Sönmez Tuğçe, Sürücü Şule Gökyıldız, Vurgeç Burcu Avcıbay
Department of Midwifery, Faculty of Health Sciences, Tarsus University, Mersin, Türkiye.
Department of Midwifery, Faculty of Health Sciences, Cukurova University, Adana, Türkiye.
BMC Pregnancy Childbirth. 2025 Jun 7;25(1):663. doi: 10.1186/s12884-025-07781-z.
Effective and accessible breastfeeding practices are essential for enhancing breastfeeding success, strengthening mother-infant bonding, and promoting optimal maternal and infant health. As a personalized support, breastfeeding counseling provides accurate information, supports breastfeeding continuity, and fosters bonding. Therefore, integrating breastfeeding counseling, which is applied in a hybrid (face-to-face and tele-consulting) manner, into maternal care is predicted to be a key strategy in strengthening maternal and child health.
This study aims to investigate the effects of hybrid breastfeeding counseling (face-to-face and online), which was started in the last trimester and continued at certain intervals in the postnatal period, on primiparous women's breastfeeding behaviors.
This is a randomized controlled trial with a pretest-posttest design conducted in Türkiye on 90 primiparous women (experimental = 46, control = 44). Data were collected through the Antenatal-Postnatal Information Form, the Breastfeeding Motivation Scale (BMS), the IOWA Infant Feeding Attitude Scale (IIFAS), and the Mother-to-Infant Bonding Scale (MIBS). Data were analyzed using SPSS 25.0.
The average age of all the participating women was 25.83 ± 4.63 years. The findings show that women in the experimental group had more positive attitudes and high motivation in terms of IIFAS scores and BMS subscale scores. In addition, data on MIBS scores and infants' 4th month weight and 4th to 6th month length revealed that the experimental group showed more positive results compared to the control group (p < 0.05).
Continuous hybrid breastfeeding support (face-to-face and online) given to primiparous mothers increased their breastfeeding motivation and attitude to breastfeed, and it was found to be effective in ensuring positive mother-to-infant bonding.
The clinical trial registration number is NCT05484076/ https://clinicaltrials.gov/study/NCT05484076 Date of registration 07/28/2022 (registered prospectively).
有效的、可及的母乳喂养实践对于提高母乳喂养成功率、加强母婴联结以及促进母婴最佳健康状况至关重要。作为一种个性化支持，母乳喂养咨询提供准确信息，支持母乳喂养的持续性，并促进母婴联结。因此，将以混合（面对面和远程咨询）方式应用的母乳喂养咨询纳入孕产妇保健预计将成为加强母婴健康的关键策略。
本研究旨在调查在妊娠晚期开始并在产后定期持续进行的混合式母乳喂养咨询（面对面和在线）对初产妇母乳喂养行为的影响。
这是一项在土耳其进行的采用前测-后测设计的随机对照试验，研究对象为90名初产妇（实验组=46名，对照组=44名）。通过产前-产后信息表、母乳喂养动机量表（BMS）、爱荷华婴儿喂养态度量表（IIFAS）和母婴联结量表（MIBS）收集数据。使用SPSS 25.0对数据进行分析。
所有参与研究的女性平均年龄为25.83±4.63岁。研究结果表明，实验组女性在IIFAS得分和BMS子量表得分方面态度更积极且积极性更高。此外，关于MIBS得分以及婴儿4个月时体重和4至6个月时身长的数据显示，与对照组相比，实验组呈现出更积极的结果（p<0.05）。
给予初产妇持续的混合式母乳喂养支持（面对面和在线）提高了她们的母乳喂养动机和母乳喂养态度，并且发现其在确保积极的母婴联结方面是有效的。
临床试验注册号为NCT05484076/https://clinicaltrials.gov/study/NCT05484076 注册日期2022年7月28日（前瞻性注册）。
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