Impact of Peer Education on Breastfeeding Self-Efficacy in Primiparous Women

Document Type : Original Article

Authors

1 Student Research Committee, Babol University of Medical Sciences, Babol, Iran

2 Non-Communicable Pediatric Disease Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran

3 Clinical Research Development Center, Amirkola Children's Hospital, Babol University of Medical Sciences, Babol, Iran

4 Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran

5 Department of Biostatistics and Epidemiology, School of Medicine, Babol University of Medical Sciences, Babol, Iran

Abstract

Background: Peers are influential people who can enhance self-efficacy (SE) factors by verbal encouragement and common experience sharing and affect maternal SE in promoting and maintaining breastfeeding (BF). This study aimed to determine the effect of peer education on BF SE among primiparous mothers.
Methods: This randomized clinical trial study was conducted on nulliparous mothers with hospitalized neonates in the neonatal ward of Amirkola Children's Hospital, Mazandaran Province, Iran, within May-September 2018. The statistical population of this research (n=120) was selected using the convenience method and randomly divided into two groups of intervention and control (n=60 each). The control group received the usual and standard center's education. However, the mothers in the intervention group received, two one-hour sessions of BF education from peers in addition to the usual training. These peers were qualified and experienced in two years of successful BF. The tools used for data collection were the demographic form and Breastfeeding Self-Efficacy (BE SE) Scale. The BE SE questionnaire was completed at the time of enrollment and the eighth week after primiparous delivery. The collected data were analyzed in SPSS software (version18) using an independent t-test and paired t-test. A p-value of less than 0.05 was considered significant.
Results: The two groups were similar in demographic variables. The mean score of BF SE after the education in the control and intervention groups were obtained as 48.38±7.85 and 60.25±8.32, respectively, which was significant (P<0. 001).
Conclusion: Based on the results, breastfeeding through peer education increased SE in primiparous women. Therefore, it is recommended to adopt it as an appropriate educational method to improve the quality of BF education among mothers with newborns hospitalized in the neonatal ward.
 
 

Keywords


Parsa P, Boojar A, Roshanai G, Bakht R. The effect breastfeeding counseling on self-efficacy and continuation breastfeeding among primiparous mothers: a randomised clinical trial. Avicenna J Nurs Midwifery Care. 2016; 24(2):98-104. (Persian)
Gafari Asl M, Fadakar Sogheh R, Ghavi A. Related factors to continued breastfeeding in infants. J Holist Nurs Midwifery. 2014; 24(2):1-8. (Persian)
Varaei SH, Mehrdad N, Bahrani N. The relationship between self-efficacy and breastfeeding, Tehran, Iran. Hayat. 2009; 15(3):31-8. (Persian)
Abdeyazdan Z, Elahi T, Golshiri P. Comparison of an empowering breastfeeding program before and after childbirth on exclusive breastfeeding time span. Modern Care J. 2015; 11(4):330-8. (Persian)
Babaeie G, Hajizadeh E, Keshavarz M, Shaigan M. Application of survival analysis for the assessment of association between the initiation time of breastfeeding and related maternal and neonatal factors. Jundishapur Sci Med J. 2007; 6(52):32-8. (Persian)
Cakmak H, Kuguoglu S. Comparison of the breastfeeding patterns of mothers who delivered their babies per vagina and via cesarean section: an observational study using the LATCH breastfeeding charting system. Int J Nurs Stud. 2007; 44(7):1128-37.
Pincombe J, Baghurst P, Antoniou G, Peat B, Henderson A, Reddin E. Baby friendly hospital initiative practices and breast feeding duration in a cohort of first-time mothers in Adelaide, Australia. Midwifery. 2008; 24(1):55-61.
Otsuka K, Dennis CL, Tatsuoka H, Jimba M. The relationship between breastfeeding self-efficacy and perceived insufficient milk among Japanese mothers. J Obstet Gynecol Neonatal Nurs. 2008; 37(5):546-55.
Wells KJ, Thompson NJ, Kloeblen-Tarver AS. Development and psychometric testing of the prenatal breast-feeding self-efficacy scale. Am J Health Behav. 2006; 30(2):177-87.
10. O'Brien M, Buikstra E, Hegney D. The influence of psychological factors on breastfeeding duration. J Adv Nurs. 2008; 63(4):397-408.
11. Azhari S, Baghani R, Akhlaghi F, Ebrahimzadeh S, Salehi J. Comparing the effects of hands-on and hands-off breastfeeding methods on self-efficacy in primiparous mothers. J Sabzevar Univ Med Sci. 2010; 17(4):248-55. (Persian)
12. Hannula L, Kaunonen M, Tarkka MT. A systematic review of professional support interventions for breastfeeding. J Clin Nurs. 2008; 17(9):1132-43.
13. Godarzi Z, Saeidi M, Shamshiri A, Sadeghi T. Impact of peer education on breastfeeding self-efficacy in primiparous women: a cluster randomized controlled trial. Hakim Res J. 2015; 18(2):105-13. (Persian)
14. Hasanpoor SH, Bani S, Ansari S, Ebrahimi H. Measuring breastfeeding self–efficacy among pregnant women referred to health centers of Ahvaz. Nurs Midwifery J. 2010; 5(19):47-53. (Persian)
15. Bastani F, Rahmatnejad L, Jahdi F, Haghani H. Breastfeeding self efficacy and perceived stress in primiparous mothers. Iran J Nurs. 2008; 21(54):9-24. (Persian)
16. Song SM, Park MK. Effects of breastfeeding empowerment program on breastfeeding self-efficacy, adaptation and continuation in primiparous Women. J Korean Acad Nurs. 2016; 46(3):409-19.
17. Mirmohammad AM, Bahiraii A, Rahimi A, Hashemzadeh M, Sohrabi N, Sohrabi Z. Effect of educational package on breastfeeding self-efficacy in postpartum period. Payesh. 2014; 13(2):221-8. (Persian)
18. Ingram J. A mixed methods evaluation of peer support in Bristol, UK: mothers’, midwives’ and peer supporters’ views and the effects on breastfeeding. BMC Pregnancy Childbirth. 2013; 13(1):192.
19. Moudi A, Tafazoli M, Boskabadi H, Ebrahimzadeh S, Salehiniya H. Comparing the effect of peer support and training by healthcare providers on women’s breastfeeding self-efficacy. J Midwifery Reprod Health. 2016; 4(1):488-97.
20. Joshi A, Amadi C, Meza J, Aguire T, Wilhelm
S. Evaluation of a computer-based bilingual breastfeeding educational program on breastfeeding knowledge, self-efficacy and intent to breastfeed among rural Hispanic women. Int J Med Inform. 2016; 91:10-9.
21. McQueen KA, Dennis CL, Stremler R, Norman CD. A pilot randomized controlled trial of a breastfeeding self-efficacy intervention with primiparous mothers. J Obstet Gynecol Neonatal Nurs. 2011; 40(1):35-46.
22. Blyth RJ, Creedy DK, Dennis CL, Moyle W, Pratt J, De Vries SM, et al. Breastfeeding duration in an Australian population: the influence of modifiable antenatal factors. J Hum Lact. 2004; 20(1):30-8.
23. Dennis CL. Identifying predictors of breastfeeding self‐efficacy in the immediate postpartum period. Res Nurs Health. 2006; 29(4):256-68.
24. Mercer RT. A theoretical framework for studying factors that impact on the maternal role. Nurs Res. 1981; 30(2):73-7.
25. Baker SS. The infant feeding decision: a survey
of limited-resource women in North Carolina. Monrovia, Liberia: University of Liberia; 2004.
26. Kersting A, Dorsch M, Wesselmann U, Lüdorff K, Witthaut J, Ohrmann P, et al. Maternal posttraumatic stress response after the birth of a very low-birth-weight infant. J Psychosom Res. 2004; 57(5):473-6.