This study aims to evaluate the impact of Baby Friendly Hospital Initiative training program on nurses' and mothers' breastfeeding practices and experiences.
Research Hypotheses
* Maternity nurses who participate in the Baby Friendly Hospital Initiative training program exhibit improvement in breastfeeding practice scores and more positive breastfeeding experiences after the training program than before. * Breastfeeding mothers who receive Baby Friendly Hospital Initiative support have good breastfeeding practices and more positive breastfeeding experiences.
Who had the intention to breastfeed.
Primiparous women
Age between 18 and 35 years.
Who had given birth to a singleton baby.
Born before 37 weeks of gestation.
An Apgar score of less than 8 at 5 minutes.
A birthweight of less than 2,500 g.
Born with severe medical conditions or congenital malformations.
Parallel
Baby-friendly hospital initiative training program
BehavioralThe Baby-Friendly Hospital Training Program is a critical intervention to improve maternal and infant health outcomes by promoting and supporting breastfeeding worldwide. It empowers the maternity nurses in this study to create an environment that prioritizes the needs of mothers and babies, ensuring the best possible start to life. It will be conducted for eight sessions (theoretical and practical), each session for about 20-30 minutes. It will include the importance of early initiation of breastfeeding, skin-to-skin contact immediately after birth, the importance of exclusive and continued breastfeeding, positions of breastfeeding, the importance of avoiding pre-lacteal feeds and unnecessary supplementation, advantages of rooming-in, and how to manage common breast and nipple conditions. The researcher will design an Arabic booklet and distribute it to the nurses at the first session as a guide to reinforce the teaching
Evaluating the nurses' experiences regarding baby-friendly hospital initiative training program
Interview questionnaire sheet will be adapted from (Gerhardsson, Oras, Mattsson, Blomqvist \& Funkquist, 2022) and will be translated into Arabic by the researcher. It will consist of two parts: Part (1): Demographic and professional characteristics of the nurses. Part (2): Nurses' experiences regarding BFHI training program questionnaire: Before the training program, the nurses will be asked two questions: (Do you think breastfeeding is an interesting part of your job? / Do you think your role is important in improving breastfeeding support in the healthcare continuum). After the training program, the nurses will be asked whether their interest in breastfeeding increased during the training and whether they had received new tools that they could use when providing breastfeeding support.
Evaluating the nurses' practices regarding BFHI principles
Observational checklist to observe the nurses' practices regarding BFHI principles will be adapted from (Timalsina, 2020) and will consist of 10 items such as a demonstration of proper positioning, attachment, and rooming in….etc. Scoring system: The total practice score equals 10 and the nurses will be given a score (2) for done correctly, a score (1) for done incorrectly and a score (0) for not done. It will be classified into: poor for \<50%, satisfactory 50-70%, and good practice \>70%.
Evaluating the secondary outcome of the training program for nurses on breastfeeding mothers' self- reported practices regarding the baby-friendly hospital initiative principles before and after the program.
Evaluating the impact of the training program on mothers' practices regarding the baby-friendly hospital initiative principles for one group of mothers before the training and another homogenous group after conducting the program and compare between the two groups. It will measure by: Structured Interview questionnaire will consist of two parts: Part (1): Demographic characteristics of the mothers Part (2): Self-reported BFHI practices questionnaire: This tool will be adapted from (WHO/UNICEF, 2009) to assess the self-reported breastfeeding practices that mothers experienced during the hospital stay such as time of initiation of breastfeeding, staff assistance with positioning and attaching the baby, expression of breast milk and skin to skin contact.
Evaluating the impact of the training program on mothers' experiences regarding breastfeeding
Evaluating the impact of the training program on mothers' experiences regarding breastfeeding for one group of mothers before the training and another homogenous group after conducting the program and compare between the two groups. It will measure by: Mothers' breastfeeding experiences questionnaire: This tool will be adapted from (Giannì et al., 2020). It will cover four areas: breastfeeding experience, breastfeeding difficulties, breastfeeding support, and intention to breastfeed again in the following pregnancy.
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