Effects of a Breastfeeding Self-Care Program on Breastfeeding Self-Efficacy among Primiparous women

• Register: ANZCTR
• Last refreshed on: 13 January 2020
• Main ID: ACTRN12614001305617
• Date of registration: 15/12/2014
• Prospective Registration: No
• Primary sponsor: University of Malaya
• Public title: Effects of a Breastfeeding Self-Care Program on Breastfeeding Self-Efficacy among Primiparous women
• Scientific title: Effects of a Breastfeeding Self-Care Program on Breastfeeding Self-Efficacy among Primiparous women.
• Date of first enrolment: 05/12/2011
• Target sample size: 90
• Recruitment status: Completed
• URL: https://anzctr.org.au/ACTRN12614001305617.aspx
• Study type: Interventional
• Study design: Purpose: Educational / counselling / training; Allocation: Non-randomised trial; Masking: Open (masking not used);Assignment: Parallel;
• Phase: Not Applicable

Countries of recruitment

Malaysia

Contacts

• Name: Dr Chong Mei Chan

• Name: Ms Jagjit Kaur Najar Singh

Key inclusion & exclusion criteria

Inclusion criteria: 1) first time delivery
2) singleton birth
3) delivered full term infant at or after 37 weeks of gestation
4) initiated breastfeeding, and
5) able to speak and understand English or Malay.
Exclusion criteria: The primiparous women having a condition that might interfere with breastfeeding were excluded; such conditions were women with psychosis or severe illness after delivery, antibiotic therapy that required pumping and discarding, infants with congenital anomaly and infants in NICU for more than 24 hours.

Age minimum: 18 Years
Age maximum: 41 Years
Gender: Females

Health Condition(s) or Problem(s) studied

Reproductive Health and Childbirth - Breast feeding

Breastfeeding ;
Breastfeeding

Intervention(s)

The Breastfeeding Self-Care Program (BSC-P) was given to primiparous women for one hour by primary researcher who was a nurse educator with midwifery qualification. The program included a booklet and a 14-minutes compact disk (CD) which focused on information about breastfeeding, for example; how to position and latch-on the baby, and how to identify if the baby was feeding well. We used the standard booklet from the Malaysian Ministry of Health together with breastfeeding self-checklist. The 14-item checklist was extracted from Clinical guidelines for the establishment of exclusive breastfeeding (International Board of Certified Lactation Consultant, 2005).
Two individualized sessions at the woman’s bedside in the postnatal ward was provided during early postpartum period. The first session was carried out soon after group allocation within 24 hours of delivery. The second session was within 24 hours of the first session. One week after hospital discharge, the woman was contacted via telephone for the third session. The primary researcher observed and assessed breastfeeding using the Breastfeed Observation Aid from UNICEF/WHO (2006), which consists of five components: a) general condition of the woman and baby, b) breast, c) baby’s position, d) baby’s attachment, and e) suckling. The participants were also reminded to read program booklet and watch the CD that would help to overcome the difficulties in breastfeeding.

Primary Outcome(s)

breastfeeding self-efficacy scores using BSES-SF [Baseline and 6 weeks post commencement of the intervention.]

Secondary Outcome(s)

association of maternal demographic variables (age, race, education, work status and others) with BSES-SF scores[6 weeks post commencement of the intervention]

Secondary ID(s)

NIL

Source(s) of Monetary Support

University of Malaya Postgraduate Research Fund

Ethics review

Status: Approved
Approval date:
Contact:

Medical Ethic Comittee, University Malaya Medical Centre