Effect of Evidence-Based Breastfeeding Educational Program and Follow-up Plan on Breastfeeding Practices Among Mothers of Preterm Infants

Tuesday, November 3, 2009: 2:45 PM

Azza H. Ahmed
School of Nursing, Purdue University, West Lafayette, IN

Learning Objective 1: Explain at least two effects of behavioral-based breastfeeding education for mothers of preterm infants.

Learning Objective 2: Discuss at least one effect of postdischarge follow-up on breastfeeding outcomes among mothers of preterm infants.

Purpose:  The purpose of this study is to investigate the effect of evidence-based breastfeeding support program based on behavioral interventions and follow up plan on breastfeeding outcomes among mothers of preterm infants. Based on the evidence that support breastfeeding education based on understanding preterm infant behavior and promoting self-efficacy improves breastfeeding outcomes (Nyqvist, 2002 and BSocSci, et al. 2007).
Subjects and methods: A quasi-experimental design using convenience sample of 60 mothers/infants dyad who are born before 37 weeks. Thirty mothers/infant dyads were recruited to the control group (usual care group) first then another 30 mother/infants dyads to the experimental group. Instruments: Breastfeeding Self Efficacy Scale (BFSES) preterm infant version; Premature Infant Breastfeeding Behavior Scale (PIBBS), and Breastfeeding diary based on PIBBS.
Evidence-based Interventions: A two sessions of breastfeeding education based on explaining preterm infant’s breastfeeding behavior and readiness to breastfeeding, educational pamphlet explaining preterm infant behavior and improving mothers’ self-efficacy, audiovisual movie explaining the benefits of breastfeeding for preterm infant and pumping process are discussed with the mothers of experimental group before discharge. Breastfeeding diary based on PIBBS to promote self-monitoring and encourage breastfeeding continuation is given to the mothers before discharge. Bothe groups were followed up for three months after discharge.
Results: The Preliminary results are showing a significant difference in breastfeeding out comes in terms of exclusivity and continuation among experimental group as well as higher self-efficacy compared to control group.