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Effect of Stress Management Counseling on Self-Efficacy and Continuity of Exclusive Breastfeeding

Elmira Azizi1, Azam Maleki1, Saeideh Mazloomzadeh2

  • 1Department of Midwifery, Social Determinants of Health Research Center, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.

Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine
|June 7, 2020
PubMed

Self-efficacy is an important motivational factor that can be affected by physiological responses such as stress. The study aimed to determine the effect of stress management counseling on self-efficacy and continuity of exclusive breastfeeding in mothers. This randomized controlled trial was carried out on 46 pregnant women recruited at three Childbirth Preparation Centers of Zanjan (Iran) in 2018. The eligible women were allocated into two intervention and control groups according to the block design. Stress management counseling was carried out individually in four sessions, twice a week at 35 and 36 weeks of gestation. The control group only received routine cares. The self-efficacy and continuity of exclusive breastfeeding were measured monthly up to 4 months after childbirth. Breastfeeding self-efficacy showed a statistically significant difference between the two study groups at 1 and 4 months after childbirth (p = 0.001). More women in the control group terminated exclusive breastfeeding compared to those in the intervention group (16 (72.7%) versus 8 (34.8%), p = 0.013). The results showed that integration of stress management counseling in breastfeeding education package can improve the self-efficacy and continuation of breastfeeding in mothers.

Keywords:
exclusive breastfeedinglactationmotivationpostpartum periodpsychological stressself-efficacywomen's health

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