Effect of Educational Program on Maternal Breastfeeding Self-Efficacy: A Randomized Controlled Trial.
Janaina Landim de Sousa, Isabelle Melo Martins, Flávia Ximenes Vasconcelos and 9 others
PMID 40755865WHAT IT FOUND
Mothers receiving a breastfeeding album plus brief motivational interview, in addition to routine guidance, reported higher breastfeeding confidence than routine guidance alone up to 90 days, despite starting lower.
Differences were not clear at 120 or 180 days.
Key findings
01The intervention group, which received routine guidance plus a breastfeeding album and brief motivational interview, had higher breastfeeding self-efficacy scores than the comparison group at 15, 30, 60 and 90 days, despite a lower baseline score.
02Only 47 of 76 women in the intervention group and 29 of 76 women in the comparison group remained at the end of follow-up.
03Within the intervention group, mothers practicing exclusive breastfeeding had higher mean breastfeeding self-efficacy scores than mothers not practicing exclusive breastfeeding throughout the 180-day follow-up.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Many women were lost to follow-up: 47 of 76 remained in the intervention group and 29 of 76 remained in the comparison group. The groups were not balanced at baseline for occupation, income and mode of delivery, and the comparison group started with higher breastfeeding self-efficacy than the intervention group. The trial was done in one Baby-Friendly maternity hospital with postpartum women who had healthy full-term babies and no major complications, so it may not apply to higher-risk mothers or other settings. The intervention was a single 30-minute session, and mothers did not take the album home, so long-term effects cannot be judged.
The easy way to misread this
Do not conclude that the breastfeeding album plus brief motivational interview, added to routine guidance, increases exclusive breastfeeding or works after 180 days. The primary outcome was breastfeeding self-efficacy, and group differences were not clear at 120 and 180 days after many women were lost to follow-up.