Effect of prenatal counseling on breastfeeding self-efficacy and frequency of breastfeeding problems in Mothers with Previous Unsuccessful Breastfeeding: A randomized controlled clinical trial
Abstract Background: Breastfeeding is one of the most important factors in the health of infants. Monitoring the performance of mothers and providing feedback to them so that they increase self-efficacy, their interest in learning and their level of performance. The aim of this study was to evaluate the effect of prenatal counseling on the self-efficacy and frequency of breast-feeding problems in mothers with Previous Unsuccessful Breastfeeding.Methods: This randomized controlled clinical trial was conducted on 108 pregnant women with unsuccessful breastfeeding in Tabriz health centers in 2017-18. Participants were randomly assigned to intervention and control groups. The intervention group, four pre-natal counseling sessions and control group received routine care only. After childbirth, mothers received a counseling session up to 4 months after delivery, and the breastfeeding self-efficacy questionnaire (BSES) and the frequency of breast feeding problems checklist on the 15th, 2nd and 4th month by the intervention and control groups were completed.Results: The mean score of self-efficacy on the 15th day, in the 2 and 4 months after delivery in the intervention group and control group indicated a significant difference (P<0.05). Frequency of breastfeeding problems on the 15th, 2nd and 4th months after delivery was significantly different in most cases in the intervention group compared to the control group.Conclusion: The results of the study showed that prenatal counseling would increase the breastfeeding self-efficacy of mothers and lead to solving most breastfeeding problems during postpartum period. Trial registration: IRCT20100109003027N19 Key words: Self-efficacy, problems, exclusive breastfeeding, infant, counseling