RESEARCH ARTICLE


Effect of Midwife-led Breastfeeding Counseling based on Bandura's Model on Self-efficacy and Breastfeeding Performance: An Educational Trial Study



Seyed Aghdas Hosseini1, Katayon Vakilian1, *, Ali Arjmand Shabestari2, Mostafa Nokani2, Amir Almasi3
1 Department of Midwifery, Arak University of Medical Sciences, Arak, Iran
2 Medical Department, Arak University of Medical Sciences, Arak, Iran
3 Department of Health, Arak University of Medical Sciences, Arak, Iran


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Creative Commons License
© 2023 Hosseini et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Midwifery, Arak University of Medical Sciences, Arak, Iran; E-mail: dr.kvakilian@arakmu.ac.ir


Abstract

Aim:

Breastfeeding Counseling in order to increase Breastfeeding Performance.

Background:

Exclusive breastfeeding (EBF) is a policy for increasing children's survival and decreasing the illnesses of children all over the world.

Objectives:

The present study investigated the effect of Midwife-led Breastfeeding Counseling based on Bandura's Model on Self-efficacy and Breastfeeding Performance.

Methods:

The present study was an educational trial with a pretest-posttest design and a control group. 60 women in the intervention group received 4 session group counseling program based on Bandura's theoretical structures during pregnancy. After that, the second stage of the study was conducted between 1-3 days and 10-15 days after childbirth using the face-to-face method to meet the needs and concerns of mothers about breastfeeding. The control group received no counseling program and only received routine health care.

Results:

showed that the awareness means in the intervention group was 25.6 and in the control group, it was 21.1, which showed a significant increase in the intervention group. In addition, it was indicated that the mothers' self-efficacy increased by 18 units in the intervention group and decreased by 1 unit in the control group after the intervention. Findings showed that the attitudes of the intervention group increased by 11 units, and 4 units in the control group after the intervention. 54 mothers in the intervention group and 17 mothers in the control group only used breastfeeding for their babies.

Conclusion:

Breastfeeding self-efficacy is an appropriate theoretical model to perform interventions and should be considered to prolong breastfeeding and better performance.

Keywords: Breastfeeding, Self-efficacy, Prenatal care, Reproductive health, Midwife, Counseling.