The aim of this study is to determine the effect of education and counseling based on the hypno-breastfeeding philosophy given in the antenatal period on only breastfeeding status, breastfeeding self-efficacy and breastfeeding motivation.
This is a non-randomized experimental study. Data were collected from 80 women who attended hypno-breastfeeding-based education or standart breastfeeding education from Turkey between September 2021 and February 2022. Participants who met the inclusion criteria were informed about the purpose of the study and hypno-breastfeeding-based education or standart breastfeeding education, informed consent was obtained from those who agreed to participate. Data were collected at the time of consent to the study, pre-education, post-education, 1 week and 8 weeks after birth. Collected by the first author. The CONSORT directive was followed in the planning, implementation and writing of the research.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
80
The hypnobreastfeeding education program consists of 4 sessions and 12 hours. It includes information about breastfeeding, mental preparation for the breastfeeding experience, emotional studies, motivational practices, awareness and self-compassion practices.
The standard breastfeeding education program consists of 1 session and 3 hours. It contains only information and applications about breastfeeding.
Gozde Gokce Isbir
Mersin, Turkey (Türkiye)
Level of breastfeeding self-efficacy
Women's breastfeeding self-efficacy during pregnancy were evaluated with the Breastfeeding Self-efficacy Scale. This scale was developed by Dennis et al (2003) for fear after childbirth. The Turkish validity and reliability of the scale were performed by Tokat et al. (2010). This scale consisting of 14 items is a 5-point Likert-type. The positive-meaning items are scored in reverse order. Therefore, the scores ranged from 14 to 70. The scale has no cutoff score, and high scores indicated higher breastfeedin self- efficacy. There are two versions of the scale used during pregnancy and postpartum. In both versions, the items are the same and the tenses change. In order to evaluate the Turkish validity and reliability of both antenatal and postnatal versions of the scale, language, structure and predictive validity analyzes were performed and the Cronbach's alpha value was found to be 0.87 for the antenatal measurement tool and 0.86 for the postnatal measurement tool.
Time frame: Between 28-34 weeks of pregnancy
Level of breastfeeding self-efficacy
Women's breastfeeding self-efficacy during pregnancy were evaluated with the Breastfeeding Self-efficacy Scale. This scale was developed by Dennis et al (2003) for fear after childbirth. The Turkish validity and reliability of the scale were performed by Tokat et al. (2010). This scale consisting of 14 items is a 5-point Likert-type. The positive-meaning items are scored in reverse order. Therefore, the scores ranged from 14 to 70. The scale has no cutoff score, and high scores indicated higher breastfeedin self- efficacy. There are two versions of the scale used during pregnancy and postpartum. In both versions, the items are the same and the tenses change. In order to evaluate the Turkish validity and reliability of both antenatal and postnatal versions of the scale, language, structure and predictive validity analyzes were performed and the Cronbach's alpha value was found to be 0.87 for the antenatal measurement tool and 0.86 for the postnatal measurement tool.
Time frame: Between 30-36 weeks of pregnancy
Level of breastfeeding self-efficacy
Women's breastfeeding self-efficacy at the postpartum period were evaluated with the Breastfeeding Self-efficacy Scale. This scale was developed by Dennis et al (2003) for fear after childbirth. The Turkish validity and reliability of the scale were performed by Tokat et al. (2010). This scale consisting of 14 items is a 5-point Likert-type. The positive-meaning items are scored in reverse order. Therefore, the scores ranged from 14 to 70. The scale has no cutoff score, and high scores indicated higher breastfeedin self- efficacy. There are two versions of the scale used during pregnancy and postpartum. In both versions, the items are the same and the tenses change. In order to evaluate the Turkish validity and reliability of both antenatal and postnatal versions of the scale, language, structure and predictive validity analyzes were performed and the Cronbach's alpha value was found to be 0.87 for the antenatal measurement tool and 0.86 for the postnatal measurement tool.
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Time frame: Postpartum 1st week
Level of breastfeeding motivation
In order to improve the breastfeeding motivation of women in the postpartum period, Peleg et al. Breastfeeding Motivation Scale was developed by in 2015. The scale consists of 24 items and 5 sub-dimensions. The scale does not have a total score. The scores of the sub-dimensions are calculated by taking the average of the sub-dimension scores of the scale. As the score obtained from the scale sub-dimension increases, the motivation score representing that sub-dimension also increases. The Turkish adaptation of the scale was carried out by Mızrak and Özdoğan in 2017, and the cronbach alpha value was determined as 0.88.
Time frame: Postpartum 1st week
Breastfeeding Process Evaluation Form
The breastfeeding process evaluation form was created by the researchers as a result of the literature review in order to determine the status of exclusive breastfeeding in the first eight weeks and the factors affecting it. Breastfeeding processes evaluation form consists of 20 questions.
Time frame: Postpartum 1st week
Level of breastfeeding self-efficacy
Women's breastfeeding self-efficacy at the postpartum period were evaluated with the Breastfeeding Self-efficacy Scale. This scale was developed by Dennis et al (2003) for fear after childbirth. The Turkish validity and reliability of the scale were performed by Tokat et al. (2010). This scale consisting of 14 items is a 5-point Likert-type. The positive-meaning items are scored in reverse order. Therefore, the scores ranged from 14 to 70. The scale has no cutoff score, and high scores indicated higher breastfeedin self- efficacy. There are two versions of the scale used during pregnancy and postpartum. In both versions, the items are the same and the tenses change. In order to evaluate the Turkish validity and reliability of both antenatal and postnatal versions of the scale, language, structure and predictive validity analyzes were performed and the Cronbach's alpha value was found to be 0.87 for the antenatal measurement tool and 0.86 for the postnatal measurement tool.
Time frame: Postpartum 8 st week
Level of breastfeeding motivation
In order to improve the breastfeeding motivation of women in the postpartum period, Peleg et al. Breastfeeding Motivation Scale was developed by in 2015. The scale consists of 24 items and 5 sub-dimensions. The scale does not have a total score. The scores of the sub-dimensions are calculated by taking the average of the sub-dimension scores of the scale. As the score obtained from the scale sub-dimension increases, the motivation score representing that sub-dimension also increases. The Turkish adaptation of the scale was carried out by Mızrak and Özdoğan in 2017, and the cronbach alpha value was determined as 0.88.
Time frame: Postpartum 8 st week
Breastfeeding Process Evaluation Form
The breastfeeding process evaluation form was created by the researchers as a result of the literature review in order to determine the status of exclusive breastfeeding in the first eight weeks and the factors affecting it. Breastfeeding processes evaluation form consists of 20 questions.
Time frame: Postpartum 8 st week