Evaluation of Lactation Management Education Program among Nursing Mothers Attending a Primary Health Care Unit in Suez Governorate, Egypt. | ||||
| The Egyptian Journal of Community Medicine | ||||
| Article 5, Volume 36, Issue 3, July 2018, Page 49-60 PDF (851.25 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejcm.2018.16333 | ||||
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| Abstract | ||||
| Mothers’ poor knowledge and negative attitude towards breastfeeding influence practices and constitute barriers to successful breast feeding. Objectives: To implement a breastfeeding education intervention in a primary health care unit, and to assess the effect of the intervention on knowledge, attitude and practice of nursing mothers. Methods: A health education intervention study was carried out on nursing mothers recruited from attendees of compulsory immunization sessions in one of health care centers of Suez governorate. Sample size estimated to be 250, selected by systematic random sample. Completing a structured interview questionnaire was done to assess mothers` knowledge and attitude while practice was assessed using a breastfeeding observational checklist. Results: Study was performed on 211 mother-infant pairs. 21.8% of the mothers were exclusively breast feeding. 82% of study participants had previous breastfeeding experience. There was a significant improvement in mothers` knowledge about advantages of breastfeeding. (mean score: post 13.8 ±0.9 vs pre.9.5 ±2.8 p<0.001). There was significant improvement of post-intervention mothers’ attitude (p<0.001). A significant improvement in mothers` breastfeeding practice (post 5.6 ± 0.8, vs pre-mean ± SD 3.9 ± 1.71 p=0.001). According to the mothers` wrong believes and barriers to exclusive breastfeeding, the majority (>80%) of them reported pain as a major barrier, followed by fear of distorted breast shape, poor prenatal and postpartum support, and insufficient milk production. Conclusion: Breastfeeding intervention was efficient to achieve improvement in mothers' knowledge, attitudes, and practice among attendants of the primary health care unit in Suez governorate. | ||||
| Keywords | ||||
| breastfeeding; Knowledge; Attitudes; Practices; nursing Mothers; lactation management | ||||
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