Mothers Clinical Trial
Official title:
The Effect of Peer Interaction on Breastfeeding Self-Efficacy of Primiparas Sharing the Same Room With Mothers With Successful Postpartum Breastfeeding Experience; Randomised Controlled Study
The World Health Organization (WHO) states that peer support breastfeeding education programs are effective interventions for improving breastfeeding outcomes. In this context, the WHO's Global Strategy for Infant and Young Child Feeding recommends the implementation of "lay health worker peer counselors" and "mother-to-mother support groups" to promote and support breastfeeding. The tenth step of the Baby-Friendly Hospital Initiative also emphasizes the importance of mother-to-mother support as a successful intervention for breastfeeding. However, in our country, there have been limited studies and efforts to provide peer education and support for breastfeeding. Although various valuable studies using different educational techniques have been conducted to improve breastfeeding rates, the integration of these programs into routine clinical practice remains insufficient. This study aims to implement a peer interactive education program in postpartum rooms to bring experienced and inexperienced mothers together, as part of the hospital routine. The project will focus on the development and implementation of a peer interactive education program and will investigate its impact on the breastfeeding self-efficacy of primiparous mothers. The research follows a two-group pre-test and post-test design, is non-blind, and uses randomized controlled methodology. Initially, the hospital rooms will be rearranged to accommodate the implementation of the peer support breastfeeding education module. Researcher midwives will provide a brief training to experienced peer educator mothers who have previously breastfed.Afterwards, the peer education program will be conducted when the experienced mother and primiparous mother are together in the room. The study emphasizes improving early postpartum breastfeeding success and aims to make peer interaction a routine part of hospital practice. The feasibility of implementing peer education in hospitals will be evaluated, considering its simplicity and practicality. The impact of peer interactions on the mother's breastfeeding self-efficacy and attitudes towards breastfeeding will be assessed. Overall, this research aims to improve breastfeeding rates by implementing peer support programs in hospital settings and evaluating the outcomes of peer interactions in terms of the mother's breastfeeding self-efficacy and attitudes towards breastfeeding.
Status | Recruiting |
Enrollment | 128 |
Est. completion date | September 15, 2024 |
Est. primary completion date | June 15, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years to 49 Years |
Eligibility | Mothers to provide peer support - Multipar - Mothers with successful breastfeeding experience (Exclusive breastfeeding of the previous baby for at least 6 months, continued breastfeeding at the age of 2 years or older) - At least secondary education graduate - Singleton birth - Vaginal birth (due to rapid mobilisation after birth and quicker adaptation to daily activities) - with a child aged 5 years and under (limit for the age of the previous child for the memory factor regarding breastfeeding experience) - Breastfeeding self-efficacy scale score of 60 and above (out of a total score of 70) - No known or diagnosed psychiatric health problem in medical history - Women without any health problem that may prevent breastfeeding will be included. Intervention-Control group mothers - Primipar - 18 years and over - Singleton birth - No known or diagnosed psychiatric health problem in medical history - Women who do not have any health problems that may prevent breastfeeding will be included. Baby - Born between 37-42 weeks - Birth weight =2.5 kg and =3.9 kg - 1 and 5 minute Apgar scores =8 - Not referred to neonatal intensive care unit Exclusion criteria for individuals/patients in the study: - Under 18 years of age - Non-literate in Turkish - Has a psychiatrically diagnosed health problem - Developing a health problem that may prevent breastfeeding - Taking medication that may jeopardise breastfeeding - Women who do not want to participate will not be included in the study. Exclusion criteria - Requesting a room change - Not wanting to/wanting to stop peer interaction within the scope of the room arrangement - After settling in the room, those who did not want to answer the data collection tools for any reason/left the data collection tools unfinished - Mothers who could not be reached in the postnatal 1st month follow-up will be excluded from the study. |
Country | Name | City | State |
---|---|---|---|
Turkey | Ege University | Izmir |
Lead Sponsor | Collaborator |
---|---|
Ege University |
Turkey,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | breastfeeding self-efficacy | It will be evaluated using the Breastfeeding Self-Efficacy Scale-SF. The scale consists of a total of 14 items and is 5-point Likert type. The lowest score that can be obtained from the scale is 14 and the highest score is 70; it is stated that breastfeeding self-efficacy increases in mothers with high scores. | After the participant is admitted to the labour ward, the first application within 1 hour (before the peer support intervention); At the 24th hour after the peer support module; It will be applied 3 times in the 1st postpartum month. | |
Primary | exclusive breastfeeding rate | Exclusive breastfeeding is a physiological parameter. It will be evaluated according to the World Health Organisation classification system. Those who are exclusively breastfed, excluding ORS, drops, vitamins, minerals and medication will be grouped as "exclusively breastfed". | After the participant is admitted to the labour ward, the first application within 1 hour (before the peer support intervention); At the 24th hour after the peer support module; It will be applied 3 times in the 1st postpartum month. |
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