The factors affecting breastfeeding self-efficacy, LATCH scores and effect of postnatal breastfeeding education on mothers' self-efficacy.

The study was done in one university hospital in a single city in Türkiye, so the results may not apply to other settings or countries. There was no control group because the hospital was baby-friendly, so the increase in self-efficacy cannot be separated from routine breastfeeding support, one-on-one education, practical demonstration, positive feedback, or phone follow-up. Only mothers over 18 who were breastfeeding healthy infants were included; mothers with multiple births, premature or low-birth-weight infants, visual or hearing impairment, psychiatric illness, or non-Turkish speakers were excluded. Of 234 mothers included in the first stage, nine did not respond to phone calls and eight did not breastfeed, so the final 217 may not represent all postpartum mothers. The education was delivered by a certified breastfeeding nurse who was also a researcher, and the hospital already provided breastfeeding education and support, which may affect how the intervention is described.

The supplied funding and conflicts section states financial support from the Conselho Nacional de Desenvolvimento Científico e Tecnológico - Brasil (CNPq), process 401923/2024-0.

Do not conclude that the breastfeeding education alone caused the increase in self-efficacy. The study had no control group, all mothers received routine baby-friendly hospital breastfeeding support, and the intervention included one-on-one room visits, a 20-minute lecture, practical demonstration, positive feedback, and phone follow-up.