Nursing Education Intervention for Maternal Breastfeeding

Study Overview
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Brief Summary
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An antenatal education intervention in primiparous women improves breastfeeding duration and reduces post-natal complications.

Detailed Description
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A randomized controlled clinical trial of an educational intervention was undertaken at a public hospital. the investigators compared a health education based on techniques to prevent complications and increase information about the benefits of breastfeeding with the usual practice. A group of nurses delivered the educational intervention. The trial involved randomization of 314 primiparous women. The analysis was by 'intention-to-treat'.

Official Title
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Effectiveness of a Nursing Education Intervention on Duration of Breastfeeding and on Post-natal Breast Complications in Primiparous Women: a Randomized Controlled Trial

Conditions
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Breast Feeding, Postpartum Breast Disorders

Intervention / Treatment
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* Other: Preventive education


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: primiparous women, no contraindications to breastfeeding, no skin disorders, no breast surgery, voluntary provision of data to enable their later localization. Exclusion Criteria: women who planned to deliver their babies in other hospitals, twin pregnancy
Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Conventional<br>All expectant mothers received the usual information about the advantages of maternal milk during pre-natal period. Nurses provided the information in personalized dialogue with the women during obstetric consultations. | |
| Experimental: Preventive education<br>It was provided by the nurses during obstetric consultation in pre-natal period and averaged 30 minutes in duration. The intervention group received education to facilitate successful breastfeeding and symptom management as nipple pain. This was supported by strategies designed to (1) prevent problems associated with breastfeeding (nipple lesions, cracks and mastitis), (2) perform breast-care procedures, (3) strengthen information about the advantages of maternal breastfeeding (nutritional support, importance as food for the baby, availability, post-partum recovery) and (4) provide asepsis and hygiene measures. The nurses encouraged participation and gave the education in personalized dialogue with the woman. The information was reinforced with an illustrated explanatory leaflet. | Other: Preventive education<br>* The intervention group received education to facilitate successful breastfeeding and symptom management as nipple pain. This was supported by strategies designed to (1) prevent problems associated with breastfeeding (nipple lesions, cracks and mastitis), (2) perform breast-care procedures, (3) strengthen information about the advantages of maternal breastfeeding (nutritional support, importance as food for the baby, availability, post-partum recovery) and (4) provide asepsis and hygiene measures.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Breastfeeding duration |  | At 6 months postpartum | 
| Breastfeeding duration |  | At 1 month postpartum | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Knowledge about breastfeeding and care of the breasts, |  | Inmediate postpartum period. | 
| Incidence of mothers with post-natal breast complications, such as cracks, breast lesions or mastitis |  | At 1 month postpartum | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Breastfeeding, Nursing, Patient Education as Topic, Health Knowledge, Attitudes, Practice, Hispanic Americans.