The effects of the breastfeeding problems management model on breastfeeding problems, breastfeeding motivation and breastfeeding success: A randomized controlled trial

• Published in: Journal of pediatric nursing 2023-11, Vol.73, p.e116-e124
• Main Authors: Çerçer, Zehra, Nazik, Evşen
• Format: Article
• Language: English
• Subjects: Breastfeeding; Breastfeeding problems; Lactation; Models of care; Nursing; Randomized controlled trial
• ISSN: 0882-5963; 1532-8449
• DOI: 10.1016/j.pedn.2023.07.021

The majority of women experience breastfeeding problems and need professional support during the lactation period. We developed a Nurse-led Breastfeeding Problems Management Model to address this issue. The components of the model included meeting women face-to-face, giving education using a booklet, providing breastfeeding consultancy on the phone, and conducting home visits. This study aims to determine the effects of the Breastfeeding Problems Management Model (BPMM) on breastfeeding problems, motivation, and success. This randomized controlled trial included 50 women (25 intervention and 25 control). The intervention group received BPMM under the leadership of a nurse during the early postnatal period, before discharge, and in the 1st, 2nd, 6th, and 8th weeks of the postpartum period. The control group received routine care. The Breastfeeding Experience Scale (BES) was applied to both groups in the 1st, 2nd, 6th, and 8th weeks of the postpartum period. LATCH Assessment Tool was administered to both groups before discharge and in the 8th week of the postpartum period. The Breastfeeding Motivation Scale (BMS) was administered to both groups in the 8th week of the postpartum period. The LATCH post-test scores were significantly higher in the intervention group than in the control group (intervention 9.72 ± 0.54, control 8.60 ± 1.25). In all postpartum weeks, BES scores were significantly lower in the intervention group than in the control group. Except for the introjected regulation-social approval and introjected regulation-social pressure sub-scale mean scores of the BMS, all the other sub-scales in the intervention group were significantly higher than in the control group. The BPMM was found to decrease and eliminate breastfeeding problems and increase breastfeeding motivation and breastfeeding success in women. The BPMM leadership of a nurse should be considered as part of routine postpartum care for preventing and eliminating breastfeeding problems and increasing breastfeeding motivation and breastfeeding success. The study was registered at Clinical-Trials.gov (NCT05543902). •The Breastfeeding Problems Management Model is an effective intervention in eliminating breastfeeding problems in women.•The Breastfeeding Problems Management Model is an effective intervention in increasing the motivation and success of breastfeeding in women.•Nurses should evaluate breastfeeding process and provide comprehensive care.