The Study On The Influence To Prenatal Breastfeeding Health Education By Improving Self-efficiency

ObjectiveObserve the influence of the prenatal education based on the theoretical frame of self-efficiency to find out the best education method to improve the breast-feeding rate, and extend the duration of exclusive breastfeeding among the low prenatal self-efficacy group, so that long-term objective of neonatal body quality can be improved.MethodsThis research applied to a randomized controlled trial. Using the breastfeeding self-efficiency short form to estimate 34 weeks pregnant women, select the ones who get less than 3 points into the research group. In strict accordance with the standards of inclusion and exclusion, 230 pregnant women have been selected dividing into interventio% group and control group with 115 cases in each. During the research, 12 cases had fallen off in the control group while 11 cases had fallen in the intervention group. Therefore, the research had 103 cases in control group while 104 cases in intervention group. The intervention group not only accepted regular prenatal clinic breastfeeding education as the control group did, but also enter the breastfeeding work shop managed by specialist nurses. Designed by the concept of direct experience, vicarious experience, verbal persuasion and social support, the work shop have a four week- course, three times a week, two hours once. Following aspects will be compared: the comprehension of the knowledge of breastfeeding in 37-week pregnancy; the breastfeeding self-efficiency level in 37 week of pregnancy, one week, four weeks and eight weeks after childbirth; breast swelling situation on the third day after childbirth; the breastfeeding pattern in one week, four weeks and eight weeks after childbirth; pure breastfeeding rate and the recognition level of clinic health education.Results1.The differences between two groups regarding general information, the knowledge of breastfeed and the breastfeeding self-efficiency is quite small and comparable. The influence on breastfeeding knowledge, the statistical differences occurs in 37-week of pregnancy (p< 0.05), in which intervention group is superior to the control group.2.The influence on breastfeeding self-efficiency, the statistical differences occurs in 37-week of pregnancy and in one week, four weeks and eight weeks after childbirth (P< 0.05), in which intervention group is superior to the control group.3.The influence on the incidence of breast swelling, the statistical differences occurs on the third day after childbirth (p<0.05). The intervention group has a better change to avoid it and a lower rate of mild swelling and medium swelling.4.The influence on breastfeeding pattern, the statistical differences occurs in one week, four weeks and eight weeks after childbirth (p< 0.05), in which intervention group is superior to the control group.5.There is no statistical differences (P>0.05) occurs in one week, four weeks and eight weeks after childbirth in the intervention group regarding the pure breastfeeding rate while there is statistical differences (P<0.05) occurs in the above time period. While reviewing the breastfeeding rate trend chart, the control group have greater slope, and a rapid descending speed than the intervention group.ConclusionThe breastfeeding education plan which is designed according to the self-efficiency theory can raise the level of breastfeeding knowledge, breastfeeding self-efficiency, the recognition of clinic breastfeeding education, reduce the breast swelling incidence and improve the pure breastfeeding rate.