Motivational interviewing to promote sustained breastfeeding
Susan L Wilhelm1, Mary Beth Flanders Stepans, Melody Hertzog
1College of Nursing, University of Nebraska Medical Center, Scottsbluff, NE 69361, USA. slwilhel@unmc.edu
Summary
Motivational interviewing may help mothers breastfeed longer. While not statistically significant, mothers receiving this intervention breastfed for a mean of 98 days compared to 81 days in the control group, suggesting potential for future interventions.
Area of Science:
- Maternal and Child Health
- Behavioral Science
- Nursing Research
Background:
- Sustained breastfeeding is crucial for infant health.
- Mothers often struggle to meet recommended breastfeeding durations.
- Intervention strategies are needed to support prolonged breastfeeding.
Purpose of the Study:
- To assess the feasibility of motivational interviewing for promoting sustained breastfeeding.
- To increase mothers' intent to breastfeed for six months.
- To enhance breastfeeding self-efficacy in primiparous mothers.
Main Methods:
- Longitudinal experimental two-group design with repeated measures.
- 73 primiparous mothers (ages 19-38) recruited from three rural hospitals.
- Breastfeeding duration measured by maternal report and infant test weights.
Main Results:
- The motivational interviewing group breastfed for a mean of 98.1 days (SD=75.2).
- The comparison group breastfed for a mean of 80.7 days (SD=71.9).
- This difference was not statistically significant (p=.325).
Conclusions:
- Motivational interviewing showed a trend towards increasing breastfeeding duration.
- The intervention may be a viable component of comprehensive breastfeeding support plans.
- Further research with larger samples is warranted to confirm efficacy.
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