Effects of breastfeeding promotion program on efficiency of breastfeeding and rate of exclusive breastfeeding for 6 months in primiparous mothers
Keywords:
breastfeeding promotion program, effective breastfeeding, exclusive breastfeeding for 6 monthsAbstract
Abstract
This quasi-experimental study was aimed to evaluate the effects of the breastfeeding promotion program on the efficiency of breastfeeding and the rate of exclusive breastfeeding for 6 months in primiparous mothers between March 2018 to February 2019. Randomized the postpartum primiparous mothers to intervention group (n=84) or control group (n=84). The control group received standard cares, which were a providing group education, watching breastfeeding VDO, and breastfeeding practices demonstrated by nurse. The experimental group received the standard cares and breastfeeding promotion program, comprised of providing breastfeeding knowledge through the teaching media on the iPad, and the manual breastfeeding documentation, along with practice breastfeeding skills with one-on-one coaching. The research instrument was the breastfeeding promotion program. Data were collected by general information questionnaire, effective breastfeeding record form, and breastfeeding record form. Collecting knowledge with breastfeeding knowledge test, which was difficulty index and discrimination index equal to 0.86 and 0.20 respectively, and collected breastfeeding satisfaction by questionnaire, which was Cronbach’s Alpha Coefficient of confidence equal to 0.93. Data were analyzed by descriptive statistics and hypothesis was tested with inferential statistics. The results found that experimental group had the average breastfeeding efficiency score on the first, second and third day after birth increased respectively (p<0.05), although the average score on the third day after birth between both groups were insignificantly (p>0.05). The average breastfeeding knowledge score was at high level of 98.75%, which was significantly higher than standard (80%) and control group (p<0.05). The satisfaction score with the program was at the highest level of 91.25%, which was significantly higher than standard (80%) and control group (p<0.05), and the exclusive breastfeeding rate in the 6 months of the intervention group was 35%, which was significantly higher than the control group (p<0.05). Therefore, the breastfeeding promotion program should be implemented to use for caring the mother after the first birth.
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