Effects of home visit on perceived social support of mothers and the continuation of exclusive breastfeeding: A randomized clinical trial study

authors:

avatar zeinab Bayati , avatar Mansoureh Jamshidimanesh , * , avatar maryam hassani , avatar Bahare Afshar ORCID

Koomesh: Vol.22, issue 4; 581-588
published online: December 01, 2020
article type: Research Article
received: October 02, 2018
accepted: July 01, 2020

how to cite: Bayati Z, Jamshidimanesh M, hassani M, Afshar B. Effects of home visit on perceived social support of mothers and the continuation of exclusive breastfeeding: A randomized clinical trial study. koomesh. 2020;22(4):e153217. 

Abstract

Introduction: Exclusive breastfeeding does not continue until six months in many places. It is seem, many factors are involved. The interventions for increase mothers’ social support during breastfeeding could be effective. The aim of this study was to examine effect of home visit on social support and the continuity exclusive breastfeeding in Bokan city from kurdestan province. Materials and Methods: In this research, 108 mothers which have 3-5 day’s old neonates that were referred to 8 health care centers of Bokan (Iran). They were entered into the study by random allocation using randomized block design and were divided into intervention and control groups. The intervention consisted of six home-based training programs of about 30 minutes. The instruments used included demographic questionnaire and midwifery history, perceived social support tool of Zimet, and a researcher-made questionnaire on exclusive breastfeeding. Results: Most mothers in the intervention group continued exclusive breastfeeding until the fourth month, and the majority in the control group continued exclusive breastfeeding until the first and second months. In general, the mean number of breastfeeding months in the intervention group was 3.15±1.01 months and in the control group 1.71±0.906 months. Also, most people in the intervention group (76%) had more than 8 times breastfeeding per day, while most mothers in the control group (88%) had less than 8 times breastfeeding. Mothers’ perception social support score were not significant difference in two groups. Conclusion: Home visit and follow-ups have led to a long-term exclusive breastfeeding and more often overnight, so it;#39s possible to set up such plans to enhance breastfeeding status. Home visit did not effect on mothers’ perceive social support and fathers’ attitude. It is seem to need future further interventions in this field with long time follow up and qualitative study with influence in deep layer in culture people in Bokan city

References

  • 1.

    Pakpour A, Alijanzadeh M, Pouresmaeil M, Taherkhani F, Mohammadgholiha R, Jozi N. Predictive factors associated with breastfeeding initiation and duration behaviors of 6-months postpartum mothers referred to health centers in the city of Qazvin based on theory of planned behavior. Iran J Health Educ Health Promo 2016; 4: 20-30. (Persian).

  • 2.

    Veghari G, Mansourian A, Abdollahi A. Breastfeeding status and some related factors in northern Iran. Oman Med J 2011; 26: 342.

  • 3.

    Cole S. Breastfeeding challenges made easy for late preterm infants: the go-to guide for nurses and lactation consultants: Springer Publishing Company 2013.

  • 4.

    Safari H, Nooripour S, Emadi Z, Shakeri R, Jandaghi J, Mirmohammadkhani M. Associated factors of mortality of children aged 1 to 59 months in rural areas of Semnan: A nested case-control study based on 10 years of surveillance data. Koomesh 2014; 282-288. (Persian).

  • 5.

    Olang B, Farivar K, Heidarzadeh A, Strandvik B, Yngve A. Breastfeeding in Iran: prevalence, duration and current recommendations. Int Breastfeed J 2009; 4: 8.

  • 6.

    AAp 2013. Baby Amateur Clinic Breastfeeding handbook for physicians. 2016.

  • 7.

    Tilford S. Sustaining breastfeeding together. Int J Health Promot Educ 2017; 55: 343-345.

  • 8.

    Tavoulari EF, Benetou V, Vlastarakos PV, Andriopoulou E, Kreatsas G, Linos A. Factors affecting breast-feeding initiation in Greece: What is important? Midwifery 2015; 31: 323-331.

  • 9.

    Egata G, Berhane Y, Worku A. Predictors of non-exclusive breastfeeding at 6 months among rural mothers in east Ethiopia: a community-based analytical cross-sectional study. Int Breastfeed J 2013; 8: 8.

  • 10.

    Kervin BE, Kemp L, Pulver LJ. Types and timing of breastfeeding support and its impact on mothers' behaviours. J Paediatr Child Health 2010; 46: 85-91.

  • 11.

    Haroon S, Das JK, Salam RA, Imdad A, Bhutta ZA. Breastfeeding promotion interventions and breastfeeding practices: a systematic review. BMC Public Health 2013; 13: S20.

  • 12.

    Otsuka K, Taguri M, Dennis CL, Wakutani K, Awano M, Yamaguchi T, Jimba M. Effectiveness of a breastfeeding self-efficacy intervention: do hospital practices make a difference? Matern Child Health J 2014; 18: 296-306.

  • 13.

    McKinney CO, Hahn-Holbrook J, Chase-Lansdale PL, Ramey SL, Krohn J, Reed-Vance M, et al. Racial and ethnic differences in breastfeeding. Pediatrics 2016; e20152388.

  • 14.

    Ekstrm A, Widstrm AM, Nissen E. Breastfeeding support from partners and grandmothers: perceptions of Swedish women. Birth 2003; 30: 261-266.

  • 15.

    Kaldi A, Salahshouri P. The investigation of social support's effect on women empowerment. 2012. (Persian).

  • 16.

    de Jager E, Broadbent J, Fuller-Tyszkiewicz M, Skouteris H. The role of psychosocial factors in exclusive breastfeeding to six months postpartum. Midwifery 2014; 30: 657-666.

  • 17.

    Su LL, Chong YS, Chan YH, Chan YS, Fok D, Tun KT, et al. Antenatal education and postnatal support strategies for improving rates of exclusive breast feeding: randomised controlled trial. BMJ 2007; 335: 596.

  • 18.

    Lumbiganon P, Martis R, Laopaiboon M, Festin MR, Ho JJ, Hakimi M. Antenatal breastfeeding education for increasing breastfeeding duration. Cochrane Database Syst Rev 2016; 12: CD006425.

  • 19.

    Olang B, Heidarzadeh A, Strandvik B, Yngve A. Reasons given by mothers for discontinuing breastfeeding in Iran. Int Breastfeed J 2012; 7: 7.

  • 20.

    Tahir NM, Al-Sadat N. Does telephone lactation counselling improve breastfeeding practices?: A randomised controlled trial. Int J Nurs Stud 2013; 50: 16-25.

  • 21.

    Moravej H, Edraki M, Rambod M. The effect of home visitation educational program on the nutrition pattern and duration of exclusive breastfeeding in preterm newborns. Sadra Med Sci J 2017; 2. (Persian).

  • 22.

    Meedya S, Fernandez R, Fahy K. Effect of educational and support interventions on long-term breastfeeding rates in primiparous women: a systematic review and meta-analysis. JBI Database Syst Rev Implement Rep 2017; 15: 2307-2332.

  • 23.

    Yonemoto N, Dowswell T, Nagai S, Mori R. Schedules for home visits in the early postpartum period. Evid Based Child Health 2014; 9: 5-99.

  • 24.

    Leahy-Warren P, Mulcahy H, Phelan A, Corcoran P. Factors influencing initiation and duration of breast feeding in Ireland. Midwifery 2014; 30: 345-352.

  • 25.

    Verpe H, Kjellevold M, Moe V, Smith L, Vannebo UT, Stormark KM, et al. Early postpartum discharge: maternal depression, breastfeeding habits and different followup strategies. Scand J Car Sci 2019; 33: 85-92.

  • 26.

    Kristensen IH, Kronborg H. What are the effects of supporting early parenting by enhancing parents' understanding of the infant? Study protocol for a cluster-randomized community-based trial of the Newborn Behavioral Observation (NBO) method. BMC Public Health 2018; 18: 832.

  • 27.

    Carvalho MJ, Carvalho MF, Santos CR, Santos PT. First postpartum home visit: a protective strategy for exclusive breastfeeding. Rev Paul Pediatr 2018; 36: 8.

  • 28.

    Aksu H, Kk M, Dzgn G. The effect of postnatal breastfeeding education/support offered at home 3 days after delivery on breastfeeding duration and knowledge: a randomized trial. J Matern Fetal Neonatal Med 2011; 24: 354-361.

  • 29.

    Dahlberg U, Haugan G, Aune I. Women's experiences of home visits by midwives in the early postnatal period. Midwifery 2016; 39: 57-62.

  • 30.

    Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess 1988; 52: 30-41.

  • 31.

    Sakkaky M, Khairkhah M, Hosseini AF. The effect of home visit after cesarean delivery on exclusive breastfeeding in neonatal period. Iran J Nurs 2010; 23: 72-80. (Persian).

  • 32.

    Kuzma J. Knowledge, attitude and practice related to infant feeding among women in rural Papua New Guinea: a descriptive, mixed method study. Int Breastfeed J 2013; 8: 16.

  • 33.

    Hector D, King LA, Webb K. Overview of recent reviews of interventions to promote and support breastfeeding. NSW Centre Public Health Nutr NSW Depart Health 2004.

  • 34.

    Martnez Galiano JM, Delgado Rodrguez M. Early initiation of breastfeeding is benefited by maternal education program. Rev Assoc Md Bras 2013; 59: 254-257.

  • 35.

    Lok KY, Bai DL, Tarrant M. Family members' infant feeding preferences, maternal breastfeeding exposures and exclusive breastfeeding intentions. Midwifery 2017; 53: 49-54.

  • 36.

    Abbass-Dick J, Stern SB, Nelson LE, Watson W, Dennis CL. Coparenting breastfeeding support and exclusive breastfeeding: a randomized controlled trial. Pediatrics 2015; 135: 102-110.

  • 37.

    Ziaee T, Qanbari A, HassanzadehRad A, Yazdani M. The causes failure in breastfeeding in the first 6 month of life among children under 3 years Referred to health centers of Rasht city. IJOGI 2015; 15: 32-39. (Persian).##.