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Year : 2020  |  Volume : 11  |  Issue : 1  |  Page : 63

Enhancing breastfeeding – Home-based education on self-efficacy: A preventive strategy

1 Medical School, Traditional and Complementary Medicine Center (TCMRC), Arak University of Medical Sciences, Arak, Iran
2 Nursing Midwifery School, Arak University of Medical Sciences, Arak, Iran

Correspondence Address:
Katayon Vakilian
Department of Midwifery, Medical School, Peaymbare-Azam Campus, Sardasht, Arak, Markazi
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijpvm.IJPVM_494_17

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Background: The aim of this study is to evaluate the effects of home-based education intervention on the exclusivity and promoting the rates of self-efficacy of breastfeeding. Materials and Methods: A randomized controlled trial was conducted Arak University of Medical Sciences in Takeghani Hospital in Iran between June 2015 and October 2015. A total of 130 eligible and voluntary women hospitalized in Arak University of Medical Sciences Hospital postpartum wards were randomized to receive usual care (n = 65) or education with CD and pamphlets (n = 65). Data regarding exclusive breastfeeding were collected using Denis and Fox's breastfeeding self-efficacy questionnaire. The primary outcome was collected by one assistant researcher during first postpartum visit. The secondary outcome was collected 4 weeks after birth of babies by telephone interviews. Data analysis was performed using descriptive (frequency, mean), independent samples t-test, Student's t-test, t[2]-test, and Chi-square test. All values of P < 0.05 were considered statistically significant. Results: There was no significant differences between the intervention and control groups with regard to age (P = 0.086) and gestational age (P = 0.741). The breastfeeding self-efficacy scores were higher in the intervention group (63.66 ± 6.11) than in the control group (57.04 ± 6.18) after 1 month of childbirth (P = 0.001). The exclusive breastfeeding rate in intervention group was 89.2 (n = 58) at 1st month after education compared with 55.4% (n = 36) in control group (P = 0.001). Conclusions: In a setting, a high breastfeeding rate and self-efficacy scores were found in education group. Therefore, nurses and midwives are thus required to adopt various health education strategies, such as home education, encourage breastfeeding.

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