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      Effect of peer support on breastfeeding self-efficacy in ilamian primiparous women: A single-blind randomized clinical trial

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          Abstract

          Introduction:

          Mother's belief, ability, and self-confidence, which is interpreted as breastfeeding self-efficacy, play a key role in the initiation and continuation of breastfeeding. Numerous factors affect this ability of the mother. Therefore, this study aimed to investigate the effect of peer support on breastfeeding self-efficacy in primiparous women.

          Materials and Methods:

          In this clinical trial, 240 primiparous women were randomly divided into experimental and control groups. The control group program included routine training, and the experimental group received counseling and training by 30 peers during the first three months after delivery. To determine breastfeeding self-efficacy, Denis's long-term breastfeeding self-efficacy questionnaire was used at the end of week 12 after delivery. Data were analyzed using SPSS software program, version 16.0 and independent t test, Chi-square test, and Mann–Whitney U test.

          Results:

          The mean of breastfeeding self-efficacy score at the end of week 12 after delivery was 141.11 ± 93.4 in the experimental group versus 114.40 ± 60.16 in the control group. Then, the two groups had a statistically significant difference ( P = 0.001). Also, exclusive breastfeeding in the experimental group was higher than in the control group ( P = 0.001).

          Conclusion:

          Peer support for primiparous women can effectively improve breastfeeding self-efficacy and continuity of exclusive breastfeeding.

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          Most cited references28

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          The Breastfeeding Self‐Efficacy Scale: Psychometric Assessment of the Short Form

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            Development and psychometric testing of the Breastfeeding Self-Efficacy Scale.

            Many new mothers discontinue breastfeeding prematurely. Researchers have shown that maternal confidence is an important factor in the continuation of breastfeeding. The purpose of this methodological study was to develop and conduct preliminary psychometric assessment of an instrument to measure confidence in new breastfeeding mothers. Using self-efficacy theory as a conceptual framework, the Breastfeeding Self-Efficacy Scale (BSES) was developed and content validity was judged by a panel of experts and through interviews with experienced breastfeeding mothers. Following a pilot test, the revised BSES was assessed with 130 in-hospital breastfeeding mothers for reliability and validity, including internal consistency, principal components factor analysis, comparison of contrasted groups, and correlations with measures of similar constructs. Support for predictive validity was demonstrated with positive correlations between BSES scores and infant feeding patterns at 6 weeks postpartum. Following further testing, this instrument may be used to identify new mothers with low breastfeeding confidence who are at high risk to prematurely discontinue breastfeeding. Copyright 1999 John Wiley & Sons, Inc.
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              Theoretical underpinnings of breastfeeding confidence: a self-efficacy framework.

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                Author and article information

                Journal
                J Family Med Prim Care
                J Family Med Prim Care
                JFMPC
                Journal of Family Medicine and Primary Care
                Wolters Kluwer - Medknow (India )
                2249-4863
                2278-7135
                September 2021
                30 September 2021
                : 10
                : 9
                : 3417-3423
                Affiliations
                [1 ] Assistant Professor, PhD of Reproductive Health, School of Midwifery and Nursing, Ilam University of Medical Sciences, Ilam, Iran
                [2 ] Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
                [3 ] MSc in Midwifery, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
                [4 ] Professor of Biostatistics, Department of Biostatistics, School of Allied Medical Sciences, Proteomics Research Center, Shahid Beheshti University of Medical Sciences,Tehran, Iran
                Author notes
                Address for correspondence: Dr. Zolaykha Karamelahi, MSc in Midwifery, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran. E-mail: mohamad20101@ 123456gmail.com
                Article
                JFMPC-10-3417
                10.4103/jfmpc.jfmpc_172_21
                8565116
                34760767
                b659d5e7-1339-488b-8e34-cca5a5553926
                Copyright: © 2021 Journal of Family Medicine and Primary Care

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 23 January 2021
                : 11 April 2021
                : 26 June 2021
                Categories
                Original Article

                breastfeeding,peer support,self-efficacy
                breastfeeding, peer support, self-efficacy

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