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Cited by 56Breastfeeding Practices and InfluencesInfant Nutrition and HealthMaternal and Perinatal Health Interventions

The effect of a postnatal education and support program on breastfeeding among primiparous women: A randomized controlled trial

Khresheh, Reham, Suhaimat, Aida, Jalamdeh, Fawzia, Barclay, Lesley·2011·International Journal of Nursing Studies
DOI 10.1016/j.ijnurstu.2011.02.001
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Abstract

Introduction Women's traditional way of breastfeeding has altered in Jordan with rates declining in recent years.Objective The objectives of this study were to test whether the introduction of an educational program supporting breastfeeding would increase the proportion of women who breastfed fully to six months, improve the women's level of breastfeeding knowledge, and decrease the proportion of infants admitted to hospitals due to gastrointestinal illnesses.Methods A randomized controlled trial was conducted in 90 primiparous women who had given birth to a healthy, full term, singleton baby at two hospitals in the southern region of Jordan. Women were randomly allocated to either the intervention group (n=45), in which they were offered a one-to-one postnatal educational session and follow-up phone calls at two months and four months postpartum, or the control group (n=45), in which they received routine postnatal care. The primary outcomes were the proportion of women fully breastfeeding their babies at six months and the women's level of breastfeeding knowledge at six months postpartum.Results The postnatal education and support program significantly improved breastfeeding knowledge measured by differences between mean pre- and post-test scores. This was statistically significant for the intervention group (p<0.001) but was not significant for the control (p=0.23). The proportion of women fully breastfeeding their babies at 6 months was not found to be statistically significantly different between the intervention group (39%) and the control group (27%), percentage difference=12% (95% confidence interval [-9% to 30%], Chi squared: χ(2)=3.54, p>0.05).Conclusions Although the postnatal education and support program improved breastfeeding knowledge among women in the study, this increase in knowledge did not translate to an increase in the duration of full breastfeeding to six months.

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Crossref · 10.1016/j.ijnurstu.2011.02.001

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  • Interventions frequently involved in-person and written or media resources or included post-discharge follow-up.

    “Interventions frequently involved in-person and written or media resources or included post-discharge follow-up (Khresheh et al., 2011; Shrestha et al., 2016), which made it impossible to isolate the effect of only the postpartum education provided by nurses in the hospital.”

    From Scoping Review of Postpartum Discharge Education Provided by Nurses (2022) · cites this paper as Khresheh et al., 2011

  • Four of the seven RCTs were focused specifically on interventions for breastfeeding education, and researchers measured breastfeeding knowledge, satisfaction, self-efficacy, and exclusive breastfeeding at varying time points.

    “Four of these RCTs (Khresheh et al., 2011; Nilsson et al., 2017; Abbass-Dick & Dennis, 2018; Hu et al., 2020) were focused specifically on interventions for breastfeeding education, and researchers measured breastfeeding knowledge, satisfaction, self-efficacy, and exclusive breastfeeding at varying time points.”

    From Scoping Review of Postpartum Discharge Education Provided by Nurses (2022) · cites this paper as Khresheh et al., 2011

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Authors
Khresheh, R., Suhaimat, A., Jalamdeh, F., & Barclay, L.
Affiliations
Mutah University (JO)
Corresponding author
Khresheh, Reham
ORCID
Venue
International Journal of Nursing Studies
Publisher
Elsevier BV
Published
2011-09
Volume
48
Issue
9
Pages
1058-1065
ISSN
0020-7489 (ISSN-L)
DOI
10.1016/j.ijnurstu.2011.02.001
OpenAlex
W2063429238
Cited by
56
References
32
Citations by year
2026: 3 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 5 · 2020: 4 · 2019: 7 · 2017: 7 · 2016: 7 · 2015: 3 · 2014: 5 · 2013: 3 · 2012: 1
FWCI
2.40
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • International Journal of Nursing Studies (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
  • Health Sciences › Nursing › Nutrition and Dietetics › Infant Nutrition and Health
  • Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
Keywords
breastfeeding, postnatal education, breastfeeding support, primiparous women, breastfeeding knowledge, exclusive breastfeeding duration, telephone follow-up, Jordan
MeSH terms
Breast Feeding, Female, Humans, Jordan, Patient Education as Topic, Pregnancy, Surveys and Questionnaires, Postpartum Period

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