de Sousa Janaina Landim, Martins Isabelle Melo, Vasconcelos Flávia Ximenes, Torquato Rebecca Camurça, Lima Laysla de Oliveira Cavalcante, da Silva Natália Vieira, Arruda Maria Dhescyca Ingrid Silva, Sales Joana Maria Rocha, de França Débora Feitosa, Melo Regina Cláudia de Oliveira, de Almeida Paulo César, Barbosa Lorena Pinheiro
Department of Nursing, Federal University of Ceará, Ceará, Brazil.
Department of Nursing, State University of Ceará, Fortaleza, Ceará, Brazil.
Int J Community Based Nurs Midwifery. 2025 Jul 1;13(3):168-179. doi: 10.30476/ijcbnm.2025.104707.2660. eCollection 2025 Jul.
Breastfeeding contributes to the reduction of infant mortality. Educational programs have been employed to strengthen maternal breastfeeding self-efficacy. This study aimed to evaluate the effect of a combined educational intervention on maternal breastfeeding self-efficacy.
A clinical trial was conducted with 152 postpartum women from a public maternity hospital in Fortaleza, Brazil, between February and November 2019. Participants were randomized in blocks into an intervention group and a comparison group that received conventional care. The intervention group received serial album "Eu Posso Amamentar o Meu Filho" (I Can Breastfeed My Child) and brief motivational interview in addition to routine care. Data collection occurred at the maternity hospital and via telephone follow-up at 15, 30, 60, 90, 120, and 180 days, using a sociodemographic and obstetric questionnaire, the Brazilian version of the Breastfeeding Self-Efficacy Scale - Short Form, and a feeding pattern form. Data were analyzed using SPSS version 20.0, employing Chi-square tests, independent t-tests, and repeated measures analysis. A significance level of less than 0.05 was considered.
The intervention group showed higher mean scores in breastfeeding self-efficacy than the comparison group at 15 (P<0.001), 30 (P<0.001), 60 (P<0.001), and 90 days (P=0.015). In the comparison group, the means across the time points did not show a statistically significant difference (P=0.087), but in the intervention group, there was a statistically significant difference (P<0.001). Regarding exclusive breastfeeding, the mean score of self-efficacy in the intervention group was higher the than comparison group to 60 days (P<0.001).
The combined educational intervention increased breastfeeding self-efficacy, and its effects lasted for up to 90 days postpartum. U1111-1251-1052.
母乳喂养有助于降低婴儿死亡率。已采用教育项目来增强母亲的母乳喂养自我效能感。本研究旨在评估综合教育干预对母亲母乳喂养自我效能感的影响。
2019年2月至11月，对巴西福塔莱萨一家公立妇产医院的152名产后妇女进行了一项临床试验。参与者被随机分块分为干预组和接受常规护理的对照组。干预组除接受常规护理外，还接受了系列专辑《我能母乳喂养我的孩子》以及简短的动机性访谈。在妇产医院收集数据，并在第15、30、60、90、120和180天通过电话随访收集数据，使用社会人口学和产科问卷、巴西版母乳喂养自我效能量表简表以及喂养模式表格。使用SPSS 20.0版软件进行数据分析，采用卡方检验、独立样本t检验和重复测量分析。显著性水平设定为小于0.05。
干预组在产后15天（P<0.001）、30天（P<0.001）、60天（P<0.001）和90天（P=0.015）时的母乳喂养自我效能感平均得分高于对照组。在对照组中，各时间点的平均值未显示出统计学上的显著差异（P=0.087），但在干预组中，存在统计学上的显著差异（P<0.001）。关于纯母乳喂养，干预组的自我效能感平均得分在产后60天内高于对照组（P<0.001）。
综合教育干预提高了母乳喂养自我效能感，其效果可持续至产后90天。U1111-1251-1052。
