Meta-Analysis: Effect of Breastfeeding Education Program on the Breastfeeding Self-Efficacy and Exclusive Breastfeeding

Annisa Nurindra Rahmadani, Anisya Fajar Rahmawati

Abstract

Background: Improving self-efficacy in breastfeeding and the practice of exclusive breastfeeding is important for the health of infants and mothers. WHO recommends exclusive breastfeeding for six months without any additional food and fluids. One form of intervention that has been carried out is an educational program given to pregnant women. The purpose of this study was to determine the effect of breastfeeding education on self-efficacy in breastfeeding and exclusive breastfeeding.

Subjects and Method: This was a meta-analysis study using PRISMA flowchart guidelines. The article search process was carried out between 2011-2021 using databases from PubMed and Sciencedirect. Based on the database, there were 15 articles that met the inclusion criteria. The analysis was carried out using RevMan 5.3 software.

Results: There were 15 articles that met the inclusion criteria which were analyzed using the Randomized Controlled Trial method. Based on 7 studies on the effect of education and self-efficacy, it showed that pregnant women who received breastfeeding education interventions had a self-efficacy score of 0.43 times higher than the control group (SMD= 0.43; 95% CI= 0.27 to 0.60; p< 0.001) and 8 Research on the effect of education on the practice of exclusive breastfeeding showed an increase of 2.46 times in exclusive breastfeeding compared to the control group (RR= 1.59; 95% CI= 1.40 to 1.81; p=0.020).

Conclusion: Breastfeeding education programs for pregnant women affect self-efficacy in breastfeeding and exclusive breastfeeding.

Keywords: breastfeeding education, pregnant woman, self-efficacy, exclusive breastfeeding

Correspondence:

Annisa Nurindra Rahmadani. Faculty of Public Health, Universitas Diponegoro. Jl. Prof. Soedarto, SH., Tembalang, Semarang. Email: annisanrahmadani@gmai.com. Mobile: +6283838761325.

Journal of Health Promotion and Behavior, (2022), 07(01): 42-54
DOI: https://doi.org/10.26911/thejhpb.2021.07.01.05

 

Full Text:

PDF

References

Angio MC (2019). Pengaruh Peer Education Terhadap Self Efficacy Dan Motivasi Pada Ibu Menyusui Dalam Pemberian Asi (Effect of Peer Education on Self Efficacy and Motivation in Breastfeeding Mothers in Breastfeeding). J Ilmu Keperawatan Komunitas. 2(1): 26. doi: 10.32584/jikk.v2i1.302.


Aprilia D and Fitriah A (2017). Efektivitas Kelas Edukasi (KE) menyusui untuk meningkatkan efikasi diri ibu menyusui dalam memberikan ASI Eks-klusif di Banjarmasin (Effectiveness of Breastfeeding Education Class (KE) to increase self-efficacy of breastfeeding mothers in providing exclusive breastfeeding in Banjarmasin). J Stud Gend dan Anak. 4(2): 113–122.


Araban M, Karimian Z, Kakolaki ZK, Mc-Queen KA, Dennis CL (2018). Randomized controlled trial of a prenatal breastfeeding self-efficacy intervention in primiparous women in Iran. J. Obstet Gynecol Neonatal Nurs. 47(2): 173–183. doi: 10.1016/j.jogn.2018.01.005.


Ávila-Ortiz MN, Castro-Sánchez AE, Martí-nez-González EA, Núñez-Rocha GM, Zambrano-Moreno A (2020). Factors associated with abandoning exclusive breastfeeding in Mexican mothers at two private hospitals. Int Breastfeed J. 15(1). doi: 10.1186/S13006-020-00-316-6.


Cangöl E, Sahin NH (2017). The effect of a breastfeeding motivation program maintained during pregnancy on supporting breastfeeding: A randomized controlled trial. Breastfeed Med. 12(4): 218–226. doi: 10.1089/bfm.2016.0190.


Chan MY, Ip WY, Choi KC (2016). The effect of a self-efficacy-based educational programme on maternal breast feeding self-efficacy, breast feeding duration and exclusive breast feeding rates: A longitudinal study. Midwifery. 36: 92–98. doi: 10.1016/J.MI¬DW.-2016.03.003.


Eidelman AI, Schanler RJ (2012). Breast-feeding and the Use of Human Milk. Pediatrics. 129(3). doi: 10.1542/PEDS.2011-3552.


Franco-Antonio C, Santano-Mogena E, Sán-chez-García P, Chimento-Díaz S, Cordovilla-Guardia S (2021). Effect of a brief motivational intervention in the immediate postpartum period on breastfeeding self-efficacy: Rando-mized controlled trial. Res. Nurs. Health. 44(2): 295–307. doi: 10.10-02/NUR.22115.


Hegazi MA, Allebdi M, Almohammadi M, Alnafie A, Al-Hazmi L, Alyoubi S (2019). Factors associated with exclusive breastfeeding in relation to know-ledge, attitude and practice of breastfeeding mothers in Rabigh community, Western Saudi Arabia. World J. Pediatr. 15(6): 601–609. doi: 10.10-07/S12519-019-00275-X.


Home CASP Critical Appraisal Skills Programme (no date). Available at: https://casp-uk.net/ (Accessed: 10 February 2022).


Ihudiebube-Splendor CN, Okafor CB, Ana-rado AN, Jisieike-Onuigbo NN, Chin-weuba AU, Nwaneri AV, Arinze JC, et al. (2019). Exclusive Breastfeeding knowledge, intention to practice and predictors among primiparous women in Enugu South-East, Nigeria. J Preg-nancy, 2019. doi: 10.1155/2019/983-2075.


Iliadou M, Lykeridou K, Prezerakos P, Swift E, Tziaferi S (2018). Measuring the effectiveness of a midwifeled education programme in terms of breastfeeding knowledge and self-efficacy, attitudes towards breastfeeding, and perceived barriers of breastfeeding among pregnant women. Mater. Sociomed. 30(4): 240. doi: 10.5455/-MSM.2018.30.240-245.


Kushwaha KP, Sankar J, Sankar MJ, Gupta A, Dadhich JP (2014). Effect of peer counselling by mother support groups on infant and young child feeding practices: The Lalitpur Experience. PLoS One. 9(11): 109181. doi: 10.1371/journal.pone.0109181.


Madore LS, Fisher DJ (2021). The Role of Breast Milk in Infectious Disease. Clin. Perinatol. 48(2): 359–378. doi: 10.1016/J.CLP.2021.03.008


Makowski D, Piraux F, Brun F (2019). From experimental network to meta-analysis: methods and applications with R for agronomic and environmental sciences. Springer Nature B.V.


Mattar CN, Chong YS, Chan YS, Chew A, Tan P, Chan YH, Rauff, M (2007). Simple antenatal preparation to improve breastfeeding practice: a randomized controlled trial. Obstet Gynecol. 109 (1): 73–80. doi: 10.1097/01.AOG.000-0249613.15466.26.


Mcqueen KA, Dennis CL, Stremler R, Norman CD (2011). A pilot randomized controlled trial of a breastfeeding self-efficacy intervention with primiparous mothers. J Obstet Gynecol Neonatal Nurs. 40(1): 35–46. doi: 10.1111/J.1552-6909.2010.01210.X.


Nabulsi M, Tamim H, Shamsedine L, Chara-feddine L, Yehya N, Kabakian-Khasho-lian T, Masri S. et al. (2019). A multi-component intervention to support breastfeeding in Lebanon: A rando-mized clinical trial. PloS One. 14(6). doi: 10.1371/journal.pone.0218467.


Necipoğlu D, Bebiş H, Seviğ Ü (2021). The effect of nursing interventions on immigrant women living in Northern Cyprus on their breastfeeding self-efficacy and success: a randomized controlled trial. Health Care Women Int. 42(2): 235–247. doi: 10.1080/07-399332.2021.1883023.


Noel-Weiss J, Rupp A, Cragg B, Bassett V, Woodend AK (2006). Randomized controlled trial to determine effects of prenatal breastfeeding workshop on maternal breastfeeding self-efficacy and breastfeeding duration. J Obstet Gynecol neonatal Nurs. 35(5):

–624. doi: 10.1111/J.1552-6909.20¬06.00077.X.


Patel S, Patel, S (2016). The effectiveness of lactation consultants and lactation counselors on breastfeeding outcomes. J Hum Lact. 32(3): 530–541. doi: 10.1177/0890334415618668.


Puharić D, Malički M, Borovac JA, Šparac V, Poljak B, Aračić N, Marinović N. et al. (2020). The effect of a combined intervention on exclusive breastfeeding in primiparas: A randomised con-trolled trial. Matern. Child Nutr. 16¬(3). doi: 10.1111/mcn.12948.


Puspita Y (2015). Perbedaan persepsi kontrol diri ibu hamil terhadap intensi ibu untuk memberikan asi eksklusif pada kelas ibu hamil plus di Puskesmas Muara Teweh Kabupaten Barito Utara. J EduHealth. 5(2): 123–130


Sandy JM, Anisfeld E, Ramirez E (2009). Effects of a prenatal intervention on breastfeeding initiation rates in a Latina immigrant sample. J Hum Lact. 25(4): 404–411. doi: 10.1177/-0890334409337308.


Shafaei FS, Mirghafourvand M, Havizari S (2019). Effect of prenatal counseling on exclusive breastfeeding frequency and infant weight gain in mothers with previous unsuccessful breastfeeding: a randomized controlled clinical trial. J Matern Fetal Neonatal Med. 33(21):3571–3578. doi: 10.10-80/14767058.2019.1579191.


Shamir R (2016). The Benefits of Breast Feeding. Nestle Nutr. Inst. Workshop Ser. 86: 67–76. doi: 10.1159/000442-724.


Su LL, Chong YS (2007). Antenatal education and postnatal support strategies for improving rates of exclusive breast feeding: randomised controlled trial. BMJ Journal. doi: 10.1136/bmj.3927-9.656343.55.


Tariku A, Alemu K, Gizaw Z, Muchie KF, Derso T, Abebe SM, Yitayal M. et al. (2017). Mothers education and ANC visit improved exclusive breastfeeding in Dabat Health and Demographic Surveillance System Site, northwest Ethiopia. PloS One. 12(6). doi: 10.13-71/journal.pone.0179056.


Tseng JF, Chen SR, Au HK, Chipojola R, Lee GT, Lee PH, Shyu ML. et al. (2020). Effectiveness of an integrated breastfeeding education program to improve self-efficacy and exclusive breastfeeding rate: A single blind, randomised controlled study. Int. J. Nurs. Stud. 111. doi: 10.1016/J.IJNUR-STU.2020.103770.


Vieira ES, Caldeira NT, Eugênio DS, Di Lucca MM, Silva IA (2018). Breast-feeding self-efficacy and postpartum depression: a cohort study. Rev. Lat. Am. Enfermagem, 26. doi: 10.1590/-1518-8345.2110.3035.


Vural F, Vural B (2017). The effect of pre-natal and postnatal education on exclusive breastfeeding rates. Minerva Pediatr. 69(1): 22–29. doi: 10.23736/-S0026-4946.16.04183-9.


WHO (2021). Global breastfeeding score-card 2021: protecting breastfeeding through bold national actions during the COVID-19 pandemic and beyond. Available at: https://www.who.int/publications/i/item/WHO-HEP-NFS-21.45 (Accessed: 4 February 2022).


Wong MS, Mou H, Chien WT (2021). Effectiveness of educational and supportive intervention for primiparous women on breastfeeding related outcomes and breastfeeding self-efficacy: A systematic review and meta-ana¬lysis. Int. J. Nurs. Stud. 117. doi: 10.-1016/J.IJNURSTU.2021.103874.


Zielińska MA, Sobczak A, Hamułka J (2017). Breastfeeding knowledge and exclusive breastfeeding of infants in first six months of life. Roczniki Panstwowego Zakladu Higieny, 68(1), 51–59.

Refbacks

  • There are currently no refbacks.