Effect of Education on Breast Feeding on Primiparous Women

Study Overview
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Brief Summary
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Exclusive breastfeeding is very important for an infant's growth and development. Self-efficacy is a modifiable psychological variable in sustained breastfeeding that is defined as a mother's confidence in her perceived ability about successful exclusive breastfeeding. Self- efficacy beliefs function as an important set of human motivation , affect , and action which operate on action, through motivation, cognitive and affective interventing process. teaching strategies ,based on Bandura,s self-efficacy theory and adult learning principles were incorporated in this research design. In regards with the importance of education in increasing breastfeeding self-efficacy and exclusive breastfeeding, the current study was conducted in order to compare of the effectiveness of two educational methods, i.e., Hands on and Hands off on breastfeeding self-efficacy in primiparous mothers. In the present clinical trial, 136 nursing mother were randomly assigned to one of the three groups. Participants in the experimental groups received one of the structured one-on-one educational sessions (i.e., hands off or hands on) within the first two hours of giving birth. Mothers in control group received usual postpartum care. Follow-up assessments were conducted one, four, and eight weeks after the birth. Data collection was done through interview forms, examination and observation, checklist of breastfeeding status, breastfeeding self-efficacy and daily-feeding form.

Conditions
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Breastfeeding

Intervention / Treatment
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* Behavioral: hands on
* Behavioral: hands off
* Behavioral: routin breast feeding education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: vaginal normal delivery normal neonate lack of maternal- neonatal lactation problems contact number satisfying in participation in study Exclusion criteria would not like to continue used tranquilizers or experienced stressful events

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Hands on<br>breast feeding instructed by direct help of instructor | Behavioral: hands on<br>* in hands on group it was instructed by direct help of instructor, mothers could ask questions and if necessary it was done again by researcher.<br>|
| Experimental: hands off<br> | Behavioral: hands off<br>* In hands off group, was instructed by pictures, if mothers had questions, they could watch the pictures again<br>|
| Other: Control<br>Routin breast feeding education | Behavioral: routin breast feeding education<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Breast feeding self-efficacy |  | up to 2 month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Primiparous Mothers, self-efficacy,, hands off,, hands on ,, social cognitive theory