scholarly journals The Effect of Oketani Breast Massage on Successful Breastfeeding, Mothers’ Need for Breastfeeding Support, and Breastfeeding Self-Efficacy: an Experimental Study

2021 ◽  
Vol 14 (3) ◽  
pp. 4-14
Author(s):  
Maryam Mahdizadeh-Shahri, MSc ◽  
Manijeh Nourian, PhD ◽  
Maryam Varzeshnejad, PhD ◽  
Maliheh Nasiri, PhD
Keyword(s):  
Experimental Study ◽  
Cesarean Section ◽  
Self Efficacy ◽  
Assessment Tool ◽  
Intervention Group ◽  
Routine Care ◽  
Control Group ◽  
Time Interval ◽  
Breastfeeding Support ◽  
Need For Support

Background: The negative effects of cesarean section on breastfeeding are a major global concern. Purpose: This study aimed to determine the effect of Oketani breast massage on the maternal need for support during breastfeeding, breastfeeding success, and breastfeeding self-efficacy. Setting: Three hospitals affiliated to Shahid Beheshti University of Medical Sciences in Tehran, Iran, from April to July 2019. Study Design: The participants in this experimental study were 113 pregnant women who were candidates for cesarean section. The mothers were selected using convenience sampling and randomly assigned. In addition to routine care, the mothers in the intervention group received Oketani breast massages twice. However, the mothers in the control group received routine care. The data were collected using the Infant Breastfeeding Assessment Tool (IBFAT), LATCH Assessment Score, and the Breastfeeding Self-Efficacy Scale (BSES). The data were analyzed with SPSS 20 software via the independent samples t test, the Mann–Whitney U test, and the chi-square test. Results: The results of the study suggested that the breastfeeding success rate, which was evaluated with IBFAT in both the first two breastfeeding stages and the last pre-discharge breastfeeding, was significantly higher for the mothers in the intervention group (p < .001). In addition, the mother’s need for support, which was evaluated with LATCH in the first two breastfeeding stages (p = .044) and the last pre-discharge breastfeeding (p < .001) in the intervention group, was less. The total number of breastfeeding sessions from birth to discharge was higher in the intervention group (p = .002). Furthermore, the mothers in the intervention group breastfed their infants in a significantly shorter time interval (p = .002). Breastfeeding self-efficacy, according to the BSES, was significantly higher in the mothers of the intervention group (p < .001). Conclusion: Oketani massage can be used as a care intervention by nurses to improve breastfeeding in mothers who undergo cesarean sections.

scholarly journals The Effect of Oketani Breast Massage on Successful Breastfeeding, Mothers’ Breastfeeding Support Need, and Breastfeeding Self-Efficacy: A Clinical Trial Study

2020 ◽  
Author(s):  
Maryam Mahdizadeh Shahri ◽  
Manijeh Nourian ◽  
Maryam Varzeshnejad ◽  
Maliheh Nasiri
Keyword(s):  
Clinical Trial ◽  
Success Rate ◽  
Self Efficacy ◽  
Assessment Tool ◽  
Intervention Group ◽  
Onset Time ◽  
Control Group ◽  
Time Interval ◽  
Cesarean Sections ◽  
Need For Support

Abstract Background: The most important factor in the survival and health of infants is breastfeeding. One of the complications of cesarean sections is their negative effect on the quality of breastfeeding. This study aimed to determine the effect of Oketani breast massage on the maternal need for support during breastfeeding, breastfeeding success, and breastfeeding selfefficacy. Methods: The research sample in this clinical trial study included pregnant women who referred to Mahdiyeh, Taleghani, and Imam Hossein hospitals as candidates for a cesarean section. The mothers were selected using convenience sampling and randomly assigned to the intervention group (n = 55) and the control group (n = 58). The data were collected using, the Infant Breastfeeding Assessment Tool (IBFAT), the Breastfeeding Charting System (LATCH), and the Breastfeeding Self-Efficacy Scale (BSES). To assess the breastfeeding success rate, the number of breastfeeding times, and the onset time of the first breastfeeding were recorded. The collected data were analyzed using SPSS software (version 20) via the independent samples t-test, the Mann–Whitney U test, and chi-square test. Results: The results of the study suggested that the breastfeeding success rate in both the first two breastfeeding stages and the last pre-discharge breastfeeding was significantly higher for the participants in the intervention group than the members of the control group (p <0.001). Besides, the mother's need for support in the first two breastfeeding stages (p = 0.044) and the last pre-discharge breastfeeding (p <0.001) in the intervention group was less than that of the mothers in the control group. The number of breastfeeding in the intervention group was higher than the control group (p = 0.002). Furthermore, the mothers in the intervention group breastfed their infants in a significantly less time interval (p = 0.002). The breastfeeding self-efficacy was significantly higher in the intervention group than in the control group (p <0.001). Conclusion: Oketani massage can be used as a care intervention by nurses to improve breastfeeding in mothers who undergo cesarean sections and have more breastfeeding problems. Trial registration Iranian Registry of Clinical Trials (IRCT): IRCT20190129042542N1.

Effect of a brief training program for primigravid adolescents on parenting self-efficacy and mother-infant bonding in the southeast of Iran

2017 ◽  
Vol 0 (0) ◽  
Author(s):  
Zahra Moudi ◽  
Behjat Talebi ◽  
Mahnaz Shahraki Pour
Keyword(s):  
Social Support ◽  
Training Program ◽  
Self Efficacy ◽  
Intervention Group ◽  
Routine Care ◽  
Control Group ◽  
Middle Income ◽  
Brief Training ◽  
Quasi Experimental ◽  
Limited Health

Abstract Background Annually, about 16 million adolescent girls give birth, accounting for 11% of all births worldwide. Ninety-five percent of these births occur in low- and middle-income countries, and previous studies have addressed the need for parenting interventions in developing countries with limited health care resources to improve parenting behaviors. Objective To explore the effect of a brief training program for primigravid adolescents on parenting self-efficacy and mother-infant bonding. Subjects We enrolled 116 married pregnant adolescents. Methods This quasi-experimental study was conducted during August 22, 2016–February 3, 2017. The intervention group received three sessions of training on neonatal care, while the control group received the routine care. We evaluated parenting self-efficacy using the Perceived Maternal Parenting Self-Efficacy (PMP S-E) questionnaire, the mother-infant bonding using the Postpartum Bonding Questionnaire (PBQ) and social support by means of the Multidimensional Scale of Perceived Social Support (MSPSS). The participants were followed up for 1 month. Results The mean ages of the intervention and the control groups were 16.37 ± 0.97 and 16.27 ± 1.12 years, respectively. The intervention group obtained higher self-efficacy and bonding scores compared to the control group. The logistic regression model showed that the second (evoking behaviors) and the third (reading behavior or signaling) subscales of the PMP S-E, the route of delivery and women’s educational levels could predict the mother-infant bonding scores. Conclusion Primigravid adolescents can benefit from brief interventions during pregnancy through improving their parenting self-efficacy and mother-infant bonding.

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

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.

scholarly journals Effect of Telenursing on the Self-efficacy of Patients with Myocardial Infarction: A Quasi-experimental Study

2020 ◽  
Keyword(s):  
Myocardial Infarction ◽  
Experimental Study ◽  
Self Efficacy ◽  
Demographic Data ◽  
Intervention Group ◽  
The Self ◽  
Control Group ◽  
Significant Difference ◽  
Quasi Experimental

Background and Objective: Despite medical advances, patients with Myocardial Infarction do not fully recover and require rehabilitation and other treatment measures as well. One way to empower these patients is to promote self-efficacy. Therefore, the present study aimed to determine the effect of Tele-nursing on the self-efficacy of patients with myocardial infarction. Methods: This quasi-experimental study was conducted on 40 patients with Myocardial Infarction. The participants selected using the simple random sampling method. The patients were divided into two intervention and control groups of 20 participants. Routine training was given to both groups before discharge. The demographic data questionnaire and Sullivan’s cardiac self-efficacy questionnaire were then provided to each patient. In the intervention group, in addition to routine training, the telephone follow-up intervention was performed by the researcher within one month (once a week with an average call duration of 10 minutes). After one month, the self-efficacy questionnaire was provided to each of the study units again. Finally, after determining the normal distribution, the data were analyzed by chi-square, independent t-test, and ANCOVA tests, using SPSS v.25 software. Results: There was no statistically significant difference between the two groups in terms of demographic variables and disease characteristics. The mean score of self-efficacy before and after the intervention in the control group was 22.90 ± 3.93 and 33.35 ± 8.36, respectively, and in the intervention group, was 25.60 ± 6.90 and 47.45 ± 5.60, respectively. There was a statistically significant difference between the two groups after the intervention (p < 0.001). Conclusion: Telenursing can improve adherence to the treatment program and promote patients’ self-efficacy. Therefore, due to its reliability, availability, and low cost, this method can be used in patient care and follow-up.

scholarly journals Online Support Model For Successful Exclusive Breastfeeding

2020 ◽  
Vol 9 (2) ◽  
pp. 1575-1580
Author(s):  
Eka Riyanti ◽  
Diah Astutiningrum ◽  
Herniyatun Herniyatun
Keyword(s):  
Exclusive Breastfeeding ◽  
Self Efficacy ◽  
Assessment Tool ◽  
Intervention Group ◽  
Online Support ◽  
Breastfeeding Support ◽  
Post Test ◽  
Quasi Experimental ◽  
Breastfeeding Attitudes ◽  
Support Model

Breastfeeding support is an important factor in ensuring the mother can overcome the challenges of breastfeeding. Social media use can also influence breastfeeding attitudes, breastfeeding norms and increase self-efficacy. But what kind of online support is not clear which model is used.The purpose of this study was to identify the effectiveness of online support for the success of exclusive breastfeeding. This study used an experimental design, namely Quasi-experimental post test with control design. The sample in this study were mothers with infants 2-5 months who met the criteria. The success of exclusive breastfeeding was measured using the Breastfeeding self-efficacy scale (BSES) instrument and the Bristol Breastfeeding Assessment Tool (BBAT).The results showed that the online support model intervention had an influence on self-efficacy in the intervention group (p = 0.009). Whereas the attachment variable has no effect (p = 0.082)

Planned discharge program effectiveness on cardiac self-efficacy and hope in patients undergoing coronary artery bypass graft surgery: A quasi-experimental study

2021 ◽  
pp. 201010582110646
Author(s):  
Tayebeh Eghbali ◽  
Batool Tirgari ◽  
Zahra Dehghani ◽  
Mansooreh A Forouzi
Keyword(s):  
Experimental Study ◽  
Coronary Artery ◽  
Self Efficacy ◽  
Artery Bypass ◽  
Bypass Graft ◽  
Intervention Group ◽  
Control Group ◽  
Artery Bypass Graft ◽  
Quasi Experimental ◽  
Cabg Patients

Background Controlling risk factors and lifestyle modification in coronary artery bypass graft (CABG) patients plays an important role and leads to the empowerment of these patients to take care of themselves. One way to empower these patients is to improve their self-efficacy and hope. This study aimed to investigate the effect of the planned discharge on cardiac self-efficacy and hope of CABG patients. Methods In this quasi-experimental study, the sample consisted of 60 people (30 in the intervention group and 30 in the control group). Data were collected using the Miller Hope Questionnaire and Sullivan Cardiac Self-Efficacy Questionnaire. Data analysis was performed using central indices of mean and standard deviation and Chi-square, t-tests and one-way analysis of variance. The software used for data analysis was SPSS version 19. Results The mean age of participants in the control group was 91/9 ± 86/91 and in the intervention, group was 33/7 ± 7/58. There was no significant difference between the demographic characteristics, heart self-efficacy and hope scores of the participants in the control and intervention groups. After the intervention, there was a meaningful statistical difference between the two groups at discharge time and 1 month afterward in both hope and cardiac heart self-efficacy scores ( p = 0.001, 0.0001). Conclusion In this study, the implementation of the discharge program was effective in increasing the hope and cardiac self-efficacy of CABG patients and the use of the discharge plan is recommended to improve the outcomes of these patients.

scholarly journals Persuading Iranian Women toward Normal Vaginal Delivery: Using Pictorial Perception of the Labour Process

2018 ◽  
Vol 6 (6) ◽  
pp. 1145-1152 ◽  
Author(s):  
Safieh Kananikandeh
Keyword(s):  
Cesarean Section ◽  
Pregnant Women ◽  
Vaginal Delivery ◽  
Self Efficacy ◽  
Intervention Group ◽  
T Test ◽  
Normal Vaginal Delivery ◽  
Control Group ◽  
Labour Process ◽  
Pictorial Perception

BACKGROUND: Pictorial education could provide an innovative approach for health educators which help to increase health-related information, the attention of individuals, comprehension, and recall.AIM: The purpose of this study was to determine the effect of pictorial perception of labour process by persuading Iranian women toward normal vaginal delivery.MATERIALS AND METHODS: The pre and post non-randomized trial with control group carried out on non-probability sample consisted of 76 pregnant women during the third trimester of pregnancy in the four urban health care centres in Pars-Abad city, Iran, during 2014. Demographic, knowledge, attitude, subjective norms, outcome expectations, self-efficacy, and intention to do normal vaginal delivery variables were measured by using self-administered questionnaire and via the self-report method. Data analysis was performed using SPSS-21 software by Independent t-test, repeated measure, paired T-test, ANOVA, chi-square, Cochran’s Q, and McNemar test. Manipulation included a pictorial education program to persuade pregnant women toward selecting normal vaginal delivery.RESULTS: The results showed significant improvement in mean scores of knowledge, attitudes, self-efficacy and behavioural intention of labour after manipulation in the intervention group (P < 0.001). It was found about 60% changes for intending to choose normal vaginal delivery, and 27/06% of women in the intervention group reported normal vaginal delivery versus the control group. And 10/81% of women did a cesarean section because of medical reasons during of delivery. Reduction of cesarean section was evident. Additionally, the annual rate of cesarean section decreased about 7% in comparison to the previous year.CONCLUSION: Pictorial education could be effective on the intention of women to choose natural vaginal delivery among pregnant women, and it can be used as an effective training technique for developing health literacy, enhancing self-efficacy and decision-making power of women in the delivery.

scholarly journals ​Effectiveness of a Psychoeducation Intervention by Midwives on Childbirth Fear and Childbirth Self-efficacy in Fearful First Time Pregnant Women: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Laya Firouzan ◽  
Roghieh Kharaghani ◽  
Saeedeh Zenoozian ◽  
Reza Moloodi ◽  
Elham Jafari
Keyword(s):  
Pregnant Women ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Intervention Group ◽  
Telephone Counseling ◽  
Routine Care ◽  
Control Group ◽  
Iranian Women ◽  
Childbirth Fear ◽  
Post Test

Abstract ​Background: Studies showed that childbirth fear is a prevalent problem among Iranian women and therefore most Iranian women prefer caesarean section as method of birth. However, there is no published study that explore effectiveness of psychoeducational interventions on childbirth fear among Iranian women. Thus, present study investigated the effectiveness of a Psychoeducation Intervention by Midwives (Birth Emotions- Looking to Improve Expectant Fear (BELIEF)) in decreasing childbirth fear and childbirth self-efficacy among fearful first pregnant women in Iran. Methods: One-hundred-seventy-one pregnant women who referred to six governmental antenatal clinics of healthcare centers of Zanjan city screened to participate in the study. Among them, 80 women who got score ≥ 66 on the Wijma Delivery Expectancy/Experience Questionnaire were recruited. They were randomly assigned into two groups: intervention (n = 40) and control group (n = 40). The intervention group received two face-to-face counseling sessions based on the BELEF protocol in the 24th week and 34th week of pregnancy. Between this two counseling sessions, intervention group had 8 weekly telephone counseling sessions. The control group only received the prenatal routine care. The outcome measures were childbirth fear, childbirth self-efficacy, and childbirth preference. Results: At the post-test, the intervention group showed significantly higher reduction in childbirth fear and higher increase in childbirth self-efficacy compared to the control group. Also, at post-test more women in the intervention group reported that they preferred to give birth via normal vaginal birth than women in the control group. Conclusions: The BELIEF protocol could be effective approach to improve childbirth fear and childbirth self-efficacy in fearful first pregnant women. Trial registration number: IRCT20101219005417N3, Date of Registration: 19-12-2018.

scholarly journals Effectiveness of a Psychoeducation Intervention by Midwiveson childbirth fear and childbirth self-efficacy in fearful first time pregnant women: a randomized controlled trial

2020 ◽  
Author(s):  
Laya Firouzan ◽  
Roghieh Kharaghani ◽  
Saeedeh Zenoozian ◽  
Reza Moloodi ◽  
Elham Jafari
Keyword(s):  
Pregnant Women ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Intervention Group ◽  
Telephone Counseling ◽  
Routine Care ◽  
Control Group ◽  
Iranian Women ◽  
Childbirth Fear ◽  
Post Test

Abstract Background: Studies showed that childbirth fear is a prevalent problem among Iranian women and most women prefer caesarean section. However, there is no published study that explore effectiveness of psychoeducational intervention on childbirth fear among Iranian women. Thus, present study investigated the effectiveness of a psychoeducation intervention by midwives (Birth Emotions- Looking to Improve Expectant Fear (BELIEF)) in decreasing childbirth fear and increasing childbirth self-efficacy among fearful first pregnant women.Methods: One-hundred-seventy-one pregnant women who referred to six governmental antenatal clinics of healthcare centers of Zanjan city screened to participate in the study. Among them, 80 women who got score ≥ 66 on the Wijma Delivery Expectancy/Experience Questionnaire were recruited. They were randomly assigned into two groups: intervention (n = 40) and control group (n = 40). The intervention group received two face-to-face counseling sessions in the 24th week and 34th week of pregnancy. Between this two counseling sessions, intervention group women had 8 weekly telephone counseling sessions. The control group only received the prenatal routine care. The outcome measures were childbirth fear, childbirth self-efficacy, and childbirth preference. Results: At the post-test, the intervention group showed significantly higher reduction in childbirth fear and higher increase in childbirth self-efficacy compared to the control group. Also, at post-test more women in the intervention group reported that they preferred normal vaginal birth than women in the control group.Conclusions: The BELIEF protocol could be effective approach to improve childbirth fear and childbirth self-efficacy in fearful first pregnant women. Trial registration number: IRCT20101219005417N3, Date of Registration: 2018-12-19.

scholarly journals Effectiveness of a Psycho-Education Intervention by Midwives (BILIEF protocol) on childbirth fear and childbirth self-efficacy in fearful first time pregnant women: a randomized controlled trial

2020 ◽  
Author(s):  
Laya Firouzan ◽  
Roghieh Kharaghani ◽  
Saeedeh Zenoozian ◽  
Reza Moloodi ◽  
Elham Jafari
Keyword(s):  
Pregnant Women ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Intervention Group ◽  
Telephone Counseling ◽  
Routine Care ◽  
Control Group ◽  
Education Intervention ◽  
Childbirth Fear ◽  
Post Test

Abstract Background The present study investigated the effectiveness of a Psycho-Education Intervention by Midwives (BILIEF protocol) in decreasing childbirth fear and childbirth self-efficacy among fearful first pregnant women in Iran. Methods From among 171 pregnant women screened to participate in the study, 80 women who got score ≥ 66 on the Wijma Delivery Expectancy/Experience Questionnaire were recruited. They were randomly assigned into two groups: intervention (n = 40) and control group (n = 40). The intervention group received two face-to-face counseling sessions in the 24th week and 34th week of pregnancy. Between this two counseling sessions, intervention group had 8 weekly telephone counseling sessions. The control group only received the prenatal routine care. The outcome measures were childbirth fear, childbirth self-efficacy, and childbirth preference. Results At the post-test, the intervention group showed significantly higher reduction in childbirth fear and higher increase in childbirth self-efficacy compared to the control group. Also, at posttest more women in the intervention group reported that they preferred to give birth via normal vaginal birth than women in the control group. Conclusions The BILIEF protocol could be effective approach to improve childbirth fear and childbirth self-efficacy in fearful first pregnant women. Trial registration number IRCT20101219005417N3, Date of Registration: 12-19-2018.

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