The Effect of Hypno-Lactation Counseling on Breastfeeding Self-Efficacy and Breastfeeding Success in Adolescent Pregnant Women

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Brief Summary: This study aimed to investigate the effects of counseling based on hypno-breastfeeding philosophy on breastfeeding self-efficacy and breastfeeding success in pregnant adolescents.

Research Hypotheses H1a: The intervention group\'s breastfeeding self-efficacy after hypno-breastfeeding counseling is different from the control group.

H1b: The intervention group\'s breastfeeding success after hypno-breastfeeding counseling is different from the control group.

This thesis is a randomized controlled experimental study. The study is planned to be conducted with two parallel groups, namely the intervention and control groups. Hypno-breastfeeding training will be applied to the intervention group, and standard breastfeeding training will be applied to the control group. The study will be conducted with pregnant adolescents who applied to the pregnancy clinic of Adıyaman University Training and Research Hospital between December 2024 and April 2025.

Detailed Description: This study aimed to investigate the effects of counseling based on hypno-breastfeeding philosophy on breastfeeding self-efficacy and breastfeeding success in pregnant adolescents.

Place, type and time of the study This thesis study is a randomized controlled experimental study. The study is planned to be conducted with two parallel groups, the intervention and control groups. Hypno-breastfeeding training will be applied to the intervention group, and standard breastfeeding training will be applied to the control group. The study will be conducted with pregnant adolescents who applied to the pregnancy clinic of Adıyaman University Education and Research Hospital between December 2024 and April 2025.The Universe and Sample of the Study: The universe of the study consists of pregnant adolescents registered at the 400-bed Adıyaman University Training and Research Hospital.

Data Collection Tools Data will be collected using the Personal Information Form (Appendix 1), Breastfeeding Self-Efficacy Scale-Short Form (Appendix 2) and Breastfeeding Diagnostic Scale (LATCH) (Appendix 3) prepared by the researchers in line with the literature.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Women who have been diagnosed with a psychiatric disorder,
Complications in the mother and baby (chronic disease in the mother that prevents breastfeeding; diabetes, hypertension, etc. fetal anomalies in the fetus, postpartum discomfort that will prevent breastfeeding),
Women who develop a health problem during pregnancy during the training process,
Women who want to withdraw from the study voluntarily
Women who have any disability (hearing impairment, etc.) will be excluded from the study.

Primary Outcome Measures

Name	Time	Method
Breastfeeding Self-Efficacy	Baseline, 4 week, and after the labour	The first form of the scale developed by Dennis and Faux was designed with 33 items, but after a second study, Dennis revised the scale and created a short form of 14 items (5). The Turkish validity and reliability study of the scale was conducted by Aluş Tokat and colleagues (6). The scale can be applied in the prenatal and postnatal periods and measures how adequate women feel about breastfeeding. The items of the five-point Likert-type scale are scored as not at all sure (1), not very sure (2), sometimes sure (3), sure (4), very sure (5). The lowest score that can be obtained from the entire evaluation scores of the scale is 14 and the highest score is 70. A low total score obtained from the scale indicates that the perception of breastfeeding self-efficacy is low.

Secondary Outcome Measures

Name	Time	Method
Breastfeeding Success	Baseline, 4 week, and after the labour	The LATCH breastfeeding diagnosis and assessment scale is a diagnostic method used to assess breastfeeding success, first created in 1986 by resembling the APGAR scoring system in terms of scoring method . The average application time varies between 7-10 minutes. This measurement tool was developed to objectively diagnose breastfeeding, identify breastfeeding problems, create a common language among healthcare professionals and to be used in research (to determine breastfeeding success in longitudinal studies) . It consists of five evaluation criteria, and the abbreviation of the first letters of the English equivalents of these criteria constitutes the name of the scale. Each item is evaluated between 0-2 points. The highest total score that can be obtained is 10, and a high score means a high breastfeeding success.