Effect of Biological Nurturing Education to Pregnant Women on Breastfeeding Status

Istanbul University - Cerrahpasa207 enrolled

Overview

Aim: This study was randomized to determine the effect of biological nurturing education given to nulliparous pregnant women on breastfeeding status. Method: The population of the study consisted of pregnant women who are visiting Istanbul Training and Research Hospital Suleymaniye Obstetrics and Pediatrics Hospital between October 2022 and August 2023. F test at 90% effect power 0.25 medium effect level on the sample of the study analyzed using the Gpower (3.1.9.2) Programe. As a result of the analyze, it was planned to recruit 207 nulliparous pregnant women. According to the calculation made, there should be at least 69 people in each groups. Accordingly, 69 people in the experimental 1 group (biological nurturing), 69 people in the experimental 2 group (classical breastfeeding), 69 people should be included in the control group. Experimental 1 group and experimental 2 group will be given breastfeeding training on their first visit and after two weeks. Breastfeeding success in the postpartum period will be compared in all groups.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

DOUBLE

Enrollment

207

Conditions

Breastfeeding

Interventions

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 35 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: GROUP 1: * 18-35 age range * Nulliparous Pregnancy * Single Pregnancy * Gestational week 34- 36 * Those who are literate * Those who have a smart phone and have the opportunity to benefit from teaching methods GROUP 2: * 18-35 age range * Nulliparous Pregnancy * Single Pregnancy * Gestational week 34-36 * Those who are literate GROUP 3: * 18-35 age range * Nulliparous Pregnancy * Single Pregnancy * Gestational week 34-36 gw * Those who are literate Exclusion Criteria: GROUP1: * Presence of chronic disease * Nipple problems * Admission of the baby to the neonatal intensive care unit * The presence of anomaly related to the baby (chromosomal anomaly, cleft palate/lip, tongue tie) * Mothers in whom breastfeeding will be prohibited/suspected in the postpartum period * The presence of a disease in the mother that will prevent breastfeeding * Pregnant women with vision and hearing problems GROUP 2: * Presence of chronic disease * Nipple problems * Admission of the baby to the neonatal intensive care unit * The presence of anomaly related to the baby (chromosomal anomaly, cleft palate/lip, tongue tie) * Mothers in whom breastfeeding will be prohibited/suspected in the postpartum period * The presence of a disease in the mother that will prevent breastfeeding * Pregnant women with vision and hearing problems GROUP 3: * Pregnant women who go to pregnancy school * Presence of chronic disease * Nipple problems * Admission of the baby to the neonatal intensive care unit * The presence of anomaly related to the baby (chromosomal anomaly, cleft palate/lip, tongue tie) * Mothers in whom breastfeeding will be prohibited/suspected in the postpartum period * The presence of a disease in the mother that will prevent breastfeeding * Pregnant women with vision and hearing problems

Outcomes

Primary Outcomes

Higher ''Prenatal Breastfeeding Self-Efficacy Scale'' score in the biological nurturing group

Prenatal Breastfeeding Self-Efficacy Scale was developed to determine the breastfeeding self-efficacy perceptions of pregnant women in the prenatal period. The lowest score is 20, the highest score is 100. The higher the score, the higher the perception of breastfeeding self-efficacy.

Time frame: Two weeks after the first training

Higher ''Prenatal Breastfeeding Self-Efficacy Scale'' score in the biological nurturing group

Time frame: The first 24 hours of the postpartum period

Higher ''LATCH Scale'' score in the biological nurturing group

LATCH Scale is an assessment tool to evaluate the effectiveness of early breast-feeding. A numerical score of 0, 1, or 2 is assigned to the five letters of the acronym: Latching of infant onto the breast, Amount of audible swallowing, Type of nipple, Comfort of mother, Help needed by mother to hold baby to breast. Lower scores (\< 5) can indicate the need for assistance for better success at breast-feeding.