The Effect of a Breastfeeding Promotion Program on Breastfeeding Knowledge and Exclusive Breastfeeding for 6 Months in Working Mothers
Article Sidebar
Main Article Content
Abstract
This quasi-experimental research with a posttest only control group design aimed to examine the effect of a breastfeeding promotion program on breastfeeding knowledge and exclusive breastfeeding for 6 months in working mothers. The sample group consisted of 52 participants, randomly divided into two groups of 26 people each. The control group received standard nursing care, while the experimental group received standard nursing care combined the breastfeeding promotion program. Research instruments included demographic characteristics and information of pregnancy and childbirth, the Breastfeeding Knowledge Questionnaire (reliability at .64) and the infant feeding interview form. Data were analyzed by descriptive statistics, Chi-square test, Fisher’s exact test, independent t-test and Mann-Whitney U test.
The results revealed that the mean score of breastfeeding knowledge in the experimental group was significantly higher than those in the control group (Z = -3.034, p-value < .05) Exclusive breastfeeding rate for 6 months in the experimental group was higher than the control group (73.10% and 26.90%, respectively). Therefore, the breastfeeding promotion program can enhance the working mothers increase their breastfeeding knowledge, access to reliable information sources and determine to exclusive breastfeeding until 6 months. Nurses should continuously follow up the postpartum mothers after returning home and returning to work.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
McCardel RE, Padilla HM. Assessing workplace breastfeeding support among working mothers in the United States. Workplace Health and Safety 2020;68(4):182-9. doi: 10.1177/2165079919890358.
World Health Organization. Breastfeeding [Internet]. 2022 [cited 2022 Aug 25]. Available from: https://www.who.int/health-topics/breastfeeding#tab=tab_1
National Statistical Office. Multiple Indicator Cluster Survey 2015-2016 [Internet]. 2016 [cited 2022 Aug 25]. Available from: https://www.nso.go.th/nsoweb/storage/ebook/2023/20230509194610_48193.pdf (in Thai)
Rattasumpun S, Keawma B. Factors predicting successfulness in exclusive breastfeeding among working mothers. Songklanagarind Journal of Nursing 2018;38(4):14-24. (in Thai)
Labor Protection Act (No. 7) B.E. 2562. Government gazette No. 136, Part 43 K (5 Apr B.E. 2562). (in Thai)
Department of Labour Protection and Welfare. Manual for setting up a breastfeeding corner in a business establishment [Internet]. 2022 [cited 2022 Aug 25]. Available from: https://welfare.labour.go.th/index.php/2022-08-03-09-33-49/31-2022-08-04-03-34-17 (in Thai)
McLeroy KR, Bibeau D, Steckler A, Glanz K. An ecological perspective on health promotion programs. Health Education Quarterly 1988;15(4):351-77. doi: 10.1177/109019818801500401.
Waits A, Guo CY, Chien LY. Evaluation of factors contributing to the decline in exclusive breastfeeding at 6 months postpartum: the 2011-2016 national surveys in Taiwan. Birth 2017;45(2):184-92. doi: 10.1111/birt.12340.
Sirisome J, Chiangkhong A, Sukchaisong N, Kwanboonchan U. The experiences of exclusive breastfeeding over six months. Thai Red Cross Nursing Journal 2024;17(1):49-64. (in Thai)
Tangsuksan P, Ratinthorn A, Sindhu S, Spatz DL, Viwatwongkasem C. Factors influencing exclusive breastfeeding among urban employed mothers: a case-control study. Pacific Rim International Journal of Nursing Research 2020;24(1):54-72.
Tamdee P. When mothers return to work: the dilemma for working mothers in breastfeeding. Journal of Social Development and Management Strategy 2019;21(1):77-93. (in Thai)
Ahmad RS, Sulaiman Z, Hussain NHN, Noor NM. Working mothers’ breastfeeding experience: a phenomenology qualitative approach. BioMed Central Pregnancy and Childbirth 2022;22:85. doi: 10.1186/s12884-021-04304-4.
Phunpom C, Phahuwatanakorn W, Limruangrong P. Factors influencing a 6 - month exclusive breastfeeding period in working mothers. Nursing Science Journal of Thailand 2020;38(1):47-59. (in Thai)
Kebede T, Woldemichael K, Jarso H, Bekele BB. Exclusive breastfeeding cessation and associated factors among employed mothers in Dukem town, central Ethiopia. International Breastfeeding Journal 2020;15:6. doi: 10.1186/s13006-019-0250-9.
Abdulahi M, Fretheim A, Magnus JH. Effect of breastfeeding education and support intervention (BFESI) versus routine care on timely initiation and exclusive breastfeeding in Southwest Ethiopia: study protocol for a cluster randomized controlled trial. BioMed Central Pediatrics 2018;18(1):313. doi: 10.1186/s12887-018-1278-5.
Glass GV. Primary, secondary, and meta-analysis of research. Educational Researcher 1976;5(10):3-8. doi: 10.2307/1174772.
Huang MZ, Kuo SC, Avery MD, Chen W, Lin KC, Gau ML. Evaluating effects of a prenatal web-based breastfeeding education programme in Taiwan. Journal of Clinical Nursing 2007;16(8):1571-9. doi: 10.1111/j.1365-2702.2006.01843.x.
Wongphinit U, Sinsuksai N, Yusamran C. Personal factors, social support and effective suckling at discharge in predicting exclusive breastfeeding at one month among first-time mothers. Journal of The Royal Thai Army Nurses 2016;17(1):88-95. (in Thai)
Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? Critique and recommendations. Research in Nursing and Health 2006;29(5):489-97. doi: 10.1002/nur.20147.
Chitjumnong F, Muangpin S, Rujiraprasert N. The characteristics of full-time formal working mothers succeeding in six months exclusive breast feeding. Journal of Health Science Boromarajonani College of Nursing Sunpasitthiprasong 2021;5(1):68-80. (in Thai)
Dukuzumuremyi JPC, Acheampong K, Abesig J, Luo J. Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review. International Breastfeeding Journal 2020;15:70. doi: 10.1186/s13006-020-00313-9.
Prasertwit P. The effects of formal education program for breastfeeding on knowledge, perceived self-efficacy and health behavior on breastfeeding of postpartum mothers at Postpartum ward, Udonthani Hospital. Udonthani Hospital Medical Journal 2018;26(3):185-98. (in Thai)
Pengpit N, Mungkhamanee S, Pataipakaipet K. Effects of breastfeeding promotion program on knowledge, attitude, and skills related to breastfeeding of postpartum mothers in breastfeeding Clinic, Phahon Phon Phayuhasena hospital, Kanchanaburi province. Journal of Prachomklao College of Nursing, Phetchaburi Province 2022;5(1):58-69. (in Thai)
Tubtong K, Viriyasirisakul P. The effects of the breastfeeding promoting program for working postpartum mothers on intention and behavior to exclusive breastfeeding at Kratumban hospital. Journal of Nursing Division 2021;48(2):15-29. (in Thai)
Wongphinit U. Nurse’s role in promoting exclusive breastfeeding at hospital discharge. The Thai Red Cross College of Nursing 2015;8(1):24-33. (in Thai)
Pasuwan D. Success of exclusive breastfeeding for at least the first 6 months: a case study of Nakhon Pathom province. Kuakarun Journal of Nursing 2020;27(1):71-84. (in Thai)
Rujirapong S, Sirisatayawong P. Effect of self - efficacy monitoring and promoting program through facebook on success in 12 weeks exclusive breastfeeding among working mothers. Journal of Nursing, Public Health, and Education 2019;20(2):69-81. (in Thai)