An Investigation Into the Effects of Prenatal Care Instruction at Home on Breast-Feeding Self-Efficacy of First-Time Pregnant Women Referred to Shiraz Clinics, Iran

Introduction: Health guidelines suggest that pregnant women should participate in daily physical activity, yet rarely do they meet these guidelines. Means to enhance accessibility of physical activity for pregnant women are required, and yoga has been suggested as a possible method to enhance women’s sense of confidence and competence with physical activity. In this pilot study, our primary aim is to evaluate pregnant women’s perceptions about their lived experience of an intervention which integrates a low-intensity form of physical activity, yoga, into prenatal care; our secondary aim is to evaluate changes in participants’ self-efficacy for physical activity and time spent in physical activity over time. Methods: Held in an outpatient obstetrics department of an urban hospital system in the United States, this pilot study enrolled 16 pregnant women to participate in the intervention throughout their pregnancy. We explored participants’ lived experience of the intervention using qualitative methods (phenomenology). Means, variances, and covariances were calculated for the 2 measures (self-efficacy and time spent in physical activity) over the intervention period. Results: Qualitative findings from focus groups suggest that it is acceptable for prenatal yoga to be integrated into group prenatal care classes and women reported increased confidence with physical activity during pregnancy. Participants did not consider the intervention to fit within the traditional definition of exercise. Women reported increased amounts of time spent in physical activity from baseline to the end of pregnancy, but there were no statistically significant changes in self-efficacy over time. Discussion: The integration of gentle physical activity into the group prenatal care model warrants further attention for potential benefits with regard to maternal physical and mental wellness.

Download Full-text

The effect of midwifery led counseling based on Gamble’s approach on childbirth fear and self-efficacy in nulligravida women

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-03230-1 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Laya Firouzan ◽

Roghieh Kharaghani ◽

Saeedeh Zenoozian ◽

Reza Moloodi ◽

Elham Jafari

Keyword(s):

Pregnant Women ◽

Self Efficacy ◽

Intervention Group ◽

Telephone Counseling ◽

Routine Care ◽

Control Group ◽

Iranian Women ◽

Childbirth Fear ◽

Registration Number ◽

First Time

Abstract Background Studies show that childbirth fear is a common problem among Iranian women. Therefore, most Iranian women prefer caesarean section for giving birth. This study investigated the effectiveness of a psychoeducational intervention by midwives (birth emotions - looking to improve expectant fear (BELIEF)) on decreasing childbirth fear and self-efficacy among first-time pregnant women who were afraid of giving birth. Methods A number of 80 pregnant women participated in the study. They had received a score of ≥66 on the Wijma delivery expectancy/experience questionnaire. They were randomly assigned into two groups: intervention (n = 40) and control groups (n = 40). The intervention group received two face-to-face counseling sessions based on the BELEF protocol in the 24th and 34th weeks of pregnancy. Between these two sessions, it also received eight telephone-counseling sessions once a week. The control group only received the prenatal routine care. The outcome measures were childbirth fear, childbirth self-efficacy, and childbirth preference. Results The intervention group showed significantly more reduction in childbirth fear and more increase in childbirth self-efficacy compared to the control group. In addition, more women in the intervention group reported that they preferred to give normal vaginal birth than women in the control group. Conclusion The BELIEF protocol could be an effective approach in reducing childbirth fear and increasing childbirth self-efficacy among first-time pregnant women who are afraid of giving birth. Trial registration number IRCT20101219005417N3, Date of Registration: 19-12-2018.

Download Full-text

Exclusive Breastfeeding Duration to Six Months: A Literature Review of Factors and Barriers from 2010 to 2020

International Journal of Health, Medicine and Nursing Practice ◽

10.47941/ijhmnp.435 ◽

2021 ◽

Vol 2 (2) ◽

pp. 1-20

Author(s):

Thafar S. Al-Safar ◽

Reem H. Khamis ◽

Sabah R. H. Ahmed

Keyword(s):

Health Care ◽

Pregnant Women ◽

Breast Feeding ◽

Exclusive Breastfeeding ◽

Self Efficacy ◽

Mode Of Delivery ◽

World Health ◽

Breastfeeding Duration ◽

Preterm Baby ◽

Care Givers

Background: In the form of mothers’ talent, the most imperative food for infants is human milk. Exclusive breastfeeding is recommended by World Health Organization during the first six months of life with well-established benefits to the mother and child.Aim: The aim of this study was to develop a midwifery and physician as health care-givers to prolong breastfeeding.Methods: Studies published between 2010 and 2020 were reviewed. An online literature search was carried out between January and July 2020; articles were gathered from Maternity and Infant Care, PsychINFO, CINAHL, Medline, PubMed, Google and Cochrane Database of systematic reviews as well as from references in published research and reviews. The search plan included the following keywords: breastfeeding, exclusive, initiation, factors, preterm, kangaroo care, education, partner, intention, social support, confidence, self-efficacy and extending the duration of paid maternity leave.Results: Adjustable factors and barriers that influence women’s exclusive breastfeeding duration to six months are breastfeeding intention, breastfeeding self-efficacy, maternal age, maternal occupation, parent's educational level, social-economic status, insufficient milk supply, infant health problems, preterm baby, parity, mode of delivery and other related factors.Conclusion: Based on the currently available information, there are many adjustable factors and barriers that are associated with exclusive breastfeeding duration to six months such as the woman’s breast feeding intention, breast feeding self-efficacy and social support.Recommendations: Enlightenment campaign about exclusive breastfeeding benefits should be done to pregnant women. Breastfeeding counseling from midwives and health care givers to pregnant women during antenatal care should be centered on solving problems associated with BF.

Download Full-text

A randomized controlled trial of the effects of antenatal milk expression on breastfeeding among first-time mothers in China

10.21203/rs.3.rs-42871/v1 ◽

2020 ◽

Author(s):

yan chen ◽

Li-Ping Meng ◽

Jiao-Jiao Zhang ◽

Hong-Hua Guo ◽

hongyu zhang

Keyword(s):

Randomized Controlled Trial ◽

Pregnant Women ◽

Exclusive Breastfeeding ◽

Self Efficacy ◽

Controlled Trial ◽

Intervention Group ◽

Control Group ◽

Randomized Controlled ◽

First Time Mothers ◽

First Time

Abstract Background Limited research outside China suggest that antenatal milk expression in late pregnancy (AME) may promote breastfeeding. A few studies have evaluated the safety and efficacy of AME in women with diabetes in pregnancy, little or no evidence exists to explore its effects on breastfeeding self-efficacy and early breastfeeding, particularly in first-time mothers. The objective of this study was to explore the effect of AME on breastfeeding for the first-time mothers during the postpartum hospitalization. Methods A randomized controlled trial was conducted in a tertiary hospital in Haikou, Hainan. We recruited pregnant women who had completed 37 weeks of gestation and randomly assigned them to either the intervention group (n = 45) or the control group (n = 45). The pregnant women in the intervention group were advised to rhythmic self-massage of breasts three times daily at any time. The control group was given routine midwifery and obstetric care. The breastfeeding self-efficacy scale(BSES)was used to measure the self-efficacy of breastfeeding at 37 weeks, 38 weeks and the third day postpartum. The time to lactogenesis II and the rate of exclusive breastfeeding was measured three times every day by the researcher in the ward. Results Compared with the control group, the intervention group had higher breastfeeding self-efficacy scores measured by the scale of BSES(P < 0.05), the intervention group had higher exclusive breastfeeding rate on the first day, second day, third-day postpartum, and the difference was statistically significant༈P < 0.05). The time to lactogenesis II in the intervention group was earlier than that in the control group(P < 0.05). Conclusions Antenatal breast milk expression at term improved the confidence in the ability to breastfeed and produce milk postpartum, thus significantly improving the behavior of exclusive breastfeeding, and increasing the percentage of breastfed infants during their hospital stay, these infants were able to avoid infant formula milk in this important early period.

Download Full-text

Self-efficacy and perceived barriers of pregnant women regarding exposure to second-hand smoke at home

Journal of Education and Health Promotion ◽

10.4103/jehp.jehp_334_18 ◽

2019 ◽

Vol 8 (1) ◽

pp. 139

Author(s):

Zohreh Karimiankakolaki ◽

SeyedSaeed Mazloomy Mahmoodabad ◽

Ashraf Kazemi ◽

Hossein Fallahzadeh

Keyword(s):

Pregnant Women ◽

Self Efficacy ◽

Perceived Barriers ◽

Second Hand Smoke ◽

At Home

Download Full-text

The effect of midwifery led counseling based on Gamble's approach on childbirth fear and self-efficacy in nulligravida women

10.21203/rs.3.rs-20374/v4 ◽

2020 ◽

Author(s):

Laya Firouzan ◽

Roghieh Kharaghani ◽

Saeedeh Zenoozian ◽

Reza Moloodi ◽

Elham Jafari

Keyword(s):

Pregnant Women ◽

Self Efficacy ◽

Intervention Group ◽

Telephone Counseling ◽

Routine Care ◽

Control Group ◽

Iranian Women ◽

Childbirth Fear ◽

Registration Number ◽

First Time

Abstract Background: Studies show that childbirth fear is a common problem among Iranian women. Therefore, most Iranian women prefer caesarean section for giving birth. This study investigated the effectiveness of a psychoeducational intervention by midwives (birth emotions - looking to improve expectant fear (BELIEF)) on decreasing childbirth fear and self-efficacy among first-time pregnant women who were afraid of giving birth.Methods: A number of 80 pregnant women participated in the study. They had received a score of ≥ 66 on the Wijma delivery expectancy/experience questionnaire. They were randomly assigned into two groups: intervention (n = 40) and control groups (n = 40). The intervention group received two face-to-face counseling sessions based on the BELEF protocol in the 24th and 34th weeks of pregnancy. Between these two sessions, it also received eight telephone-counseling sessions once a week. The control group only received the prenatal routine care. The outcome measures were childbirth fear, childbirth self-efficacy, and childbirth preference. Results: The intervention group showed significantly more reduction in childbirth fear and more increase in childbirth self-efficacy compared to the control group. In addition, more women in the intervention group reported that they preferred to give normal vaginal birth than women in the control group.Conclusion: The BELIEF protocol could be an effective approach in reducing childbirth fear and increasing childbirth self-efficacy among first-time pregnant women who are afraid of giving birth. Trial registration number: IRCT20101219005417N3, Date of Registration: 19-12-2018.

Download Full-text

Adequacy of Prenatal Care in Northeast Brazil: Pilot Data Comparing Attainment of Standard Care Criteria for First-Time Adolescent and Adult Pregnant Women

International Journal of Women s Health ◽

10.2147/ijwh.s272743 ◽

2020 ◽

Vol Volume 12 ◽

pp. 1023-1031

Author(s):

Raísa Barbosa de Andrade ◽

Catherine M Pirkle ◽

Tetine Sentell ◽

Diego Bassani ◽

Marlos Rodrigues Domingues ◽

...

Keyword(s):

Prenatal Care ◽

Pregnant Women ◽

Standard Care ◽

Northeast Brazil ◽

Pilot Data ◽

Adequacy Of Prenatal Care ◽

First Time

Download Full-text

First-time mothers’ breast-feeding maintenance: role of experiences and changes in maternal perceptions

Public Health Nutrition ◽

10.1017/s136898001700221x ◽

2017 ◽

Vol 20 (17) ◽

pp. 3099-3108 ◽

Cited By ~ 2

Author(s):

Ellen J Schafer ◽

Shelly Campo ◽

Tarah T Colaizy ◽

Pamela J Mulder ◽

Patrick Breheny ◽

...

Keyword(s):

Infant Feeding ◽

Breast Feeding ◽

Self Efficacy ◽

Mediating Effect ◽

Maternal Perceptions ◽

Feeding Duration ◽

First Time Mothers ◽

The Usa ◽

The Impact ◽

First Time

AbstractObjectiveBreast-feeding initiation rates have increased in the USA; however, maintenance of breast-feeding for recommended durations is low. The objective of the present study was to identify factors that may facilitate breast-feeding for longer durations among first-time mothers, including physiological and social experiences and changes in maternal perceptions.DesignSurvival analysis and linear regression methods were used to explore the relationship between experiences and breast-feeding duration, and the possible mediating effect of changes in maternal perceptions.SettingSecondary data from the Infant Feeding Practices Study II, conducted in the USA between 2005 and 2007.SubjectsData from 762 first-time mothers who ever breast-fed were analysed.ResultsExperiencing trouble with baby’s latch, problems with milk flow/supply and painful breast-feeding were significantly associated with breast-feeding duration (64, 26 and 36 % shorter duration, respectively). Meanwhile, positive changes in perception with respect to breast-feeding self-efficacy, opinion about infant feeding and belief about breast milk were associated with 16–27 % longer duration. Furthermore, changes in perception were observed to partially mediate the impact of physiological experiences on breast-feeding duration.ConclusionsPerceptions of breast-feeding self-efficacy, beliefs and opinions can change over time and are influenced by breast-feeding experiences. The combined effect of experience and perception plays a key role in influencing breast-feeding duration. Future research should explore interventions to maintain or improve these perceptions while accounting for physiological experiences to support breast-feeding for recommended durations among first-time mothers.

Download Full-text