Effect of Midwife-led Breastfeeding Counseling based on the Bandura's Model on Self-efficacy and Breastfeeding Performance: an educational trial study

Breastfeeding Counseling in order to increasing Breastfeeding Performance. Exclusive breastfeeding (EBF) as a policy for increasing children's survival and decreasing the illnesses of children all over the world. The present study was designed to investigating the effect of Midwife-led Breastfeeding Counseling based on the Bandura's Model on Self-efficacy and Breastfeeding Performance. The present study was an educational trial with a pretest-posttest design and a control group. 60 women in intervention group received 4 session group counseling program based on Bandura's theoretical structures during pregnancy. After that the second stage of study was conducted between 1-3 days and 10-15 days after childbirth using the face-to-face method to meet the needs and concerns of mothers about breastfeeding. The control group received no counseling program and only received routine health care. showed that the awareness means in the intervention group was 25.6 and in the control group, it was 21.1, which showed a significant increase in the intervention group. In addition, it was indicated that the self-efficacy of the mothers increased by 18 units in the intervention group, and decreased by 1 unit in the control group after the intervention. findings showed that the attitudes of the intervention group increased by 11 units, and 4 units in the control group after the intervention. 54 mothers in the intervention group and 17 mothers in the control group only used breastfeeding for their babies. Breastfeeding self-efficacy is an appropriate theoretical model to perform interventions and should be considered to prolong breastfeeding and better performance.