A randomized control trial was made to determine the effectiveness of structured education and follow-up in the management of perceived milk insufficiency among breastfeeding mothers.
Mothers 'perception of breastmilk insufficiency are important conditions affecting babies' exclusively breastfeeding in the first six months. This study was made to determine the effectiveness of structured education and follow-up in the management of perceived breastmilk insufficiency among breastfeeding mothers. It was tested the hypotheses that there are no differences between mothers who have been provided with structured education and follow-up and those who have not received the education in terms of initiating breastfeeding in the first one hour, breastmilk insufficiency perceptions, the rate of exclusive feeding of breast milk to babies 0-2 months old, the baby's amount of milk intake and weight gain.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
70
This structured educational material was developed by the authors on the basis of the literature. Interventions of the study were carried out in the 32nd-42nd week of pregnancy, 3rd-7th day postpartum, and at the 1st month. At first stage, a 15-20-minute education was given to the pregnant women in the study group in the breastfeeding room of the facility, educational booklets were distributed. The main emphasis parts of the education were repeated with a standard summary information form at each follow-up.
Aydın Adnan Menderes University, Faculty of Health Sciences, Division of Midwifery
Aydin, Efeler, Turkey (Türkiye)
The starting breastfeeding in the first hour
assessed using the Breastfeeding Follow-up Form in 3rd-7th day postpartum. Mothers reported whether they started breastfeeding within the first hour after birth.
Time frame: Postpartum 3rd-7th day
Bottle-feeding
assessed using the Breastfeeding Follow-up Form in 3rd-7th day postpartum. Mothers reported whether they feed her baby with bottle-feeding.
Time frame: Postpartum 3rd-7th day
The baby's amount of milk intake
assessed using The Scoring System for Measuring a Baby's Intake of Breast Milk. This measurement tool was developed to assess the amount of breast milk a baby is fed. The form is made up of 5 sections: the baby's weight, state of satisfaction, frequency and characteristics of urination and defecation and the condition of the mother's breasts. This tool is filled by observation, measurement and interview. The tool rates each status on the basis of 0, 1 or 2, the highest possible total score being 10. A score of 8-10 indicates that the intake of breast milk is good, 0-7 indicates an insufficient intake.
Time frame: Postpartum 3rd-7th day
The baby's amount of milk intake
assessed using The Scoring System for Measuring a Baby's Intake of Breast Milk. This measurement tool was developed to assess the amount of breast milk a baby is fed. The form is made up of 5 sections: the baby's weight, state of satisfaction, frequency and characteristics of urination and defecation and the condition of the mother's breasts. This tool is filled by observation, measurement and interview. The tool rates each status on the basis of 0, 1 or 2, the highest possible total score being 10. A score of 8-10 indicates that the intake of breast milk is good, 0-7 indicates an insufficient intake.
Time frame: Postpartum the 1st month
The baby's amount of milk intake
assessed using The Scoring System for Measuring a Baby's Intake of Breast Milk. This measurement tool was developed to assess the amount of breast milk a baby is fed. The form is made up of 5 sections: the baby's weight, state of satisfaction, frequency and characteristics of urination and defecation and the condition of the mother's breasts. This tool is filled by observation, measurement and interview. The tool rates each status on the basis of 0, 1 or 2, the highest possible total score being 10. A score of 8-10 indicates that the intake of breast milk is good, 0-7 indicates an insufficient intake.
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Time frame: Postpartum 2nd month
Exclusively feeding with mother's milk
assessed using the Breastfeeding Follow-up Form. Mothers reported whether they feed her baby with exclusively mother's milk.
Time frame: Postpartum 3rd-7th day
Exclusively feeding with mother's milk
assessed using the Breastfeeding Follow-up Form. Mothers reported whether they feed her baby with exclusively mother's milk.
Time frame: Postpartum the 1st month
Exclusively feeding with mother's milk
assessed using the Breastfeeding Follow-up Form. Mothers reported whether they feed her baby with exclusively mother's milk.
Time frame: Postpartum 2nd month
Believing breast milk is adequate
assessed using the Breastfeeding Follow-up Form. Mothers reported whether they believed her baby take adequate breast milk.
Time frame: Postpartum 3rd-7th day
Believing breast milk is adequate
assessed using the Breastfeeding Follow-up Form. Mothers reported whether they believed her baby take adequate breast milk.
Time frame: Postpartum the 1st month
Believing breast milk is adequate
assessed using the Breastfeeding Follow-up Form. Mothers reported whether they believed her baby take adequate breast milk.
Time frame: Postpartum 2nd month
Baby's height
used to determine the baby's height. Baby's height was measured and recorded by the researcher to The Breastfeeding Follow-up Form as cm.
Time frame: Postpartum 3rd-7th day
Baby's height
used to determine the baby's height. Baby's height was measured and recorded by the researcher to The Breastfeeding Follow-up Form as cm.
Time frame: Postpartum 1st month
Baby's height
used to determine the baby's height. Baby's height was measured and recorded by the researcher to The Breastfeeding Follow-up Form as cm.
Time frame: Postpartum 2nd month
Believing the baby is adequately fed.
assessed using the Breastfeeding Follow-up Form. Mothers reported whether they believed her baby fed adequate.
Time frame: Postpartum 3rd-7th day
Believing the baby is adequately fed.
assessed using the Breastfeeding Follow-up Form. Mothers reported whether they believed her baby fed adequate.
Time frame: Postpartum 1st month
Believing the baby is adequately fed.
assessed using the Breastfeeding Follow-up Form. Mothers reported whether they believed her baby fed adequate.
Time frame: Postpartum 2nd month
Being satisfied with baby's weight gain.
assessed using the Breastfeeding Follow-up Form. Mothers reported whether they were satisfied from her baby's weight gain.
Time frame: Postpartum 3rd-7th day
Being satisfied with baby's weight gain.
assessed using the Breastfeeding Follow-up Form. Mothers reported whether they were satisfied from her baby's weight gain.
Time frame: Postpartum 1st month
Being satisfied with baby's weight gain.
assessed using the Breastfeeding Follow-up Form. Mothers reported whether they were satisfied from her baby's weight gain.
Time frame: Postpartum 2nd month
Baby's weight
used to determine the baby's weight. Baby's weight was measured and recorded by the researcher to The Breastfeeding Follow-up Form as grams.
Time frame: Postpartum 3rd-7th day
Baby's weight
used to determine the baby's weight. Baby's weight was measured and recorded by the researcher to The Breastfeeding Follow-up Form as grams.
Time frame: Postpartum 1st month
Baby's weight
used to determine the baby's weight. Baby's weight was measured and recorded by the researcher to The Breastfeeding Follow-up Form as grams.
Time frame: Postpartum 2nd month