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Effect of Breastfeeding Education Program and Nurse-led Breastfeeding Online Counseling System (BMUM) for Mothers: A Randomized Controlled Study

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dc.contributor.authorŞimsek-Çetinkaya, Şahika
dc.contributor.authorGümüş Çaliş, Gülçin
dc.contributor.authorKibris, Şerife
dc.date.accessioned2026-01-04T19:30:01Z
dc.date.issued2023-11-25
dc.description.abstractBackground: Breastfeeding is very important for maternal and infant health. With first pregnancies, many pregnant people face obstacles to achieving their breastfeeding goals. Research Aims: We aimed to investigate the outcomes of a breastfeeding education program and nurse-led online breastfeeding counseling system (BMUM) on breastfeeding self-efficacy, attitudes about breastfeeding, breastfeeding problems, breastfeeding frequencies and postpartum depression. Methods: This study was a randomized controlled trial. Participants were randomly assigned to the intervention group ( n  = 36), or control group ( n  = 36). Assessments were conducted during pregnancy, between 32- and 37-weeks gestation, and on postpartum Day 1, Week 1, Week 3, and 6 months. Results: The means of the Breastfeeding Self-Efficacy–Short Form scores, and the Infant Feeding Attitude Scale (IIFAS) scores were similar between the groups at the first assessment ( p  = 0.733). IIFAS scores in the intervention group were significantly higher in the follow-up measurements on postpartum Day 1, Week 1, Week 3, and 6 months compared to scores in the control group ( p  = 0.006; p  = 0.000; p  = 0.002; p  = 0.001) Edinburgh Postpartum Depression Scale (EPDS) scores were similar between the two groups at 1 week ( p  = 0.678). EPDS scores were significantly higher in the control group on Day 1 and at 3 and 6 months postpartum ( p  = 0.000; p  = 0.038; p  = 0.042). There was no statistically significant difference in breastfeeding problems between the two groups ( p  > 0.05 across breastfeeding problems examined). The mean values of breastfeeding frequency were similar between groups on Day 1, and significantly higher in the intervention group on follow-up measurements. Conclusion: The results of this intervention appear to promote positive attitudes toward breastfeeding and decrease feelings of postpartum depression. However, further randomized controlled trials are needed to support our outcomes.
dc.description.urihttps://doi.org/10.1177/08903344231210813
dc.description.urihttps://pubmed.ncbi.nlm.nih.gov/38006250
dc.identifier.doi10.1177/08903344231210813
dc.identifier.eissn1552-5732
dc.identifier.endpage112
dc.identifier.issn0890-3344
dc.identifier.openairedoi_dedup___::130794bf9225b357a7e6b31fb5304cfe
dc.identifier.orcid0000-0002-4518-5286
dc.identifier.orcid0000-0001-9846-170x
dc.identifier.pubmed38006250
dc.identifier.scopus2-s2.0-85178294007
dc.identifier.startpage101
dc.identifier.urihttps://hdl.handle.net/20.500.12597/41234
dc.identifier.volume40
dc.identifier.wos001114760600001
dc.language.isoeng
dc.publisherSAGE Publications
dc.relation.ispartofJournal of Human Lactation
dc.rightsCLOSED
dc.subjectDepression, Postpartum
dc.subjectCounseling
dc.subjectBreast Feeding
dc.subjectPregnancy
dc.subjectPostpartum Period
dc.subjectInfant
dc.subjectHumans
dc.subjectMothers
dc.subjectFemale
dc.subjectNurse's Role
dc.subjectRandomized Controlled Trials as Topic
dc.subject.sdg2. Zero hunger
dc.subject.sdg3. Good health
dc.titleEffect of Breastfeeding Education Program and Nurse-led Breastfeeding Online Counseling System (BMUM) for Mothers: A Randomized Controlled Study
dc.typeArticle
dspace.entity.typePublication
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With first pregnancies, many pregnant people face obstacles to achieving their breastfeeding goals.</jats:p> </jats:sec> <jats:sec> <jats:title>Research Aims:</jats:title> <jats:p>We aimed to investigate the outcomes of a breastfeeding education program and nurse-led online breastfeeding counseling system (BMUM) on breastfeeding self-efficacy, attitudes about breastfeeding, breastfeeding problems, breastfeeding frequencies and postpartum depression.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p> This study was a randomized controlled trial. Participants were randomly assigned to the intervention group ( <jats:italic>n</jats:italic>  = 36), or control group ( <jats:italic>n</jats:italic>  = 36). Assessments were conducted during pregnancy, between 32- and 37-weeks gestation, and on postpartum Day 1, Week 1, Week 3, and 6 months. </jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p> The means of the Breastfeeding Self-Efficacy–Short Form scores, and the Infant Feeding Attitude Scale (IIFAS) scores were similar between the groups at the first assessment ( <jats:italic>p</jats:italic>  = 0.733). IIFAS scores in the intervention group were significantly higher in the follow-up measurements on postpartum Day 1, Week 1, Week 3, and 6 months compared to scores in the control group ( <jats:italic>p</jats:italic>  = 0.006; <jats:italic>p</jats:italic>  = 0.000; <jats:italic>p</jats:italic>  = 0.002; <jats:italic>p</jats:italic>  = 0.001) Edinburgh Postpartum Depression Scale (EPDS) scores were similar between the two groups at 1 week ( <jats:italic>p</jats:italic>  = 0.678). EPDS scores were significantly higher in the control group on Day 1 and at 3 and 6 months postpartum ( <jats:italic>p</jats:italic>  = 0.000; <jats:italic>p</jats:italic>  = 0.038; <jats:italic>p</jats:italic>  = 0.042). There was no statistically significant difference in breastfeeding problems between the two groups ( <jats:italic>p</jats:italic>  &gt; 0.05 across breastfeeding problems examined). The mean values of breastfeeding frequency were similar between groups on Day 1, and significantly higher in the intervention group on follow-up measurements. </jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion:</jats:title> <jats:p>The results of this intervention appear to promote positive attitudes toward breastfeeding and decrease feelings of postpartum depression. 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