Effects of A Mother–Infant Bonding Promotion Program on Mother–Infant Bonding, Knowledge, and Breastfeeding Skills Among Normal Delivery Mothers at Thung Song Hospital, Nakhon Si Thammarat Province
Keywords:
Mother–infant bonding promotion program, Mother–infant bonding, Breastfeeding, Normal delivery mothersAbstract
Background: Exclusive breastfeeding during the first six months remains below standard rates despite continuous promotional policies, particularly in the early postpartum period which is crucial for breastfeeding success.
Objective: To examine the effects of a mother–infant bonding promotion program on mother–infant bonding, knowledge, and skills in breastfeeding among mothers with normal delivery.
Materials and Methods: This quasi-experimental research was conducted with 60 mothers following normal delivery, divided into experimental and comparison groups of 30 each. The experimental group received the mother–infant bonding promotion program, while the comparison group received standard care. Data were collected before and after the intervention using mother–infant bonding assessment forms, breastfeeding knowledge assessment forms, and breastfeeding skills assessment forms. Data were analyzed using paired t-test and independent samples t-test.
Results: After receiving the program, the experimental group had significantly higher mean scores for mother–infant bonding (19.97 ± 0.183), breastfeeding knowledge (7.37 ± 2.266), and breastfeeding skills (9.00 ± 1.438) compared to before the intervention (18.13 ± 1.795, 6.10 ± 0.662, and 6.10 ± 2.006, respectively) (p < .05). Additionally, post-intervention comparisons revealed that the experimental group had significantly higher mean scores for mother–infant bonding (19.80 ± 0.407), breastfeeding knowledge (9.63 ± 1.159), and breastfeeding skills (9.63 ± 0.490) than the comparison group (19.33 ± 0.802, 6.67 ± 0.994, and 7.90 ± 1.373, respectively) (p < .05).
Conclusion: The mother–infant bonding promotion program effectively enhances mother–infant bonding, breastfeeding knowledge, and breastfeeding skills. It should be implemented as a nursing practice in healthcare systems.
References
World Health Organization, United Nations Children’s Fund. Exclusive breastfeeding for optimal growth, development and health of infants. Geneva: World Health Organization; 2020.
World Health Organization, United Nations Children’s Fund. Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised Baby-friendly Hospital Initiative. Geneva: World Health Organization; 2018.
World Health Organization, United Nations Children’s Fund. Global breastfeeding scorecard 2023: rates of breastfeeding increase around the world through improved protection and support. Geneva: World Health Organization; 2023.
Bureau of Health Promotion, Department of Health, Ministry of Public Health. Ten steps to successful breastfeeding. Bangkok: Department of Health; 2020. Available from: https://nutrition.anamai.moph.go.th
Department of Health, Ministry of Public Health. Strategic plan for maternal and child health development 2017–2021. Bangkok: Department of Health; 2017. Available from: https://planning.anamai.moph.go.th
National Statistical Office, United Nations Children’s Fund. Thailand Multiple Indicator Cluster Survey 2022. Bangkok: United Nations Children’s Fund; 2022. Available from: https://mics.unicef.org/surveys
Department of Health, Ministry of Public Health. Thailand Multiple Indicator Cluster Survey 2022 (Thailand MICS 2022). Bangkok: Department of Health; 2022. Available from: https://hp.anamai.moph.go.th
Moore ER, Brimdyr K, Blair A, Jonas W, Lilliesköld S, Svensson K, et al. Immediate or early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev. 2025;(10):CD003519.
Kuesakul K, Sinsuksai N, Phahuwatanakorn W, Titapant V. Effects of early maternal-neonate skin-to-skin contact after birth on effective suckling and exclusive breastfeeding for one month. Nurs Sci J Thail. 2019;37(4):66–78.
Bootsri W, Taneepanichskul S. Effectiveness of experiential learning with empowerment strategies and social support from grandmothers on breastfeeding among Thai adolescent mothers. Int Breastfeed J. 2017;12:37.
Fan YW, Fan HSL, Shing JSY, Ip HL, Fong DYT, Lok KYW. Impact of baby-friendly hospital initiatives on breastfeeding outcomes: a systematic review and meta-analysis. Women Birth. 2025;38(2):101881.
Topothai C, Topothai T, Suphanchaimat R, Patcharanarumol W, Putthasri W, Hangchaowanich Y, et al. Breastfeeding practices and associations with maternal characteristics in Bangkok. Int J Environ Res Public Health. 2021;18(15):7889.
Topothai C, Topothai T, Suphanchaimat R, Waleewong O, Putthasri W, Patcharanarumol W, et al. Exclusive breastfeeding experiences of Thai mothers in metropolitan Bangkok. Int J Womens Health. 2022;14:213–223.
World Health Organization. Baby-friendly hospital initiative: revised, updated and expanded for integrated care. Geneva: World Health Organization; 2009.
Albert Bandura. Social foundations of thought and action: a social cognitive theory. Englewood Cliffs (NJ): Prentice-Hall; 1986.
Stanley Lemeshow, Hosmer DW Jr, Klar J, Lwanga SK. Adequacy of sample size in health studies. Geneva: World Health Organization; 1990.
Baimontha L, Nirattharadorn M. Effects of a breastfeeding promotion program on breastfeeding ability and milk flow among cesarean section mothers. Nurs J (Chiang Mai). 2014;41(4):65-75
James S. House. Work stress and social support. Reading (MA): Addison-Wesley; 1981.
Singmuang W. Knowledge and breastfeeding skills among primiparous postpartum women attending a parenting school at Health Promotion Center Region 5, Ratchaburi. Ratchaburi: Health Promotion Center Region 5; 2023.
Awatchanawong R, Boonyaporn T. Effects of a family involvement breastfeeding promotion program on family perceptions and postpartum mothers’ perceived support. J Fac Nurs Burapha Univ. 2020;28(4):38–48.
Pengpit N, et al. Effects of a breastfeeding promotion program on knowledge, attitudes, and breastfeeding behaviors among postpartum mothers [Internet]. 2022 [cited 2025 Mar 22]. Available from: https://www.trathospital.go.th/KM/TempDoc/ temp_89.pdf
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสาร ไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในมหาราชนครศรีธรรมราชเวชสาร ถือเป็นลิขสิทธิ์ของมหาราชนครศรีธรรมราชเวชสาร หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากวารสารมหาราชนครศรีธรรมราชเวชสาร ก่อนเท่านั้น