Document Type : Original Article
Authors
1
Ph.D. Student of Reproductive Health, Lecturer, Department of Midwifery, Faculty of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran.
2
Assistant Professor, Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
3
B.Sc. of Midwifery, Student Research Committee, Faculty of Nursing and Midwifery, Gonabad University of Medical Sciences, Gonabad, Iran.
4
Ph.D. Student of Epidemiology, Lecturer, Department of Public Health, Faculty of Health, Gonabad University of Medical Sciences, Gonabad, Iran.
Abstract
Introduction: Known benefits of breastfeeding have led to making health-policies based on promotion of breastfeeding. One of the appropriate ways of promoting breastfeeding seems to be providing appropriate and effective training. This study was done aimed on comparing workshops and booklets on knowledge, beliefs and behaviors of breastfeeding after delivery.
Methods: This clinical trial was conducted on 90 pregnant women who were selected in quota sampling method from Gonabad health centers in 2010. Participants randomly divided into three groups of workshop training (30 people), booklet (30 people) and control group (30 people). All the participants filled demographic questionnaire, knowledge and health beliefs assessment form before intervention. In workshop group, a three-hour workshop was performed about breastfeeding. In the booklet group, a booklet about breastfeeding was given and in control group no special training was offered. During the first 24 hours after delivery, breastfeeding behavior was observed and breastfeeding-behavior check-list, as well as, knowledge and belief breastfeeding assessment form was completed. Data were analyzed by SPSS statistical software version19, chi-square test, t-student, ANOVA, and Scheffe tests. P value less than 0.05 was considered statistically significant.
Results: Mean score of knowledge about breastfeeding after childbirth was higher in workshop training group than booklet group (13.10±1.62 vs. 8.33±2.73) and Schaffe test showed a significant difference in this case (p= 0.003). Mean score of health beliefs about postpartum breastfeeding was higher in workshop training group than control group (50.83±3.68 vs. 43.9±6.01) and Scheffe test showed a significant difference in this case (p=0.016). Mean score of breastfeeding behavior was higher in workshop group than booklet group (6.63±1.21 vs. 4.86±1.19) and Scheffe test showed a significant statistical difference in this case (p< 0.001).
Conclusion: Training breastfeeding through workshop leads to higher consciousness, more desirable health beliefs and proper breastfeeding behavior right after childbirth than through booklet.
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