Effect of Teach-Back Breastfeeding Education on Breastfeeding Success, Breastfeeding Self-Efficacy, and Mother-Infant Bonding in Primiparous Postpartum Women: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 102
- Locations
- 1
- Primary Endpoint
- Breastfeeding Success
Study Overview
Brief Summary
This study evaluated whether breastfeeding education delivered using the teach-back method improves breastfeeding outcomes and mother-infant bonding among primiparous postpartum women. Early postpartum breastfeeding education is routinely provided in many hospitals; however, women may have difficulty remembering or applying the information after birth. Teach-back is a communication method where the patient is asked to explain the information back in their own words, allowing the educator to check understanding and clarify misconceptions.
In this randomized controlled trial, postpartum women who gave birth in a private hospital were assigned either to a teach-back breastfeeding education group or to a control group receiving standard breastfeeding education. Breastfeeding success, breastfeeding self-efficacy, and mother-infant bonding were assessed using validated measurement tools at postpartum 6 hours and again at postpartum 24 hours.
The findings of this study aim to support evidence-based postpartum breastfeeding education practices and improve early breastfeeding outcomes.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Women who gave birth at the study hospital during the study period
- •Primiparous postpartum women
- •Live birth
- •Volunteered to participate and provided informed consent
Exclusion Criteria
- •Multiparous women
- •Neonatal or perinatal loss
- •Mothers who refused breastfeeding
- •Inability to communicate in Turkish
- •Hearing impairment or mental health conditions limiting participation
Arms & Interventions
Teach-Back Breastfeeding Education
Participants received standard postpartum breastfeeding education plus an additional teach-back session delivered one time at postpartum 3-4 hours. The session lasted approximately 30 minutes in total, including education and participant feedback. Content included key elements of effective breastfeeding (latch, audible swallowing, nipple type, breast/nipple comfort, and positioning/hold) and signs of successful breastfeeding.
Intervention: Teach-Back Breastfeeding Education (Behavioral)
Control: Standard Breastfeeding Education
Participants received standard postpartum breastfeeding education routinely provided by the hospital (lactation nurse-led), without a teach-back component.
Outcomes
Primary Outcomes
Breastfeeding Success
Time Frame: At postpartum 6 hours and postpartum 24 hours
Breastfeeding success assessed using the LATCH Breastfeeding Assessment Tool.
Secondary Outcomes
- Breastfeeding Self-Efficacy(At postpartum 6 hours and postpartum 24 hours)
- Mother-Infant Bonding(At postpartum 6 hours and postpartum 24 hours)
Investigators
Nilgun Avci
phD
Biruni University