Effect of antenatal educational intervention on maternal breastfeeding self-efficacy and breastfeeding success: a quasi-experimental study.
Rukiye Öztürk, Sibel Ergün, Nurcan Özyazıcıoğlu
PMID 35377385WHAT IT FOUND
Mothers who received antenatal breastfeeding education plus standard care had higher breastfeeding confidence scores (61.12 of 70 vs 58.39) and higher breastfeeding success scores (8.38 of 10 vs 7.30) one week after birth.
Key findings
01At the first postpartum week, intervention mothers had higher breastfeeding self-efficacy scores than control mothers (61.12 ± 4.06 vs 58.39 ± 5.17; p = 0.03).
02Intervention mothers also had higher LATCH breastfeeding success scores than control mothers (8.38 ± 1.50 vs 7.30 ± 1.51; p = 0.003).
03Across both groups, higher breastfeeding self-efficacy scores were associated with higher LATCH scores (r = 0.345).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was called quasi-experimental, not a true randomised controlled trial. The intervention group had more planned breastfeeding duration and more skin-to-skin contact at baseline, so the groups were not identical before birth. Thirteen women were excluded after randomisation, leaving 67 analysed. Outcomes were measured only in the first postpartum week, so longer-term breastfeeding maintenance was not shown. The education was delivered in small groups, so its feasibility in larger populations is unknown. The breastfeeding confidence questionnaire was less consistent in this study (0.72) than in earlier reports.
The easy way to misread this
Do not read the higher scores as proof that antenatal education alone caused better breastfeeding. The intervention group also received standard antenatal and postnatal care, had baseline differences in planned breastfeeding duration and skin-to-skin contact, and the study measured only one week after birth. The study cannot isolate the contribution of any single component of the education package.