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Effect of Nurse Support in the Immediate Postpartum Period on Mothers’ Breastfeeding Self-Efficacy Levels in Turkey: A Quasi-Experimental Study

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Abstract

Objectives

This study aimed to determine the effect of nurse-based breastfeeding support during the immediate postpartum period on mothers’ breastfeeding self-efficacy levels.

Methods

A quasi-experimental study was conducted with 256 mothers in the immediate postpartum period (128 in the intervention group who received nurse-based breastfeeding support and routine care and 128 in the control group who received routine care) during February–June 2018. Data were collected using the Mother-Infant Data Sheet, the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), and the Nurse-Parent Support Tool (NPST).

Results

BSES-SF and NPST mean scores of mothers in the intervention group were higher than those of mothers in the control group (p < 0.01). While the association between breastfeeding self-efficacy and nurse support was low in the control group (0.271), it was rather high in the intervention group (0.693) (p < 0.05). It was found that nurse support explained 48% of the variance in breastfeeding self-efficacy in the intervention group, but only 7.3% of the variance in breastfeeding self-efficacy in the control group.

Conclusions for Practice

The results of the study indicate that nurse support for mothers in the immediate postpartum period based on breastfeeding training has a positive impact on breastfeeding self-efficacy.

Significance

Breastfeeding education of mothers in the early postpartum period significantly affects breastfeeding self-efficacy. It also significantly improves nurse support in the early postpartum period. It is very important that mothers continue to receive care after discharge from the hospital, that their breastfeeding status be assessed, and that nurse support continue.

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Acknowledgements

We gratefully thank all the mothers, and team of translation company.

Funding

No financial support was received in the study.

Author information

Authors and Affiliations

Authors

Contributions

Study design: BA, SA,FTA; Data collection: SA; Data analysis: BA; Study supervision: BA, SA, FTA; Manuscript writing: BA, SA, FTA; Critical revisions for important intellectual content: BA, SA, FTA.

Corresponding author

Correspondence to Fatma Tas Arslan.

Ethics declarations

Conflict of interest

No conflict of interest has been declared by the authors.

Ethical Approval

The study was conducted with approvals from the Noninvasive Clinical Trials Ethics Committee (2017/61) of Health Sciences Faculty at the Selcuk University, and the related permission from hospitals were obtained.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This study was presented as an abstract at the 2nd International 3rd National Postpartum Care Congress (3-6 October, Konya, Türkiye).

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Ak, B., Akkoyun, S. & Tas Arslan, F. Effect of Nurse Support in the Immediate Postpartum Period on Mothers’ Breastfeeding Self-Efficacy Levels in Turkey: A Quasi-Experimental Study. Matern Child Health J 28, 481–488 (2024). https://doi.org/10.1007/s10995-023-03790-6

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  • DOI: https://doi.org/10.1007/s10995-023-03790-6

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