Effects of primi-gravida Training Program Regarding Exclusive Breastfeeding in Faisalabad

Main Article Content

Ms. Komal Zareen Anjum
Mr. Muhammad Afzal
Ms. Madiha Mukhtar

Keywords

Primi-gravida, exclusive breastfeeding, intention, self efficacy, barriers

Abstract

Background: Breastfeeding provides numerous benefits to both infants and mothers. World Health Organization recommends exclusive breastfeeding for 6 months and supplementary feeding for 2 years of baby’s life. Various factors influence breastfeeding practices, causing a decrease in breastfeeding rates. Pregnancy period offers an opportunity to address some modifiable factors with exclusive breastfeeding training to have increased breastfeeding outcomes in postnatal period.


Objective: To determine the effects of primi-gravida training program regarding exclusive breastfeeding in Faisalabad.


Methodology:  In this two group quasi experimental study design, 66 primi-gravida attending outpatient department of Allied Hospital Faisalabad were assigned the interventional (n=33) and control (n=33) groups. Exclusive breastfeeding questionnaire was used to assess the breastfeeding intention, breastfeeding self-efficacy (BFSE) and breastfeeding barriers during third trimester. After pretest, interventional group was given 60 minutes breastfeeding training. Participants were remained in contact through a WatsApp group with the researcher.


Results: One participant from interventional group and two from control group left the study. Paired sample t-test was used to compute the results. Exclusive breastfeeding practice (1.36±.364; 0.73±.315) and BFSE (18.94±3.350; 9.45±3.150) were significantly higher in interventional group than in control group. Although, women in intervention group reported a great decrease in breastfeeding barriers (1.72±1.14; 6.48±1.94) than in control group. The results were statistically significant p-value <0.05.


Conclusion: The current study suggests that the antenatal breastfeeding training in primi-gravida is very important and effective in increasing exclusive breastfeeding practice. In addition, it also helps to combat breastfeeding barriers. Moreover, further researches are needed on antenatal breastfeeding training concentrating on health systems, particularly maternity care.

Abstract 53 | pdf Downloads 18

References

Afzal, A., Farah, N., Farah, N. J. A. o. S. S., & Perspective. (2022). Socio-cultural Factors and Barriers to Early Initiation of Breastfeeding: A Qualitative Study. 3(2), 349-357. DOI: https://doi.org/10.52700/assap.v3i2.139
Cf, O. J. U. N. N. Y., NY, USA. (2015). Transforming our world: the 2030 Agenda for Sustainable Development.
Chipojola, R., Chiu, H.-Y., Huda, M. H., Lin, Y.-M., & Kuo, S.-Y. J. I. J. o. N. S. (2020). Effectiveness of theory-based educational interventions on breastfeeding self-efficacy and exclusive breastfeeding: A systematic review and meta-analysis. 109, 103675. https://doi.org/10.1016/j.ijnurstu.2020.103675
Crossland, N., Thomson, G., & Moran, V. H. J. M. (2020). Impact of parenting resources on breastfeeding, parenting confidence and relationships. 81, 102591. https://doi.org/10.1016/j.midw.2019.102591
Dukuzumuremyi, J. P. C., Acheampong, K., Abesig, J., & Luo, J. J. I. b. j. (2020). Knowledge, attitude, and practice of exclusive breastfeeding among mothers in East Africa: a systematic review. 15, 1-17. https://doi.org/10.1186/s13006-020-00313-9
Elana et al. (2018). Breastfeeding vs. formula feeding. https://kidshealth.org/en/parents/breast-bottle-feeding.html
Fallon, V., Komninou, S., Bennett, K. M., Halford, J. C., Harrold, J. A. J. M., & Nutrition, C. (2017). The emotional and practical experiences of formula‐feeding mothers. 13(4), e12392. doi.org/10.1111/mcn.12392
Iliadou, M., Lykeridou, K., Prezerakos, P., Swift, E. M., & Tziaferi, S. G. J. M. s.-m. (2018). Measuring the effectiveness of a midwife-led education programme in terms of breastfeeding knowledge and self-efficacy, attitudes towards breastfeeding, and perceived barriers of breastfeeding among pregnant women. 30(4), 240. doi: 10.5455/msm.2018.30.240-245
Jamil, M., Khanum, A., Omer, M. T., & Hamid, M. H. J. P. S. (2018). Knowledge, attitude and breastfeeding practices of mothers of infants: an experience from a tertiary care hospital in Lahore. 32(3), 1-7.
Jasny, E., Amor, H., & Baali, A. J. A. d. P. (2019). Mothers’ knowledge and intentions of breastfeeding in Marrakech, Morocco. 26(5), 285-289. doi.org/10.1016/j.arcped.2019.05.007
organization, w. h. (2021). Infant and young child feeding.
Piro, S. S., Ahmed, H. M. J. B. p., & childbirth. (2020). Impacts of antenatal nursing interventions on mothers’ breastfeeding self-efficacy: an experimental study. 20, 1-12. doi.org/10.1186/s12884-019-2701-0
Puharić, D., Malički, M., Borovac, J. A., Šparac, V., Poljak, B., Aračić, N., . . . nutrition, c. (2020). The effect of a combined intervention on exclusive breastfeeding in primiparas: A randomised controlled trial. 16(3), e12948. https://doi.org/10.1111/mcn.12948
Renuka, M., Shabadi, N., Kulkarni, P., Kumar, D. S., Anup, G., Murthy, M. N. J. C. E., & Health, G. (2020). Effectiveness of educational intervention on breastfeeding among primi pregnant women-a longitudinal study. 8(4), 1306-1311. doi.org/10.1016/j.cegh.2020.05.002
Sanageri, B. J. G. I. J. o. A. S., & Humanities. (2022). Effectiveness of Structured Teaching Programme on Knowledge and Practice Regarding Breast Feeding Hygiene Among Primipara Mothers in Select Hospitals of Hosapete. 6(4), 45-50. https://doi.org/10.52403/gijash.20221007
Snyder, K., Hulse, E., Dingman, H., Cantrell, A., Hanson, C., & Dinkel, D. J. I. B. J. (2021). Examining supports and barriers to breastfeeding through a socio-ecological lens: a qualitative study. 16(1), 1-8. doi.org/10.1186/s13006-021-00401-4
UNICEF. (2019). Why family-friendly policies are critical to increasing breastfeeding rates worldwide - UNICEF.