Methods: The study, which was carried out as a descriptive and relational screening, was completed with the participation of 350 pregnant women who met the inclusion criteria. In the collection of the study data, a questionnaire form, Prenatal Breastfeeding Self Efficacy Scale, and Multidimensional Scale of Perceived Social Support were employed. Results: In the present study, a positive relationship was determined between the pregnant women’s breastfeeding self-efficacy and perceived social support. Conclusion: As a result of the study, it was concluded that as the social support provided to pregnant women in the prenatal period increased, their breastfeeding self efficacy also increased.

"Breastfeeding at Night Is Awesome" Mothers' Intentions of Continuation of Breastfeeding Extreme and Very Preterm Babies upon Discharge from a Kangaroo Mother Care Unit of a Tertiary Hospital in South Africa.

Kangaroo mother care (KMC) is effective in increasing mothers' initiation and maintenance of breastfeeding (BF) for extreme and very preterm (VLBW) infants. Although South Africa has implemented KMC for more than two decades, little is known about mothers' perspectives on KMC. The purpose of this study was to describe the BF intentions and practices of mothers of VLBW infants at home following discharge and assess the role long stay in KMC has on their decision to BF beyond discharge. This qualitative study was conducted at the KMC unit of a tertiary hospital in Pretoria, South Africa. Focus group interviews were conducted with 38 mothers of VLBW infants who had transitioned from neonatal intensive care (NICU) to KMC. We analysed transcripts following the five steps for qualitative thematic data analysis. Mothers were knowledgeable of the importance and value of BF preterm infants and conceded that breast milk has advantages over formula. Mothers had positive feelings toward BF their preterm infants. The stay in KMC increased the direct BF of their preterm infants, mothers' BF efficacy, and had a positive influence on mothers' intentions to continue BF following discharge and to exclusively breastfeed for six months. Their BF intentions, efficacy, and practices were influenced by the skilful BF counselling, training, and support they received from the nursing staff. High intention to BF among these mothers is suggestive of their knowledge and confidence in BF for their VLBW infants. It is important that nursing staff in NICU and KMC appreciate the significant role they play in mothers' readiness and confidence to breastfeed beyond discharge.

A Qualitative Study of Pregnant Women's Perspectives on Antibiotic Use for Mom and Child: Implications for Developing Tailored Health Education Interventions.

The overutilization of antibiotics during pregnancy and early life are associated with adverse health outcomes for mothers and infants. In this study, we explored pregnant women’s opinions and concerns of antibiotics and how perceptions may affect their health-related decision-making. We conducted 18 in-depth, semi-structured interviews with pregnant women and used the Health Belief Model (HBM) as a framework to analyze the data. We found that mothers generally understood the benefits of antibiotics and were aware that antibiotics are clinically effective for treating bacterial infections. Importantly, perceived barriers related to antibiotic use included concerns regarding the impact of antibiotics on breastfeeding efficacy, microbial health, and societal factors such as antimicrobial resistance. The prescription of antibiotics by a healthcare provider was a cue to action for women, as they trusted providers to recommend medications that were safe for them and their infants. Overall, mothers shared that receiving education on the effects of antibiotics would improve their self-efficacy and decision-making surrounding the use of antibiotics for treating illness. Implications for tailored perinatal health education interventions to enhance antibiotic use, knowledge, and decision-making are discussed.

THE INFLUENCE OF PARTICIPATIVE COUNSELING APPROACH ON IMPROVING BREASTFEEDING SELF-EFFICACY TO PREGNANT WOMEN IN INDONESIA

Objective: The objective of this study was to know the effect of participatory counseling on increasing breastfeeding self-efficacy (BSE) in pregnant women in Bogor city, Indonesia.
 Methods: The pre-experimental design method, namely, one group pretest-posttest, with the number of study subjects was 35 third trimester pregnant women with normal reproductive age without complications in the Bogor City. Data analysis was performed by univariable and bivariable by Friedman test and Wilcoxon post hoc test and multivariable using linear regression test.
 Results: Participatory counseling has an effect on increasing breastfeeding efficacy in pregnant women (p<0.001), while confounding variables (education, parity, own breastfeeding experience, and other’s experience of breastfeeding) have no significant effect on increasing BSE in pregnant women (p>0.05).
 Conclusion: Participatory counseling increases BSE in pregnant women.

Correlation between breastfeeding and maternal health status

ABSTRACTObjective:To examine the relation between breastfeeding efficacy and health status in a sample of 88 mothers from Southern Brazil.Methods:Research participants completed the Portuguese version of the General Health Questionnaire and the Personal Health Scale. Breastfeeding efficacy was evaluated using the Breastfeeding Self-Efficacy Scale. Correlations between breastfeeding and health status scores were examined using Pearson's correlation coefficient.Results:The results of this study revealed significant correlations between the scores of the two general health and well-being questionnaires and the Breastfeeding Self-Efficacy Scale. Bivariate regression analyses revealed that both health status instruments significantly predicted Breastfeeding Self-Efficacy Scale scores.Conclusion:Breastfeeding efficacy is significantly related to maternal health status in Southern Brazil.

Influence of accountable and kindred-like nursing on breasffeeding self-efficacy of primipara

Objeetlve To explore the impact of accountable and kindred - like nursing on breastfeeding self-efficacy of primipara. Methods 100 primiparas from August 2010 to October 2010 were collected as control group, and another 100 primiparas from January 2011 to March 2011 were collected as experimental group. Three months before and after accountable and kindred-like nursing carried out, breastfeeding Self- efficacy Scale （BSES） was respectively used to evaluate the effect on breasffeeding self-efficacy between the two groups. Results Before and after the implementation of accountable and kindred-like nursing, the scores of breasffeeding self-efficacy increased, and the difference was statistically significant [ （ 55. 18±5. 44 ） vs （48.26 ±4.89） ,（70.98 ±5.08）vs（59.81 ±5.97）, （126.38±6.42） vs（108.16±7.97） ;t =9. 46, 14. 25, 17.81 ,respectively;P 〈 0. 05 ]. The scores of skills dimension and inner activities dimension among parturients underwent caesarean section increased, and the difference was statistically significant [ （ 49.54 ±5.58 ） vs （42.42 ±4.69） ,（64.12 ±5.56）vs（52.71 ±5.76）, （113.89 ±6.52）vs（130.11±5.87） ;t =8.94, 13.02, 17.19 ,respectively; P 〈 0. 05 ]. The scores of skills dimension and inner activities dimension among vaginal delivery puerperants increased, and the difference was statistically significant [ （ 57.23 ± 5.33 ） vs （ 50.72± 4.99） ,（72.68 ±5.62）vs（60.21 ±5.70）, （97.64 ±5.68）vs（111. 46 ±5.66） ;t = 3.61, 3. 29, 15.59, respectively ;P 〈 0. 05 ]. Conclusions Accountable and kindred-like nursing can improve the breastfeeding selfefficacy of primipara. Key words: Breastfeeding; Accountable and kindred-like nursing; Self-efficacy

The Correlation Between Breastfeeding and Maternal Quality of Life in Southern Brazil

This study examined the relationship between the breastfeeding efficacy and quality of life (QoL) in a sample of 89 mothers from southern Brazil. To the authors' knowledge, this is the first study to explore correlations between maternal QoL and breastfeeding efficacy in Brazil. Research participants completed the Portuguese version of the World Health Organization Quality of Life-BREF and Multicultural Quality of Life Index questionnaires. Breastfeeding efficacy was evaluated through the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF). Correlations between the scores of the QoL instruments and the BSES-SF were examined using Pearson product-moment correlation coefficients. There were significant correlations among the scores of the two QoL questionnaires and the BSES-SF. Multiple regression analysis revealed that both QoL instruments significantly predicted BSES-SF scores. Neither socioeconomic status nor level of educational attainment was a significant predictor of breastfeeding efficacy. The results from the present study indicate that breastfeeding efficacy is significantly related to QoL among mothers in southern Brazil. The association between QoL and breastfeeding efficacy appears to be independent from any effect of socioeconomic status or level of educational achievement.