The effects of a breastfeeding promotion program in antenatal clinics on knowledge, attitudes, and nipple problem-solving skills among primigravida women
Keywords:
antenatal care, breastfeeding promotion program, primigravida, short nipplesAbstract
This quasi-experimental study, using a one-group pretest-posttest design, aimed to examine the effects of a breastfeeding promotion program in antenatal clinics on knowledge, attitudes, and nipple problem-solving skills among primigravida women. The sample consisted of 30 primigravida women. The research instruments included the breastfeeding promotion program in the antenatal clinic. Data collection tools comprised: 1) a breastfeeding knowledge questionnaire, 2) an exclusive breastfeeding attitude questionnaire, and 3) a breastfeeding problem-solving skill questionnaire. The content validity index (CVI) of these tools were 0.90, 0.95, and 0.90, respectively, while the reliability coefficients (Cronbach's alpha) were 0.82, 0.83, and 0.81, respectively. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test.
The study findings revealed that after receiving the breastfeeding promotion program in antenatal clinics, the mean knowledge on breastfeeding score was significantly higher than before receiving the program (z=2.436, p=.015), the mean exclusive breastfeeding attitude score was significantly higher than before receiving the program (z=2.761, p=.006), and the nipple problem solving skill score was significantly higher than before receiving the program (z=4.808, p<.001).
Therefore, midwives working in antenatal clinics should integrate the breastfeeding promotion program in antenatal clinics into their practice in caring for pregnant women to enhance knowledge, foster positive attitudes, and improve problem solving skills related to the nipples and areolas, to promote breastfeeding effectively.
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