The Effect of a Multi-Component Breastfeeding Support Program on Breastfeeding Self-Efficacy and Mother-Infant Bonding in Mothers Following Cesarean Section
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Breastfeeding Self-Efficacy Scale Mother-Infant Bonding Scale LATCH Breastfeeding Assessment Scale
研究概览
简要总结
This study tests a breastfeeding support program for mothers who give birth by cesarean section. The purpose of the study is to see whether the program helps mothers feel more confident about breastfeeding and improves mother-baby bonding.
详细描述
Cesarean delivery may negatively affect early breastfeeding initiation, maternal mobility, skin-to-skin contact, and early mother-infant interaction due to postoperative pain, delayed mobilization, and surgical recovery. These factors may reduce maternal confidence in breastfeeding and adversely influence early mother-infant bonding. Therefore, structured and continuous professional breastfeeding support during the early postpartum period is critically important, particularly for mothers who deliver via cesarean section.
Breastfeeding self-efficacy, based on Bandura's Social Cognitive Theory, refers to a mother's belief in her ability to successfully perform and sustain breastfeeding. Higher breastfeeding self-efficacy has been associated with longer breastfeeding duration, more effective coping with breastfeeding difficulties, and stronger mother-infant bonding. In addition, oxytocin released during breastfeeding supports both milk ejection and emotional attachment, reinforcing the psychobiological relationship between effective breastfeeding and bonding processes.
This experimental study is designed as a pretest-posttest control group trial to evaluate the effectiveness of a multi-component breastfeeding support program during the early postpartum period. The study will be conducted at the Obstetrics Service and Lactation Counseling Clinic of Sivas Cumhuriyet University Training and Research Hospital between February 20, 2026 and August 30, 2026.
Intervention Process (Experimental Group)
The intervention consists of two structured phases:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •- Primiparous mothers who have completed pregnancy
- •Mothers who delivered by cesarean section (C/S)
- •Mothers in the early postpartum period
- •Mothers aged 18 years and older
- •Mothers who are exclusively breastfeeding
- •Mothers with healthy and stable infants
- •Mothers with no medical conditions that may interfere with breastfeeding
- •Mothers who can read and understand Turkish and complete the data forms
排除标准
- •Mothers who experienced postpartum complications
- •Infants with severe health problems, congenital anomalies, or requiring intensive care
- •Infants hospitalized in neonatal intensive care unit
- •Mothers with medical or psychiatric conditions that prevent breastfeeding
- •Mothers with multiple pregnancies (twins, triplets, etc.)
- •Mothers who cannot attend follow-up visits during the study
- •Mothers without mobile phones
- •Mothers who received breastfeeding education during pregnancy
研究组 & 干预措施
Intervention Group - Breastfeeding Support Program
Participants will be randomly assigned to two groups. The intervention group will receive a multi-component breastfeeding support program including breastfeeding education, counseling, practical breastfeeding support, follow-up support, motivational messages for 28 days, individualized counseling according to participants' needs, telephone follow-up on day 15, and final evaluation via telephone at the end of the month. Participants will also receive a gift package containing a breastfeeding apron with a QR code providing access to a breastfeeding education video, aiming to increase breastfeeding confidence and promote breastfeeding behavior.
干预措施: Breastfeeding Support Program (Behavioral)
Control Group - Routine Postpartum Care
Control Group - Routine Postpartum Care:
Participants in the control group will receive routine postpartum care provided by the hospital. No additional breastfeeding support intervention will be applied to this group.
结局指标
主要结局
Breastfeeding Self-Efficacy Scale Mother-Infant Bonding Scale LATCH Breastfeeding Assessment Scale
时间窗: Baseline (48 hours postpartum)
Number of Participants Achieving Increased Scores in Breastfeeding Self-Efficacy (14-70, higher = better), LATCH (0-10, higher = better), and Mother-Infant Bonding (19-76, higher = stronger) at 4 Weeks After a Multicomponent Breastfeeding Support Program Following Cesarean Section.
次要结局
- Breastfeeding Self-Efficacy Scale Mother-Infant Bonding Scale LATCH Breastfeeding Assessment Scale(4 weeks postpartum follow-up)
研究者
Shabnam Behnam Makouei
Nursing Master's Student
Cumhuriyet University