Effects of Breast-feeding Adaptation, Attitude and Practice of Primipara Depending on Method of Postpartum Breast-feeding Education

Seung Eun Yun; Hyea Kyung Lee

doi:10.4069/kjwhn.2012.18.2.75

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Yun and Lee: Effects of Breast-feeding Adaptation, Attitude and Practice of Primipara Depending on Method of Postpartum Breast-feeding Education

Original Article

Korean Journal of Women Health Nursing

Korean Journal of Women Health Nursing 2012; 18(2): 75-84.

Published online: 30 June 2012

DOI: https://doi.org/10.4069/kjwhn.2012.18.2.75

Effects of Breast-feeding Adaptation, Attitude and Practice of Primipara Depending on Method of Postpartum Breast-feeding Education

Seung Eun Yun¹, Hyea Kyung Lee²

¹Seoul Women's Hospital, Daejeon, Korea.

²Department of Nursing, Hyejeon College, Hongseong, Korea.

Corresponding author: Lee, Hyea Kyung. Department of Nursing, Hyejeon College, 25 Daehak-gil, Hongseong-eup, Hongseong-gun 350-702, Korea. Tel: +82-41-630-5270, Fax: +82-42-488-8517, lee-hk1214@hanmail.net

Received 2 January 2012 Revised 10 March 2012 Accepted 6 April 2012

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study was done to identify the effects of individual postpartum breast-feeding education on adaptation, attitude and practice of breast-feeding in primiparas.

Methods

A quasi-experimental nonequivalent design was used to examine the effects of individual postpartum breast-feeding education among primiparas. The data were analyzed using χ²-test, Fisher's exact test and paired t-test.

Results

There was a significant difference in breast-feeding adaptation (t=-12.94, p<.001), breast-feeding attitude (t=-2.71, p=.011) and breast-feeding practice (χ²=16.47, p<.001) between the group education (experimental group I) and individual education after group education (experimental group II).

Conclusion

The results indicate that individual education on breast-feeding compared to group education has more positive effects on increasing breast-feeding adaptation, attitude and practice in primiparas. This result also indicates that many primiparas should be given opportunities of various types of education to improve breast-feeding practice such as individual approaches and postpartum breast-feeding education programs.

Keywords: Breast feeding, Education, Adaptation, Attitude, Practice

Figures and Tables

Table 1

General Characteristics of Subjects (N=62)

Experimental I=group education; Experimental II=individual education after group education.

^†Fisher's exact test.

Table 2

Breast-feeding Characteristics of Subjects (N=62)

Experimental I=group education; Experimental II=individual education after group education.

^†Fisher's exact test.

Table 3

Breast-feeding Adaptation and Attitude according to Education Methods (N=62)

Experimental I=group education; Experimental II=individual education after group education.

Table 4

Breast-feeding Practice at Postpartum 5 weeks by Education Methods (N=62)

Experimental I=group education; Experimental II=individual education after group education.

Summary Statement

▪ What is already known about this topic

Mother's milk is the best food for babies, and the value and excellence of breast feeding is widely known all over the world. Nonetheless the continuity rate for breast feeding in Korea is still poor.

▪ What this paper adds

So we have tried to identify effective education skills for successful breast feeding, and found that individual education is the best way to improve breastfeeding adaptation, attitude, and the practice rates for breast feeding.

▪ Implications for practice, education and/or policy

Breast feeding specialists in clinics for postpartum women and infants could aid in the provision of individual breast feeding education.

References

1. Academy of Breastfeeding Medicine Korea. New mother's guide to breastfeeding. 2006. Seoul: E-public.

2. Ahluwalia IB, Morrow B, Hsia J. Why do women stop breastfeeding? Findings from the pregnancy risk assessment and monitoring system. Pediatrics. 2005. 116:1408–1412. http://dx.doi.org/10.1542/peds.2005-0013.

3. Ahn SY, Koh HJ. The effect of breast-feeding education on method, attitude, and duration of breastfeeding by primipara. Korean Journal of Women Health Nursing. 1999. 5:18–29.

4. Cho HC. The effect of breastfeeding promotion program on the primipara's Breastfeeding. 2007. Suwon: Ajou University;Unpublished master's thesis.

5. Choi SY. A study on the relationship between knowledge of breastfeeding and practice of feeding pattern. Korean Journal of Women Health Nursing. 2002. 8:116–123.

6. Choi YJ, Kim MO. Effect of a breastfeeding management program on breastfeeding duration. Korean Journal of Women Health Nursing. 2007. 13:245–253.

7. Cohen J. A power primer. Psychological Bulletin. 1992. 112:155–159.

8. Cohler BJ, Grunebaum HU, Weiss JL, Hartman CR, Gallant DH. Child care attitudes and adaptation to the maternal role among mentally ill and well mothers. American Journal of Orthopsychiatry. 1976. 46:123–134.

9. Dennis CL, Hodnett E, Gallop R, Chalmers B. The effect of peer support on breast-feeding duration among primiparous women: A randomized controlled trial. Canadian Medical Association Journal. 2002. 166:21–28.

10. Jeong GH. Effect of the nursing intervention program on promoting the breastfeeding practice in primipara. 1997. Seoul: Ewha Womans University;Unpublished doctoral dissertation.

11. Ju GO. Impact of nipple and areola extensibility and ease of milk extraction during early postpartum period on nipple pain and continuation of breast-feeding. 2008. Seoul: Yonsei University;Unpublished master's thesis.

12. Kang HR. Knowledge about breast-feeding and practical aspects after childbirth of expectant mothers have taken part in education for breast-feeding before childbirth in health centers. 2010. Seoul: Yonsei University;Unpublished master's thesis.

13. Karacam Z. Factors affecting exclusive breastfeeding of healthy babies aged zero to four months: A community-based study of Turkish women. Journal of Clinical Nursing. 2008. 17:341–349. http://dx.doi.org/10.1111/j.1365-2702.2007.01936.x.

14. Kearney MH. Identifying psychosocial obstacles to breast feeding success. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 1998. 17:98–105. http://dx.doi.org/10.1111/j.1552-6909.1988.tb00519.x.

15. Kearney MH, Cronenwett LR, Barrett JA. Breast-feeding problems in the first week postpartum. Nursing Research. 1990. 39:90–95.

16. Kim HS. Guide book for breastfeeding. 2001. Seoul: Hyunmoonsa.

17. Kim JK, Choi HM, Ryu EJ. Postnatal breastfeeding knowledge, techniques and rates of first-time mothers depending on a prenatal breast-feeding education method. Journal of Korean Academic Society of Nursing Education. 2011. 17:90–99.

18. Kim SH. Development of a breast feeding adaptation scale. Journal of Korean Academy of Nursing. 2009. 39:259–269. http://dx.doi.org/10.4040/jkan.2009.39.2.259.

19. Kim YK. Adaptation of breastfeeding and maternal self-efficacy of mothers with infants. 2010. Seoul: Ewha Womans University;Unpublished master's thesis.

20. Kim YM. Effects of a breast-feeding empowerment program on exclusive breast-feeding. Journal of Korean Academy of Nursing. 2009. 39:279–287. http://dx.doi.org/10.4040/jkan.2009.39.2.279.

21. Lee HJ, Cho YH, Kim WJ. Factors affecting breast feeding practice. Inje Journal. 2010. 25:9–31.

22. Marchand L, Morrow MH. Infant feeding practices understanding the decision-making process. Family Medicine. 1994. 26:319–324.

23. Ministry of Health and Welfare. Korean national health and nutrition survey: Nutrition survey. 2008. Retrieved December 7, 2009. from http://knhanes.cdc.go.kr.

24. Rosen IM, Krueger MV, Carney LM, Graham JA. Prenatal breastfeeding education and breastfeeding outcomes. American Journal of Maternal Child Nursing. 2008. 33:315–319. http://dx.doi.org/10.1097/01.NMC.0000334900.22215.ec.

25. Roy SC, Andrews HA. The roy adaptation model. 1999. 2nd ed. Connecticut: Appleton & Lange.

26. Yang HJ, Lee YE, Lee SO. Factors related to neonatal suckling in the initiation of breastfeeding in primiparous mothers. Korean Journal of Women Health Nursing. 2005. 11:202–208.

27. Yoo EK, Kim MH, Seo WS. A study on the rate of breastfeeding practice by education and continuous telephone follow-up. Korean Journal of Women Health Nursing. 2002. 8:424–434.

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