The aim of the research is to examine the effect of a breastfeeding training program based on the theory of planned behavior on Pregnant Womens' Breastfeeding Adaptation, Motivation, Self-Efficacy And The Tendency To Early Weaning.
Those who are over 18 years old
Pregnant women in their last trimester (pregnant women who are 27 weeks or more)
Those who receive breastfeeding training at the Pregnancy School
Speak and understand Turkish
Those who could not continue the study for any reason
Those who did not participate in all final tests
Those who did not participate in all training
Those who could not be reached more than 5 times in each planned telephone/face-to-face meeting.
Parallel
Breastfeeding Education Program Based on Planned Behavior Theory
BehavioralIn addition to routine breastfeeding training at the hospital where the study is conducted, the intervention group will be given a 2-session Breastfeeding Training Program Based on Planned Behavior Theory. Education Content: The importance of breast milk, the benefits of breastfeeding, the dangers of artificial feeding, putting the baby to the breast, signs of hunger in the baby, the harms of bottle and pacifier, breastfeeding positions, breast-related problems, information sources about breastfeeding, birth and breastfeeding leave for working mothers, breastfeeding in the community, the importance of environmental and professional support during breastfeeding. Insufficient milk anxiety, increasing milk intake and production, situations where milk should be expressed, milk expression methods, storage conditions of breast milk, alternative feeding methods with expressed milk, methods to be applied to increase breast milk, differences between breast milk and formula milk.
Routine Breastfeeding Training
BehavioralThe control group will receive routine breastfeeding education at the hospital where the study is conducted. Routine breastfeeding education includes the importance of breast milk and breastfeeding (benefits of breast milk and breastfeeding, correct breastfeeding technique and breastfeeding positions, time for the first feeding of the newborn, feeding method, expressing and storing breast milk, techniques for giving expressed breast milk as close as possible to breastfeeding, harms of bottle use, breast problems and coping methods). Pregnant women who give birth at the hospital where the study is conducted receive routine breastfeeding education from the breastfeeding nurse in the ward before being discharged.
Breastfeeding Attrition Prediction Tool (BAPT)
Breastfeeding Attrition Prediction Tool (BAPT) is a scale consisting of 90 questions on a 5-point Likert-type scale based on the theory of planned behavior. There are four different sub-dimensions in the scale, which does not have a total score. These are "Negative Breastfeeding Attitude", "Positive Breastfeeding Attitude", "Social and Professional Support" and "Breastfeeding Control" and each sub-scale is scored separately. A high scale score indicates that the mother has high breastfeeding control.
Breastfeeding Self-Efficacy Scale Short Form (Antenatal Breastfeeding Self-Efficacy Scale)
A 14-item short form of the Breastfeeding Self-Efficacy Scale was created. He stated that the short version of the Breastfeeding Self-Efficacy Scale could also be used during pregnancy by using the phrase "future tense" in its items. The short form of the scale provides ease of application and accurately evaluates self-efficacy. Cronbach's alpha value of the scale was found to be 0.94. The scale was created on a five-point Likert type, where 1 = not at all sure and 5 = always sure. A minimum of 14 and a maximum of 70 points can be obtained from the scale. As the score increases, it means that breastfeeding self-efficacy increases
Breastfeeding Adaptation Scale (BFAS)
The 27-item scale evaluates breastfeeding adaptation. It has 8 sub-dimensions: emotional change between the mother and her baby (4 items), breastfeeding confidence (5 items), sufficient breast milk (3 items), baby's nutritional capacity and growth (4 items), familiarity with the baby (4 items), discomfort during breastfeeding (3 items), preservation of breast milk volume (2 items) and receiving social support (2 items). It was developed on a 5-point Likert type scale, where 1=Strongly agree, 5=Strongly disagree. A minimum of 27 and a maximum of 135 points can be obtained from the scale. The higher the score obtained from the scale, the higher the breastfeeding adaptation.
Breastfeeding Motivation Scale (For Primiparous Mothers)
Breastfeeding motivation scale (For primiparous mothers) consists of 5 sub-dimensions and 23 items. Scale items are graded from 1=I strongly disagree to 4=I strongly agree. The scale is a 4-point Likert type, and each item is scored between 1-4. There is no total score for the scale. The scores of the sub-dimensions are calculated by taking the average of the scale sub-dimension scores. As the score obtained from the scale sub-dimension increases, the motivation representing that sub-dimension also increases. The Cronbach Alpha coefficient of the scale is 0.88.
Breastfeeding Motivation Scale (For Multiparous Mothers)
Breastfeeding motivation scale (For Multiparous Mothers) consists of 6 sub-dimensions and 24 items. The Cronbach alpha value of the scale is 0.914. Scale items are graded from 1=I strongly disagree to 4=I strongly agree. The scale is a 4-point Likert type, and each item is scored between 1-4. There is no total score for the scale. The scores of the sub-dimensions are calculated by taking the average of the scale sub-dimension scores. As the score obtained from the scale sub-dimension increases, the motivation representing that sub-dimension also increases.
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