Breastfeeding Education Research Articles

THE DESCRIPTION OF ANXIETY SCORES IN POSTPARTUM MOTHERS DURING THE BREASTFEEDING PROCESS AFTER BEING EDUCATED WITH VIDEO AND MATERNAL AND CHILD HEALTH BOOK (MCH)

Anxiety is a common issue experienced by postpartum mothers, and it can interfere with the lactation process. During the postpartum adaptation period, many mothers face psychological challenges, including heightened anxiety. This emotional state can disrupt the hormonal regulation of prolactin and oxytocin—two key hormones responsible for breast milk production—thereby slowing the milk release and making breastfeeding more difficult. A preliminary observation conducted at Independent Midwifery Practice (IMP) Purwanti involving five postpartum mothers found that three mothers who experienced mild anxiety had delayed milk production, while the two mothers without anxiety had faster milk flow. This study aimed to assess changes in anxiety levels among postpartum mothers after receiving breastfeeding education through two different methods: animated videos and the Maternal and Child Health (MCH) book. The descriptive-analytic study was conducted from February to April 2023, involving all postpartum mothers on day five at IMP Purwanti, totaling 32 participants. The participants were divided equally into two intervention groups. Group one received health education via animated videos, while group two received education through the MCH book, with 16 mothers in each group. The results showed that in the animated video group, all 16 mothers (100.0%) reported no anxiety after the intervention. In the MCH book group, 15 mothers (93.8%) reported no anxiety, and only 1 mother (6.3%) experienced mild anxiety. None experienced severe anxiety. These findings suggest that both animated videos and MCH books are effective educational tools for reducing postpartum anxiety. Health services should consider integrating innovative educational strategies into routine postpartum care. Keywords: Postpartum anxiety, Breastfeeding education video, Maternal and child health book

Prevalence of and barriers to exclusive breast feeding among mothers of infants in selected hospitals in Mangalore. India

Introduction. UNICEF and WHO recommend exclusive breastfeeding (EBF) as crucial for achieving sustainable development goals.Materials and Methods: This descriptive cross-sectional study was conducted among mothers of infants aged 6 to 12 months to estimate the prevalence of and barriers to exclusive breastfeeding. Data were collected from 440 mothers using structured, validated tools from May 2022 to January 2023.Results. Analysis revealed that the prevalence of EBF among mothers in a selected hospital in Mangalore is 58.9%. The identified barriers included inadequate breast milk (42.5%), excessive concern about the baby’s weight gain (41.4%), difficulties with proper latching (26.5%), maternal medications (28.2%), infant illness (22.7%), lack of awareness regarding EBF (12.2%), the need to resume work (12.2%), time constraints (12.2%), family pressure to introduce formula due to perceived poor weight gain (12.2%), breast complications (9.9%), subsequent pregnancies (7.7%), lack of family support (5.5%), lack of partner support (5%), and misinformation (1.7%). Significant associations were found between EBF and factors such as exposure to pre-pregnancy breastfeeding education, place of residence, sources of breastfeeding information, number of antenatal visits, type of delivery, and the immediate initiation of breastfeeding, all at a significance level of 0.001.Conclusion. Pre-pregnancy education on breastfeeding enhances the immediate initiation of breastfeeding, reduces barriers to EBF, and promotes adherence to EBF.

Edukasi Melalui Konten Media Sosial Terhadap Sikap dan Pemahaman Ibu tentang ASI Eksklusif

Breast milk is the first source of food for babies that is obtained directly from the mother. The mother's understanding and demeanor play a really imperative part within the success of exclusive breastfeeding, so the foremost endeavors made within the community are to supply early instruction to moms and families so they can get it the significance of exclusive breastfeeding. To extend mothers' information around it, curiously and enlightening instructive media is required. Breastfeeding education can be done using various media, one of which is video media which is distributed on social media. This research aims to analyze the influence of breastfeeding education through social media content on mothers' attitudes and understanding regarding exclusive breastfeeding. This exploration for exploratory decisions through pre-test and post-test. The population was mothers who had children aged 0-3 months at the Children's Polyclinic at PKU Muhammadiyah Mayong Hospital, totaling 40 patients. The sample used in this research was 36 respondents. If the data is not normal, then use the Wilcoxon test and if it is normally distributed then use the paired t test. The research results explained that there was an influence of breastfeeding education through social media content on attitudes regarding exclusive breastfeeding (0.000) and understanding of breastfeeding (0.000).

Development of an Education Model for Increasing Husbands' Knowledge about Exclusive Breastfeeding in Makassar City

Husbands' knowledge about exclusive breastfeeding (EB) is still low; this causes a lack of support for breastfeeding mothers, which results in low coverage of exclusive breastfeeding. Purpose: to analyze the effect of developing an exclusive breastfeeding education model on increasing husbands' knowledge. The Method of study is a combination of research and development (R&D), Borg and Gall, quasi-experimental, non-equivalent control group design. Population of husbands of pregnant women: sample, husbands of pregnant women who check their pregnancies at the Community Health Center in the third trimester. Purposive sampling of 60 people was divided into two groups; the intervention group received an exclusive breastfeeding education module plus the MCH book, and the control group received the MCH book, with knowledge measurement (pre-test) in the two control groups. Intervention and post-test were carried out once a week for 4 weeks. Data analysis used the Wilcoxon signed-rank test and the Mann-Whitney test. The Results of the study show that there is an effect of giving exclusive breastfeeding education modules on husbands' knowledge, with an overall post-test p-value of 0.000 < 0.05. There was no effect of giving the MCH handbook to the husband's knowledge, p-value 0.391> 0.05. There were differences in knowledge in the two groups, with the mean ranks greater in the intervention group, namely pre-test 32.67 > 28.33, post-test 1 37.35 > 23.65, post-test 2 41.15 > 19.85, and post-test 3 43.78 > 17.22. There is a difference in knowledge between the intervention and control groups. The exclusive breastfeeding education module increases husbands' knowledge about the importance of breastfeeding, especially exclusive breastfeeding. Conclusion: The exclusive breastfeeding education module increases husbands' knowledge about the importance of breastfeeding, especially exclusive breastfeeding, to be used as a health promotion medium in healthcare facilities.

Enhancing breastfeeding support and education in the postpartum period mother’s

Topic: Breastfeeding and education in the postpartum period: An Exploratory Study Background of the study: Current evidences suggest that staff nurses need education support so that they can prevent the drawback and infections in children's as well as mothers' health. Nurses play a huge role in supporting breastfeeding mothers. Research indicated that breastfeeding education for staff lacks nursing schools and hospital orientations for mother’s postpartum period. By shining nurses with evidence-based knowledge and skills, they can exclusively educate and support mothers in the postpartum period, ultimately leading to more successful breastfeeding experiences. AIM: This study aimed to improve the knowledge of nurses on postpartum mothers regarding enhancing breastfeeding. Design: This study used an exploratory study design with semi-structured in-depth questions and check checklist. The semi-structured question schedule was developed to explore improving breastfeeding outcomes. Setting: This study was situated at the Gynaecology specialty hospitals, Secundrabad. Participants: A total of 20 samples have been selected for this study. Methodology: A Purposive checklist by prioritizing breastfeeding support and education, hospitals and healthcare providers can contribute to the well-being of both mothers and babies, fostering a positive and successful breastfeeding experience.

The role of nurses, midwives, and doulas on breastfeeding: changes during the COVID-19 pandemic.

The COVID-19 pandemic has significantly altered maternal healthcare delivery, including breastfeeding practices. Our study investigated the influence of nurses, midwives, and doulas on breastfeeding education and rates, with a specific focus on changes that transpired during the COVID-19 pandemic. Using a cross-sectional design, we performed a secondary data analysis on a stratified systematic sample of forty-six U.S. states and New York City respondents who completed the Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 7 (2012-2015) and Phase 8 (2016-2020) surveys (n = 193,068). Descriptive analyses and adjusted multivariable logistic regression models reporting adjusted odds ratios (aORs) and 95% confidence intervals (95% CIs) were used to assess associations between the provision of breastfeeding guidance to mothers from nurses, doulas, or midwife healthcare professionals; breastfeeding/pumping rates; and the COVID-19 pandemic. Cox-proportional hazard models were used to examine the association between breastfeeding guidance and breastfeeding duration. Our findings revealed that participants who received breastfeeding guidance from nurses, midwives, or doulas were twice as likely to have engaged in breastfeeding or milk pumping for their infants than participants who did not receive breastfeeding education (aOR = 1.99, 95% CI: 1.89-2.11, p < 0.0001). Additionally, participants who gave birth during the COVID-19 pandemic were notably less likely to receive breastfeeding education from a nurse, midwife, or doula than were those who gave birth before the pandemic (aOR = 0.92, 95% CI: 0.88-0.96, p < 0.0001). We also find that the hazard of stopping breastfeeding was lower among participants who received breastfeeding guidance (HR = 0.94, 95% CI: 0.91-0.97, p < 0.0001). Additionally, the hazard of stopping breastfeeding was lower during COVID-19 (HR = 0.94, 95% CI: 0.91-0.97, p = 0.001). Our study underscores the vital role that healthcare professionals play in educating, advocating for, and promoting breastfeeding behaviors. This further highlights the pressing need for sustained efforts to support breastfeeding initiatives and address disparities in maternal and child health, particularly in the context of the challenges presented by the COVID-19 pandemic.

Breastfeeding related knowledge, attitudes, perceptions and practices of primary healthcare professionals in Ireland: A national cross-sectional survey.

Global research identifies the importance of breastfeeding, including the World Health Organisation in developing recommendations and noting over 800,000 child lives would be saved each year if breastfeeding was adopted following the recommendations of WHO/UNICEF. There is limited published data exploring breastfeeding knowledge, attitudes, perceptions and practices [KAPP] of health care professionals employed in primary care. Recent Irish evidence from one local geographical area identified general practitioners and general practice nurses [GPs and GPNs] received limited formal breastfeeding education within undergraduate or postgraduate education programmes and were interested in undertaking further professional development, education and training. Following ethical approval, a national cross sectional online survey using a breastfeeding [KAPP] survey instrument was completed using the Qualtrics platform. All registered GPs, GP trainees and General Practice Nurses [GPNs] in the Republic of Ireland were invited to participate. The online survey link was distributed via Ireland's Health Service Executive health link email register via two senior HSE gatekeepers. Data collection was from June 1st 2023, to November 17th, 2023. A total of 662 primary health professionals participated, including 58.2% GPs, 14.2% GP trainees and 27.6% GPNs. The response rate to the survey was 10%, with approximately 6618 healthcare professionals receiving the link to the survey and 662 participating. Approximately 78% of respondents reported always recommending breastfeeding to women, and the majority (94.2%) were interested in completing further breastfeeding education. Barriers to training noted were time (84.3%), workload (62%) and financial cost (34.9%). Perceived and factual breastfeeding knowledge, perceived attitude and confidence scores with breastfeeding related issues significantly differed among the three groups. This national study reports low engagement with a national KAPP survey. There is inadequate preparation of primary healthcare professionals both theoretically and clinically to promote, protect and support breastfeeding in the primary healthcare setting, and has important implications for supporting wellbeing and shaping population health and achieving sustainable development goals.

Online Breastfeeding Education for Adolescent Girls with Depressive Disorder and Postpartum Psychosis

&lt;p dir="ltr"&gt;&lt;span&gt;Motherhood involves profound hormonal, physical, and psychological transformations, along with shifts in social status, daily routines, and sleep patterns, all of which can impact the mother-child relationship and increase maternal vulnerability. These challenges are particularly pronounced in adolescent mothers, who may experience heightened emotional distress, inadequate family support, or social rejection, complicating their breastfeeding journey. Despite targeted health education campaigns, adolescent pregnancies remain prevalent, underscoring the need for innovative interventions to support breastfeeding initiation and continuation among young mothers, for those experiencing postpartum depression and psychosis. This study aims to evaluate the effectiveness of online breastfeeding education as a supportive intervention for adolescent mothers facing perinatal mental health challenges. The research explores how digital resources, virtual counselling, and continuous telehealth support helps breastfeeding adherence, maternal self-efficacy, and emotional well-being. A comparative analysis of existing digital education models and traditional face-to-face breastfeeding support programs is conducted to assess the benefits, limitations, and potential scalability of virtual interventions. Findings indicate that online breastfeeding education significantly improves breastfeeding rates, reduces maternal anxiety, enhances mother-infant bonding, particularly in adolescent mothers with perinatal psychiatric disorders. Challenges such as digital literacy disparities, internet accessibility, and ethical considerations related to telehealth data privacy must be addressed to optimise the effectiveness of digital maternal education. This study bridges the gap between online breastfeeding education, maternal mental health, and digital healthcare accessibility. The findings support the integration of hybrid models that combine virtual breastfeeding education with periodic in-person consultations, offering a scalable and adaptable solution to improve perinatal outcomes for vulnerable maternal populations. Future research should focus on developing personalised digital interventions and assessing long-term breastfeeding success among adolescent mothers receiving online support. &lt;/span&gt;&lt;/p&gt;&lt;div&gt;&lt;span&gt;&lt;br /&gt;&lt;/span&gt;&lt;/div&gt;

A Narrative Review of Culturally Informed Breastfeeding Interventions for African American Women.

The aim of this narrative review was to map the current literature on culturally informed breastfeeding interventions for African American women. Breastfeeding is associated with positive health outcomes for women and infants. Nonetheless, despite interventions aimed at improving breastfeeding for African American women, they continue to have lower breastfeeding rates compared to Hispanic and Non-Hispanic White women. Therefore, there is a need for culturally informed interventions to promote exclusive breastfeeding in African American women. PubMed, EmCare, CINAHL complete, APA PsycInfo, Scopus and Web of Science were systematically searched for articles published between 2001 and 2024. Preprints were searched in medRxiv; dissertations were searched in ProQuest Dissertations & Theses and EBSCO Open Dissertations; and other gray literatures were searched in governmental/organizational websites. Hand searches of reference lists were conducted. Data were synthesized using narrative synthesis. Sixteen articles that met inclusion criteria were included. Randomized controlled trial design was used in 7 studies and community-based participatory research design was used in 4 studies. Multilevel breastfeeding education and support provided mostly in-person across 4 socioecological levels (individual, interpersonal, community, and culture) was associated with increased breastfeeding knowledge, self-efficacy, intention, initiation, duration, and exclusivity in African American women. No policy-level intervention was identified. Seven different terms were used to describe the incorporation of culture into breastfeeding interventions. This narrative review provides evidence on the utility and essence of culturally informed breastfeeding interventions for African American women. Multilevel breastfeeding education provided across the perinatal period is effective to promote breastfeeding outcomes in African American women.

Family Education in Exclusive Breastfeeding: Husband's Knowledge and Attitude in Supporting Breastfeeding Women

Objective: In Indonesia, breastfeeding rates are relatively low, even though the benefits of exclusive breastfeeding are widely acknowledged. In 2022, just 67.96% of Indonesians were exclusively nursing, according to a WHO assessment. One of the numerous causes of this low number is the husband's lack of support. For exclusive breastfeeding to be successful, the husband's support is essential. When a spouse accepts and supports his wife's decision to exclusively breastfeed, it might be beneficial for nursing mothers. This study aimed to determine the relationship between the attitudes and knowledge of husbands on exclusive breastfeeding. Method: This study sought to ascertain how husbands' attitudes and knowledge about exclusive breastfeeding related to each other. This cross-sectional survey design, a quantitative correlational study, employed 106 samples. The data was analyzed using the chi-square test, and the results indicated a significant (p &lt;0.05) relationship between the husband's skill and exclusive breastfeeding. One hundred six samples were used in this cross-sectional survey design, which was a quantitative correlational investigation. Results: The chi-square test was performed to analyze the data, and the findings showed a significant correlation (p &lt;0.05) between exclusive breastfeeding and the husband's expertise. Up to 95.7% of respondents knew much about exclusive breastfeeding, compared to 47.5% who did not. The analysis indicated a substantial (p &lt;0.05) correlation between exclusive breastfeeding and the husband's attitude. Novelty: This research is unique in that it focuses on spouses or couples.

Nurturing the First Latch: Breastfeeding Assessment and Practice among First Time Mothers

Breastfeeding is a critical aspect of neonatal care, providing essential nutrients and antibodies that promote infant health and development for primi (first-time) mothers, effective breastfeeding practices can be challenging due to a lack of experience and knowledge. Assessing breastfeeding practices and providing targeted support is crucial to ensure both mother and child benefit from optimal breastfeeding. Understanding breastfeeding assessment and practices among primi mothers is vital to identify gaps in knowledge and practice. This study aims to evaluate the effectiveness of breastfeeding education and support programs, highlight areas needing improvement, and ultimately enhance breastfeeding outcomes. By focusing on primi mothers, the study addresses a vulnerable group that can significantly benefit from tailored interventions and professional guidance. Title: “A study to assess the breastfeeding assessment and practices among primi mothers admitted in the postnatal ward” Materials and Methods: In the present study, using a non-probability purposive sampling technique, the researcher adopted a non-experimental descriptive research design with 60 samples. The tools include Socio-Demographic Data, Bristol breastfeeding assessment tool and Breastfeeding observation checklist for practices. Results:.The study revealed that 55% of mothers had moderate breastfeeding assessment scores, 45% had poor scores, and none scored well. For breastfeeding practices, 61.7% scored moderately, 38.3% poorly, with no good scores. The Bristol Breastfeeding Assessment Tool and Observation Checklist showed a strong positive correlation (r = 0.98). Significant associations were found between breastfeeding assessment scores and previous knowledge, source of information, antenatal visits, breastfeeding counselling, and professional guidance. Similarly, education, family income, previous knowledge, source of information, antenatal visits, breastfeeding counseling, and professional guidance were significantly associated with breastfeeding practice scores. Conclusion : This study under scores the multifaceted nature of breastfeeding practices and the various factors that influence them. By addressing educational, socio-economic, and healthcare related factors, we can enhance breastfeeding practices among primi mothers, ultimately improving infant health outcomes. Further research and targeted interventions are essential to support and promote successful breastfeeding practices.

Spatial distribution of mixed milk feeding and its determinants among mothers of infants aged under 6 months in Ethiopia: Spatial and geographical weighted regression analysis.

Mixed milk feeding is defined as providing formula and/or animal milk along with breast milk to infants under six months old which is prevalent in many countries. However, this practice is generally not recommended as it can reduce the intake of breast milk, depriving the infant of its optimal nutritional and immunological benefits. Unlike formula, breast milk contains complex bioactive constituents that promote intestinal and pancreatic growth and develop mucosal defenses. The aim of this study was to analyze the spatial distribution and predictors of MMF practices in Ethiopia. This study utilized data from the 2019 Mini-Ethiopian Demographic and Health Survey (MiniEDHS), a nationally representative cross-sectional survey conducted from March to June 2019. The total weighted sample size derived from the data examined in this study amounted to 524 infants. The data analysis used Global Moran's I for spatial autocorrelation and the Getis-Ord Gi * statistic for local cluster analysis to assess the spatial distribution of mixed milk feeding prevalence across Ethiopia's administrative regions and cities. Empirical Bayesian Kriging was used for spatial interpolation to estimate mixed milk feeding prevalence in unsampled areas. The analysis utilized a maximum spatial cluster size threshold of 50% of the population to detect clusters of varying sizes. Ordinary least squares regression analysis identified significant spatial predictors. In geographically weighted regression analysis, the effect of predictor variables on the spatial variation of mixed milk feeding was detected using local coefficients. The overall weighted prevalence of Mixed Milk Feeding (MMF) in Ethiopia was 10.12% (95% CI: 7.8, 13.01). This prevalence shows significant regional variations across the country emphasizing regional disparities in prevalence and distribution. The Global Moran's I statistic was 0.14, with a Z-score of 3.18 and a p-value of < 0.001, indicating a significant spatial clustering of MMF prevalence. Hotspots of mixed milk feeding were identified in Somali, Dire Dawa, and Afar, while cold spots were observed in Amhara, Tigray, Benishangul Gumuz, SNNPR, and parts of Oromia. Household wealth (middle wealth index) and lack of baby postnatal checkups emerged as key influencers of mixed milk feeding practices. The study found significant regional variations in mixed milk feeding practices in Ethiopia. Households with middle wealth index and baby without postnatal check were significant spatial predictors of mixed milk feeding. To reduce mixed milk feeding prevalence, targeted interventions should engage community leaders, enhance breastfeeding education in maternal health services, and integrate counseling into routine healthcare to support informed maternal choices and improve child health outcomes nationwide.

Effects of an Online Theory-Based Educational Programme for Primiparous Women on Improving Breastfeeding-Related Outcomes: A Randomised Controlled Trial.

To evaluate the effectiveness of a theory-based, Real-time-online Education and Support with Telephone follow-ups (REST) programme for primiparous women on their breastfeeding outcomes over 6 months postpartum. Randomised controlled trial. Convenience sampling was used to recruit 150 low-risk primiparous mothers, and then they were randomly assigned into intervention and control groups by computerised block randomisation. Participants received a 3-month real-time online educational and support programme across antepartum and postpartum period or usual care only (75 mothers per group). Primary outcomes were exclusive breastfeeding (EBF) rate and breastfeeding self-efficacy (BSE); and secondary outcomes were predominant and partial breastfeeding rate, formula feeding rate, mothers' postnatal depression score, infant's morbidity, and EBF duration at 2 and 6 months postpartum, as well as breastfeeding initiation rate. Then, 72 of 75 mothers (96%) successfully completed the REST programme. They had a significantly higher EBF rate, longer EBF duration, and greater increase in BSE, when compared to the control group at the two posttests (except the EBF rate at 6 months postpartum). Overall, the REST was highly valued by all participants on providing detailed useful information and regular postnatal follow-ups with prompt and practical advice. The REST effectively improved BSE and EBF duration of the primiparous participants over 6 months postpartum and EBF rate at 2 months postpartum. With strong commendations from primiparous mothers, the REST with prenatal and postnatal online breastfeeding support to these mothers can be offered to address breastfeeding and infant-care needs. The findings indicate that the REST conducted from prenatal to 2 months postpartum can be feasible and useful to provide adequate breastfeeding education and support in current maternal care setting under limited staff and resources. Online platforms can be used for future antenatal breastfeeding talks. ClinicalTrials.gov identifier: NCT04741425.

"They painted a rosy view, but I would have preferred to hear the reality"- Australian women's experiences of antenatal breastfeeding education.

Education is an essential component of antenatal care, yet little is known about Australian women's experience of breastfeeding education. This study aimed to explore women's experiences of breastfeeding education accessed during the antenatal period and the impact on breastfeeding preparedness. An online survey collected both qualitative and quantitative data over a one-month period. Quantitative data was analysed for descriptive statistics and open text questions were qualitatively analysed for themes. In total 182 participants accessed the survey and 178 completed. Most participants attended breastfeeding education at a public hospital. Some received education free of charge and others had to pay. Breastfeeding education was absent from some antenatal education classes and where it was included there was a lack of standardised content. The benefits of breastfeeding and the importance of skin-to-skin contact were covered regularly, but instructions on how to breastfeed were limited. Two overarching themes were identified. The first "I didn't feel prepared for breastfeeding" included six sub- themes describing a feeling of being deceived about how easy breastfeeding would be. The second smaller theme "I felt prepared for breastfeeding" reflected more positive experiences. Within this theme were three subthemes including the importance of a skilled educator, learning techniques and the educator's breastfeeding knowledge. Women described feeling unprepared for the reality of breastfeeding and sought realistic and practical breastfeeding education. Coverage of breastfeeding was inconsistent, especially breastfeeding challenges. Future policy guidelines on breastfeeding education must be consistent and include minimum information standards.

The effect of motivational interview-based breastfeeding education on breastfeeding motivation, success, self-efficacy perceptions, and exclusive breastfeeding duration after cesarean section: a randomized controlled trial.

The aim of this study was to investigate the effect of motivational interview-based breastfeeding education on breastfeeding motivation, breastfeeding success, self-efficacy perceptions, and exclusive breastfeeding duration in primiparous mothers after cesarean section. A parallel-group randomized controlled experimental study. Mothers were randomly assigned to an intervention group (IG; n = 39) and a control group (CG; n = 37). IG was provided with four sessions of motivational interview-based breastfeeding education, while CG did not receive any motivational interview-based education. The research data were collected by using 'Introductory Information Form', 'Breastfeeding Self-Efficacy Scale-Short Form', 'LATCH Breastfeeding Assessment Tool', 'The Primipara Breastfeeding Motivation Scale', and 'Importance and Confidence-Sufficiency Rulers'. In addition, in the follow-ups except for the pretest, mothers were asked about exclusive breastfeeding. The study was registered at ClinicalTrials database (NCT05562245). Group × time interactions in mothers, breastfeeding self-efficacy, breastfeeding success, the value ascribed to breastfeeding, breastfeeding self-effectiveness, and confidence sufficiency in breastfeeding ability were statistically significant (P < 0.05). A motivational interviewing-based breastfeeding education provided to mothers increased their breastfeeding self-efficacy, the value ascribed to breastfeeding, and confidence sufficiency in breastfeeding ability. Therefore, motivational interviewing can contribute to mothers' positive experience of breastfeeding.

Exploring exclusive breastfeeding readiness: experiences of first-time mothers in Lusaka, Zambia

ABSTRACT Background The World Health Organization recommends exclusive breastfeeding for the first six months of a baby’s life. While many studies have provided insight into exclusive breastfeeding in Zambia, few have looked at the experiences of first-time mothers and exclusive breastfeeding readiness. Objective To explore exclusive breastfeeding readiness and experiences of first-time mothers in Zambia. Methods A qualitative descriptive study employing a phenomenological design was conducted with 17 mothers. Data was collected using a semi-structured face-to-face interview guide. Thematic analysis was used to analyse the interview transcripts. Results The analysis resulted in an overarching theme: Breastfeeding Readiness—A Multifaceted Approach with four categories: Exclusive Breastfeeding Readiness and Motivation, Support Networks in the Breastfeeding Journey, Navigating the Exclusive Breastfeeding Journey, and Perceived Resources to Support Exclusive Breastfeeding Readiness. Conclusions Based on the findings, it is evident that although first-time mothers have knowledge on exclusive breastfeeding, mentally and practically, they are not ready to do so successfully. The study recommends improved prenatal and postnatal care provided to new mothers, with a focus on mental health readiness, breastfeeding instruction, and skills development.

725 Improving breastfeeding education and clinical competency through implementation of a standardized breastfeeding curriculum

725 Improving breastfeeding education and clinical competency through implementation of a standardized breastfeeding curriculum

A community-based father education intervention on breastfeeding practice in Ethiopia: a quasi-experimental study.

Breastfeeding is the cornerstone of a newborn's nutrition, containing crucial nutritional components. While a substantial body of research focuses on mothers, there is limited understanding regarding effective strategies to engage fathers in promoting breastfeeding practices. Therefore, this quasi-experimental study investigated a community-based intervention to improve breastfeeding exclusivity and initiation rates by targeting fathers in breastfeeding education. This research was conducted in Dessie City in the Amhara region of Northeast Ethiopia from 5th October 2020 to 30th August 2021. Fathers and their wives were assigned individually to the intervention and control groups. Baseline data were gathered from selected Kebeles (Kebele: the lowest administrative level in Ethiopia) to identify couples seeking care through routine maternal and child health services. Fathers in the intervention area received breastfeeding education services at health facilities or home visits during antenatal, delivery, and postpartum periods. Trained midwives participated in giving breastfeeding education. In the control arm, they received routine counseling activities. Factors associated with early initiation and exclusive breastfeeding were analyzed using multivariable analysis among the two groups. The intervention involved 327 participants, 155 in the intervention arm and 172 in the control group. The multivariable analysis indicated that the community-based father health education intervention significantly influenced the early initiation of breastfeeding. Mothers in the intervention group were found to be nearly five times more likely to initiate breastfeeding within the first hour of their infants' lives (AOR: 4.85, 95% CI: 1.36-17.32). A significant positive impact was also found for exclusive breastfeeding (EBF) of infants at the 1st, 4th, and 6th months (AOR: 3.95, 95% CI: 1.09-14.27), (AOR: 5.47, 95%CI: 2.18-13.70), and (AOR: 1.70, 95% CI: 1.02-2.85) respectively. This study confirmed the positive effects of a community-based father education intervention on the rates of exclusive breastfeeding during the first, fourth, and sixth months, as well as the early initiation of breastfeeding. The government and healthcare workers should implement policies supporting father-inclusive breastfeeding initiatives such as creating awareness and the critical role fathers' play.

Exclusive Breastfeeding Education for Pregnant Women to Help Reduce Stunting in Selebung Village, Batukliang District

Stunting is a serious nutritional problem in Indonesia that can hinder children's physical and cognitive development. Based on data on the prevalence of stunting in toddlers collected by WHO, Indonesia is among the third countries with the highest prevalence in the Southeast Asia region. One effective effort to prevent stunting is to provide exclusive breastfeeding to babies from birth in accordance with one of the goals of the SDG's (Sustainable Development Goals) program, namely ending all forms of malnutrition with a strategic plan (renstra) to increase the percentage of babies under 6 months who receive exclusive breastfeeding. This community service activity aims to provide education about Exclusive Breastfeeding for pregnant women as an effort to reduce the incidence of stunting. This community service method uses Participatory Rural Appraisal (PRA) with educational counseling techniques assisted by flip sheet media. The target of this community service activity is pregnant women at the Polindes in Selebung Village, Aik Darek Health Center, Batukliang District, Central Lombok Regency. The results of this community service activity show an increase in pregnant women's understanding of Exclusive Breastfeeding. It is hoped that by increasing the knowledge and awareness of pregnant women, there will be a decrease in stunting rates in Selebung Village, as well as improving the quality of maternal and child health in the area.

Interprofessional undergraduate breastfeeding education: A scoping review protocol.

To review and summarise interprofessional breastfeeding curricula-educational initiatives involving multiple health professions-that have been proposed for undergraduate or pre-registration health students. This review will help guide the development of future Interprofessional Education (IPE) curricula for undergraduate health students, specifically in the area of breastfeeding care. Breastfeeding care and support from healthcare professionals are vital for breastfeeding success. To ensure mothers receive high-quality, consistent care, healthcare professionals must receive comprehensive, evidence-based breastfeeding education. However, there is limited understanding of how breastfeeding curricula are delivered across different disciplines in undergraduate health programs, particularly in the context of IPE. Primary research designs, including quantitative, qualitative and mixed-method studies and evidence syntheses of primary research including systematic and scoping reviews that meet the inclusion criteria will be considered. Position papers and policy documents will also be considered for inclusion in this scoping review. Medline (Ovid), CINAHL (EBSCO), ERIC (EBSCO), Social Sciences, and Cochrane Databases of Systematic Reviews will be searched with English language and date restrictions (2005-current). Titles and abstracts and full-text articles will be independently screened by two reviewers. The reference lists of the included studies will be searched. A grey literature search will be undertaken on Google scholar, BASE and National Institute for Health and Care Excellence (NICE) website in October 2024. Studies will be screened in Covidence by two independent reviewers. All reviewers will agree on the included studies. Data will be extracted and presented graphically using figures and tables. Narrative summary text will accompany the tables and figures.