The Effects of Education on Breastfeeding and Basic Maternal-neonatal Care and Mobile Messaging on Breastfeeding and Motherhood Experience: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Inonu University
- Enrollment
- 130
- Locations
- 1
- Primary Endpoint
- Breastfeeding Self-Efficacy Scale (BSES)
Study Overview
Brief Summary
Objective: This study aims to investigate the effectiveness of education on breastfeeding and basic maternal-neonatal care and mobile message support given to primiparous women in the postpartum period on breastfeeding and motherhood experiences.
Methods: This prospective randomized controlled study was conducted in a hospital located in a city in Turkiye, with 130 primiparous patients in the postpartum period (65 individuals in the experimental group and 65 individuals in the control group). Participants in the experimental group were provided with education on "Breastfeeding and Basic Maternal-Neonatal Care" at the hospital and mobile messages were sent with the same content as education program for 6 weeks after discharge.
Detailed Description
Design This study was designed as a prospective randomized controlled study to determine the effectiveness of education on breastfeeding and basic maternal-neonatal care applied to primiparous women in the postpartum period and mobile messages on breastfeeding and motherhood experience.
Sample Inclusion criteria for this study were: (1) Primiparous; (2) aged ≥18 years; (3) having a healthy newborn; (4) participants who did not have an obstacle to postpartum breastfeeding and agreed to participate in the study were included in the study by simple random sampling method.
The study sample consisted of women hospitalized in the postpartum service of a hospital located in a province in eastern Turkey. In the postpartum service of the hospital, women who gave birth by vaginal or cesarean section are hospitalized. Early discharge procedures are performed after 24 hours for women who have had a vaginal delivery, and 48 hours for women who have had a cesarean delivery. Breastfeeding education is routinely provided in the hospital's postpartum service; however, the continuity and effectiveness of breastfeeding are not followed, and there is no information on neonatal care such as baby bathing, vaccination time, and training on emergencies that require a doctor's consultation.
Power analysis was performed using a web-based software to calculate the sample size for the research. The sample size was calculated as 65 for each group (65 participants in the experimental group and 65 participants in the control group) with a 5% error level, bidirectional significance level, 95% confidence interval, 80% ability to represent the population (power), and assuming that the Breastfeeding Self-Efficacy score which is 48.2 (standard deviation 7.7) will increase by 4 points.
Measures A questionnaire was created to determine the introductory characteristics of women and newborns and the breastfeeding process of women, and the Breastfeeding Self-Efficacy Scale (BSES), IOWA-Infant Feeding Attitude Scale (IIFAS), and Being a Mother Scale (BaM-13) were used to collect the data.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Crossover
- Primary Purpose
- Supportive Care
- Masking
- Single (Participant)
Masking Description
This study was designed as a randomized controlled trial
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Primiparous;
- •aged ≥18 years;
- •having a healthy newborn;
- •participants who did not have an obstacle to postpartum breastfeeding and agreed to participate in the study
Exclusion Criteria
- •Unable to communicate in Turkish
- •Those with diagnosed psychological health problems will be excluded from the study.
Arms & Interventions
Breastfeeding and Basic Maternal-Neonatal Care and mobile messages group
In the study, education on "Breastfeeding and Basic Maternal-Neonatal Care" was given to the women in the experimental group within the first 24 hours after the birth, and the training topics were sent as a mobile message for 6 weeks after the birth.
Education on "Breastfeeding and Basic Maternal-Neonatal Care" was given in 2 postpartum sessions. In the first session, breastfeeding education was given to women in practice, together with the first postpartum breastfeeding. At the beginning of the second session, breastfeeding training was repeated and then Basic Maternal-Neonatal Care training was given. The first session was given at the first breastfeeding time, and the second session was given between 20-24 hours after birth. Each session lasted approximately 20-25 minutes. In order to solve the problems of the mothers, questions, and answers were made before discharge, and breastfeeding of the mothers was observed.
Intervention: Breastfeeding and Basic Maternal-Neonatal Care and mobile messages (Other)
Routine checks
The researchers applied no initiative to the control group, and the women in the control group solely had the routine checks. The women in the control group filled out all pretest forms(A sociodemographic questionnaire including questions about age, educational level, employment, income level, whether the pregnancy was planned and the gender of the baby, as well as the personal phone numbers of the women, Breastfeeding Self-Efficacy Scale (BSES), IOWA-Infant Feeding Attitude Scale (IIFAS), and Being a Mother Scale (BaM-13) . The BSES, IIFAS, and BaM-13 were re-administered to all participants at postpartum 6 weeks as post-tests. In addition, the method by which the participants continued to feed their babies, their use of bottles or pacifiers, and their nipple problems were recorded in the form created by the researchers. Post-test data were collected by the researchers by contacting the participants by phone.
Outcomes
Primary Outcomes
Breastfeeding Self-Efficacy Scale (BSES)
Time Frame: Change inbreastfeeding self-efficacy levels at 6 weeks
The BSES is a 33-item scale developed by Dennis and Faux in order to evaluate how competent mothers feel about breastfeeding. Later, in 2003, a 14-item short form of the scale was developed. The short form is easier to administer and accurately assesses breastfeeding self-efficacy. The BSES is a 5-point Likert-type scale, with each item rated from 1 (never sure) to 5 (always sure). The minimum score that can be obtained from the scale is 14, and the maximum score is 70. High scores indicate high breastfeeding self-efficacy.
Secondary Outcomes
- IOWA-Infant Feeding Attitude Scale (IIFAS)(Change in attitudes towards breastfeeding at 6 weeks)
- Being a Mother Scale (BaM-13)(Change in satisfaction with the "motherhood" experience levels at 6 weeks)
Investigators
Esra SABANCI BARANSEL
Assistant professor
Inonu University