Department of Midwifery, Wachemo University, Hosanna, Ethiopia.
Department of Population and Family Health, Institute of Health, Jimma University, Jimma, Ethiopia.
Sci Rep. 2024 Aug 9;14(1):18563. doi: 10.1038/s41598-024-68032-3.
The purpose of this study was to evaluate the effect of male partners' targeted antenatal and postnatal breastfeeding education and support interventions on maternal breastfeeding self-efficacy in central Ethiopia. A two-arm parallel group cluster randomized controlled trial was carried out among couples in a community setting in the Hadiya Zone, central Ethiopia. A total of 408 couples from 16 clusters were randomly assigned to either the intervention (n = 204) or control group (n = 204). The analysis was conducted using an intention-to-treat approach. A generalized estimating equation (GEE) analysis was done to evaluate the effectiveness of the interventions. Maternal BFSE was significantly higher among mothers whose male partner received breastfeeding education and support interventions than those who did not receive the interventions (130 (65.0%) v 90 (45.9%), P < 0.001). The net effect of the intervention on improving maternal BFSE was 20.9% [95% CI: 16.9%-24.9%]. In the GEE model, maternal BFSE was 48% [RR = 1.48, 95% CI: 1.23, 1.79] higher in the intervention group than the control group. Involving male partners in breastfeeding promotion activities can enhance the mother's self-efficacy and confidence in breastfeeding.Trial registration: ClinicalTrials.gov identifier (NCT number), NCT05173454. Registered on 30/12/2021.
本研究旨在评估男性伴侣接受有针对性的产前和产后母乳喂养教育和支持干预对埃塞俄比亚中部产妇母乳喂养自我效能的影响。在埃塞俄比亚中部哈迪亚地区的社区环境中，对夫妇进行了一项两臂平行组随机对照试验。共有来自 16 个集群的 408 对夫妇被随机分配到干预组（n=204）或对照组（n=204）。分析采用意向治疗方法进行。使用广义估计方程（GEE）分析评估干预措施的有效性。与未接受干预的母亲相比，其男性伴侣接受母乳喂养教育和支持干预的母亲的母乳喂养自我效能显著更高（130（65.0%）v 90（45.9%），P<0.001）。干预对改善产妇母乳喂养自我效能的净效应为 20.9%[95%CI：16.9%-24.9%]。在 GEE 模型中，干预组的母乳喂养自我效能比对照组高 48%[RR=1.48，95%CI：1.23，1.79]。让男性伴侣参与母乳喂养促进活动可以增强母亲的自我效能感和母乳喂养信心。试验注册：ClinicalTrials.gov 标识符（NCT 编号），NCT05173454。于 2021 年 12 月 30 日注册。
