Improving Attitudes and Inclination towards Neonatal Feeding with Milk donated from Milk Bank in Mothers with Premature Neonates: A Comparison of Two Educational Interventions

Document Type : Original Article

Authors

1 Department of Nursing Education, Research Center for Nursing and Midwifery Care, Non-communicable Diseases Research Institute, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

2 Department of Nursing, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

3 1.Department of Nursing Education, Research Center for Nursing and Midwifery Care, Non-communicable Diseases Research Institute, School of Nursing and Midwifery, Shahid Sadoughi University of Medical Sciences, Yazd, Iran 3. Social Determinants of Health Research Center, Department of Health Education and Promotion, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

4 Clinical Research Development Center, Mahdiyeh Educational Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Abstract

Background: Milk bank is one of the most important emerging issues in neonatal health. The present study aimed to
improve the attitude and inclination of mothers with premature neonates to feed their suckling with milk donated
from the milk bank by comparing the effect of face-to-face training and an educational package. 
Methods: In this randomized clinical trial, 66 mothers of premature neonates hospitalized in the neonatal intensive
care unit were included and assigned to two groups of 33 mothers. The samples completed the demographic
information questionnaire and questionnaire of attitude and inclination toward feeding with milk donated from the
milk bank. The first group received direct face-to-face training, and the second received an educational package. The
data was statistically analyzed with SPSS 22.
Results: The attitude and inclination scores increased significantly in face-to-face and educational package groups. The
attitude score in the face-to-face group was higher after the intervention compared to the educational package group
(P=0.003). Besides, the inclination score in the face-to-face group was higher than that in the educational package
group, which was statistically significant (P<0.001).
Conclusion: Both face-to-face training and educational packages effectively improved the inclination and attitude of
mothers with premature neonates to feed neonates with donated milk. Considering the more significant impact of faceto-face
training compared to the educational package, it is suggested that this accessible and affordable method be
applied along with other training to increase the effectiveness of the training.
 

Keywords

References

  1. Akbarbegloo M, Valizadeh L. Mothers and nurses viewpoint about importance and perceived nursing supports for parents with hospitalized premature newborn in natal intensive care unit. Nurs Crit Care. 2010;2(2):71-74.
  2. Yousefi A, Mohamadian S, Morovati Sharifabadi P, Nakhaei S, Norouzi E. How Does Functional Constipation Affect Growth Status in Children? Iran J Pediatr. 2019;29(2):e85700.
  3. Zhou W. Human olfactory perception and olfactory communications of social information. Rice University. 2009; 20(9), 1118–1124.
  4. Lawrence RA, Lawrence RM. Breastfeeding E-Book: A Guide for the Medical Professional. Elsevier Health Sciences. 2010; 7th ed:214-230.
  5. McDonald SD, Pullenayegum E, Chapman B, Vera C, Giglia L, Fusch C, et al. Prevalence and predictors of exclusive breastfeeding at hospital discharge. Obstet Gynecol. 2012;119(6):1171-1179.
  6. World Health Assembly. Global strategy for infant and young child feeding: the optimal duration of exclusive breastfeeding. World Health Organization. 2003:54.
  7. Mortazi A. Research on the history and necessity of establishing breast milk banks, and related jurisprudential and legal challenges. IJME. 2016;8(5):55-68.
  8. Huang C, Han W, Fan Y. Knowledge and attitude on donation of breast milk in hospitalized mothers. Gac Sanit. 2021;35(3):213-215.
  9. Doshmangir L, Naghshi M, Khabiri R. Factors influencing donations to human milk bank: A systematic review of facilitators and barriers. Breastfeed Med. 2019;14(5):298-306.
  10. Ekşioğlu A, Yeşil Y, Turfan EÇ. Mothers' views of milk banking: sample of İzmir. Turk Pediatri Ars. 2015;50(2):83-89. 
  11. Taherkhani E, Sadooghiasl A, Hoshmand bahabadi A, Karbord A. Comparison of two educational methods of Basic Life Support including face to face and Film among teachers. DSME. 2020;7(1):41-51.
  12. Noorian K, Rajaei M, Moazeni M, Aein F. Comparing the effectiveness of face-to face education with leaflet on preoperative knowledge of patients undergoing elective surgery- A randomized clinical trial. J Clin Nurs Midwifery. 2013;2(3):1-7.
  13. Iyoha B, Okonkwo Ir, Ideh R. Okolo. Mothers’ perception of the use of banked human milk for feeding of the infants. Niger J Pediatr. 2015;(42):223-227.
  14. Pal A, Kultida S, Lawrence N, Ivan L. Attitudes towards Donor Breast Milk in an Inner City Population. Int J Pediatr. 2019:3847283.
  15. Mohammadbeigi A, Mohammadsalehi N, Aligol M. Validity and reliability of the instruments and types of measurments in health applied researches. JRUMS. 2015; 13(12): 1153-1170.
  16. Bulut H, Aksu H. Knowledge and Opinions of Premature Infant Mother’s on Human Milk Banks. J Contemp Med. 2022;12(5):770-776.
  17. Tu H, Li P, Zhu L, Quan X, Fan S, Wang Z. Postpartum women's views on human milk banking in a city in Southeast China: a cross-sectional survey. Int Breastfeed J. 2022;17(1):3.
  18. Varer Akpinar C, Mandiracioglu A, Ozvurmaz S, Adana F, Koc N, Kurt F. Attitudes towards human milk banking among native turkish and refugee women residing in a rural region of Turkey: a mixed-methods approach. Int Breastfeed J. 2022;17(1):74.
  19. Ghavami L, Rakhshani T, Motlagh Z, Jafarnejad A, Dehghan A. Comparison of the effect of face-to-face and distance learning on knowledge, attitude and practice of females about breastfeeding in Shiraz, Iran: A randomized controlled trial. J Health Sci Surveill Syst. 2023;11(1):91-96.
  20. Khorshidifard M, Amini M, Dehghani MR, Zaree N, Pishva N, Zarifsanaiey N. Assessment of breastfeeding education by face to face and small-group education methods in mothers’ self-efficacy
    in Kazeroun Health centers in 2015. WHB. 2017;4(3):1-6.
  21. Bahri N, Bagheri S, Erfani M, Rahmani R, Tolidehi H. The comparison of workshop-training and booklet-offering on knowledge, health beliefs and behavior of breastfeeding after delivery. Iran J Obstetr Gynecol 2012;15(32):14-22.
  22. Pilus FM, Ahmad N, Zulkefli NA, Shukri NH. Effect of face-to-face and whatsapp communication of a theory-based health education intervention on breastfeeding self-efficacy (SeBF intervention): Cluster randomized controlled field trial. JMIR Mhealth Uhealth. 2022;10(9):e31996.
  23. Titaley CR, Dibley MJ, Ariawan I, Mu'asyaroh A, Paramashanti BA, Alam A, Damayanti R, Do TT, Ferguson E, Htet MK, Li M. The impact of a package of behaviour change interventions on breastfeeding practices in East Java Province, Indonesia. Matern Child Nutr. 2022;18(3):e13362.
  24. Mehrabi M, Zarei S, Bazrafkan L, Safarpour AR. The effect of smart phone messaging versus face-to-face counseling on the primiparous mothers’ breastfeeding self-efficacy: An educational intervention. WHB. 2021;8(1):49-55.
  25. Saba MS, Bazmamoun H, Razavi Z. Comparison of face to face education with other methods to pregnant mothers in increase exclusive breast feeding. Avicenna J Clin Med 2005;12(3):42-47.
  26. Mokhtary L, Khorami Marekani A, Habibpoor Z. The effect of face to face education and pamphlet giving on knowledge of mothers about breast feeding. JNMS. 2014;12(9):825-832.
  27. 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. JSUMS. 2011;17(4):248–255.
  28. Aris M, Herawati L, Mustamin F. Effect of module exclusive breastfeeding knowledge, attitude and confidence in young women in Tarakan. IJMRHS. 2019;8(7):1-6.
Iranian Journal of Neonatology
Volume 15, Issue 3
July 2024
Pages 40-48

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