Intention of Breastfeeding among Mothers with Cesarean Section: The Effects of a Nursing Program Based on the Planned Behavior Theory
Keywords:
Cesarean Section Mothers, Intention of Breastfeeding, Theory of Planned BehaviorAbstract
The purpose of this quasi-experimental research was to study the effects of nursing program applying the theory of planned behavior on intention of breastfeeding among mothers with cesarean section during postpartum period in a general public hospital in Southern Thailand. Fifty pregnant women who attended the antenatal clinic, and subsequently gave birth, were recruited, and received care at the postpartum unit. They were allocated to an experimental group (n = 25) and a control group (n = 25). The study instruments were divided in 3 parts: 1) the nursing program based on the planned behavior theory (experimental tool), 2) questionnaires on breastfeeding attitude of cesarean section mothers, and on breastfeeding attitude of subjective norm (monitoring research instruments), and 3) the breastfeeding intention questionnaire as well as a form for personal data (data-collecting instrument). Data were analyzed by using independent t-test and dependent t-test.
The results were summarized as follows: 1) Participants in the experimental group had significantly higher mean score of breastfeeding intention after intervention (M=52.16, SD=3.51) than before (M=42.24, SD=4.64) (t=3.50, p<.01), and 2) Participants in the experimental group had significantly higher mean score on breastfeeding intention after intervention (M=52.16, SD=3.51) than of those in the control group (M=49.64, SD=4.72) (t=2.14, p<.05).
Research also showed how family involvement could help mothers to improve their breastfeeding intention after cesarean section. Therefore, this program can be used to guide a further nursing care plan to promote successful breastfeeding among cesarean section mothers since the antepartum, initiation after cesarean section, and further exclusive breastfeeding of the six months postpartum period.
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