Chehreh Razhan, Zahrani Shahnaz Tork, Karamelahi Zolaykha, Baghban Alerza Akbarzadeh
Assistant Professor, PhD of Reproductive Health, School of Midwifery and Nursing, Ilam University of Medical Sciences, Ilam, Iran.
Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Family Med Prim Care. 2021 Sep;10(9):3417-3423. doi: 10.4103/jfmpc.jfmpc_172_21. Epub 2021 Sep 30.
Mother's belief, ability, and self-confidence, which is interpreted as breastfeeding self-efficacy, play a key role in the initiation and continuation of breastfeeding. Numerous factors affect this ability of the mother. Therefore, this study aimed to investigate the effect of peer support on breastfeeding self-efficacy in primiparous women.
In this clinical trial, 240 primiparous women were randomly divided into experimental and control groups. The control group program included routine training, and the experimental group received counseling and training by 30 peers during the first three months after delivery. To determine breastfeeding self-efficacy, Denis's long-term breastfeeding self-efficacy questionnaire was used at the end of week 12 after delivery. Data were analyzed using SPSS software program, version 16.0 and independent t test, Chi-square test, and Mann-Whitney U test.
The mean of breastfeeding self-efficacy score at the end of week 12 after delivery was 141.11 ± 93.4 in the experimental group versus 114.40 ± 60.16 in the control group. Then, the two groups had a statistically significant difference ( = 0.001). Also, exclusive breastfeeding in the experimental group was higher than in the control group ( = 0.001).
Peer support for primiparous women can effectively improve breastfeeding self-efficacy and continuity of exclusive breastfeeding.
母亲的信念、能力和自信心，即被理解为母乳喂养自我效能感，在母乳喂养的开始和持续过程中起着关键作用。众多因素会影响母亲的这种能力。因此，本研究旨在调查同伴支持对初产妇母乳喂养自我效能感的影响。
在这项临床试验中，240名初产妇被随机分为实验组和对照组。对照组的方案包括常规培训，实验组在产后的前三个月接受30名同伴的咨询和培训。为了确定母乳喂养自我效能感，在产后第12周结束时使用丹尼斯的长期母乳喂养自我效能感问卷。使用SPSS软件程序16.0版以及独立t检验、卡方检验和曼-惠特尼U检验对数据进行分析。
实验组在产后第12周结束时母乳喂养自我效能感得分的平均值为141.11±93.4，而对照组为114.40±60.16。两组之间存在统计学上的显著差异（P = 0.001）。此外，实验组的纯母乳喂养率高于对照组（P = 0.001）。
对初产妇的同伴支持可以有效提高母乳喂养自我效能感和纯母乳喂养的持续性。
