Effectiveness of Midwife-led Structured Education Intervention on Optimal Breastfeeding Knowledge Among Primigravid Women in Nigeria: A Randomised Control Trial
DOI:
https://doi.org/10.4314/ajbr.v27i2.27Abstract
Breastmilk is a priceless essential food for the first six months of life and yet sub-Saharan Africa has neonatal deaths attributed to sub optimal breastfeeding. The study assessed the effectiveness of lecture and lecture with demonstration in optimal breastfeeding knowledge among women. The study adopted a quasi-experimental randomized design. A sample of 141 was determined from a population of 191 primigravid women attending antenatal clinics in General Hospitals Enugu Nigeria. A researcher developed validated was used to collect data from 63 intervention and 76 control group. A pretest was conducted and intervention was given to the participants while posttests were conducted at different times after intervention. Data were analyzed using SPSS version 26.0. Descriptive statistics was used to present sociodemographic variables and objectives of the study while inferential statistics were used to ascertain the effectiveness of the intervention. at 0.05 level of significance. Results showed that most of the participants were in the age range of 21-30 years. The Pre-intervention knowledge level was poor in both groups and after intervention knowledge levels increased over time higher in the intervention than in the control group. Hypotheses tested revealed that educational interventions were effective as those in the intervention groups were significantly more knowledgeable than those in the control group. Antenatal care attendance was a significant predictor of knowledge of optimal breastfeeding. The researcher concluded that lectures with demonstration during antenatal are effective in improving knowledge level of optimal breastfeeding and recommended that authorities implement policy instituting breastfeeding support groups in hospitals.
References
Ahmad, S. & Khani, H. (2022). The situational analysis of teaching-learning in clinical education in Iran: A postmodern grounded theory study. BMC Med Education 22,520-529. https://doi.org/10.1186/s12909-022-03577-
Asmamaw, D.B, Habitu, Y.A., Negash, W.D., Desta D. & Mekonnen, E.(2022). Effective breastfeeding technique and associated factors among lactating mothers in Gidan District, North-East, Ethiopia: A community-based cross-sectional study. BMJ Open. 12:e059518. doi:10.1136/bmjopen-2021-059518
Atimati, A.O & Adam, V.Y. (2020). Breastfeeding practices among mothers of children aged 1–24 months in Egor Local Government Area of Edo State, Nigeria. South African Journal of Clinical Nutrition, 33(1), 10-16, http:/doi.org/10.1080/16070658.2018.1493071
Balogun, M., Okpalugo, A., & Sekoni, O. (2020). Knowledge, attitude and practice of breast feeding: A comparative study of mothers in urban and rural communities of Lagos, Southwest Nigeria. Niger Medical Journal,58(1), 123-130. https://doi.org/10.4103/nmj.NMJ_289_16.2017
Basheer, A. Hugerat, L., Kortam, H. & Hofstein A. (2016). The Effectiveness of Teachers' Use of Demonstrations for Enhancing Students' Understanding of and Attitudes to Learning the Oxidation-Reduction Concept. https://www.ejmste.com/download/the-effectiveness-of-teachers-use-of-demonstrations-for-enhancing-students-un
Dodt, R., Joventino, E., Aquino, S., Almeida, C., & Ximenes, B. (2015). An experimental study of an educational intervention to promote maternal self-efficacy in breastfeeding. Revista Latino-Americana de Enfermagem, 23(4), 725–732. https://doi.org/10.1590/0104-1169.0295.2609
Eke C., Odetunde O., Uwaezuoke S., Muoneke V., Onyire B., Ekwochi, U. & Onwasigwe C. (2019). Determinants of breast-feeding initiation time among newborns delivered in a tertiary baby friendly health facility in Enugu, Nigeria. Open Journal of Pediatrics, 9,(1)47-61. http://DOI:10.4236/ojped.2019.91006.
Ekholuenetale, M., & Barrow, A. (2021). What does early initiation and duration of breastfeeding have to do with childhood mortality? Analysis of pooled population-based data in 35 sub-Saharan African countries. International Breastfeeding Journal, 16(1), 91-100. https://doi.org/10.1186/s13006-021-00440-x
Enugu state health facility agency (2022). List of coded health facilities in Enugu State. http://library.procurementmonitor.org/backend/files/List%20of%20Coded%20Health%20Facilities%20in%20Enugu%20State.pdf.
Guqin L., Jianxiang C Li, L., & Yongmei, L. (2018). Article effects of nursing with information support and behavior intervention on lactation and breastfeeding success rate for primiparas. International Journal Clinical Expert Medicine, 11(3), 2617-2623. http://www.ijcem.com/files/ijcem0070215.pdf
Hajeebhoy N, Nguyen PH, Mannava P, Nguyen TT, Mai LT. (2014). Suboptimal breastfeeding practices are associated with infant illness in Vietnam. International Breastfeeding Journal 1;9:12. doi: 10.1186/1746-4358-9-12. PMID: 25097662; PMCID: PMC4121620.
Ibrahim, I, Dahiru , M., Abubakar M. & Mhya T . et al. (2021). Effect of demonstration and lecture methods on academic performance of senior secondary school students’ in biology, Maiduguri metropolis, Borno State, Nigeria." Iosr Journal of Research & Method in Education (IOSR-JRME) , 10 (6), 49-54. http//:doi: 10.9790/7388-1006044954 www.iosrjournals.org 54
Ihudiebube-Splendor C., Okafor, C., Anarado, A., Jisieike-Onuigbo N., Chinweuba , A., Nwaneri, A., Arinze, C. & Chikeme P.(2019). Exclusive breastfeeding knowledge, intention to practice and predictors among primiparous women in Enugu South-East, Nigeria Hindawi Journal of Pregnancy, 1-8, ID 9832075. https://doi.org/10.1155/2019/9832075
Masuke R, Msuya S.E., Mahande J.M., Diarz E.J., Stray-Pedersen B, Jahanpour O., & Mgongo M. (2021). Effect of inappropriate complementary feeding practices on the nutritional status of children aged 6-24 months in urban Moshi, Northern Tanzania: Cohort study. PLoS One,16(5):e0250562. https://doi.org:10.1371/journal.pone.0250562. PMID: 33983950; PMCID: PMC8118559.
McLain, M. (2021). Developing perspectives on ‘the demonstration’ as a signature pedagogy in design and technology education. International Journal of Technology Design Education 31, 3–26. https://doi.org/10.1007/s10798-019-09545-1
Mitchodign, I., Hounkpatin, A., Bouzitou, N.,Termote C, Bodjrenou .F., Mutanen, M. & Hounhouigan, D.(2018).Complementary feeding practices among children under two years old in West Africa: A review. African Journal of food Agricultre, Nutrition and Development 18(2),13541-13557. https://doi.org:10.18697/ajfand.82.17350
Mohamed, E., & El- Nemer, A. (2022). Knowledge, Attitude and Practices of women about Early Initiation of Breast Feeding. Mansoura Nursing Journal, 9(2), 193–199. https://doi.org/10.21608/mnj.2022.295565
Mokhtari , F., Bahadoran, P., & Baghersad, Z. (2018). Effectiveness of postpartum homecare program as a new method on mothers' knowledge about the health of the mother and the infant. Iranian Journal of Nursing Midwifery,23(4), 316-321. doi:10.4103/Ijnmr.ijnmr_48_17
Moudi, A., Tafazoli, M., Boskabadi, H., Ebrahimzadeh, S., & Salehiniya, H. (2016). Comparing the effect of breastfeeding promotion interventions on exclusive breastfeeding: An experimental study. Biomedical Research and Therapy, 3(11), 910-927. https://doi.org/10.15419/bmrat.v3i11.132.
Nabulsi M, Tamim H, Shamsedine L, Charafeddine L, Yehya N, Kabakian-Khasholian T, Masri, S., Nasser F., Ayash, S.& Ghanem D. (2019) A multi-component intervention to support breastfeeding in Lebanon: A randomized clinical trial. PLoS ONE 14(6): e0218467. https://doi.org/10.1371/journal.pone.0218467
Nduagubam, O., Ndu, I., Onyemaechi, A., Onukwuili, O.., Amadi, O., Okeke, B., Ogbuka F. Ezenwosu, O., & Iheji , C. ( 2021). Assessment of breastfeeding techniques in Enugu, South-East Nigeria. Annals of African Medicine, 20(2), 98-104.
http://doi.org/10.4103/aam.aam_22_20
Nduagubam, Obinna C., Bisi-Onyemaechi, Adaobi I., Ndu, Ikenna K., Onukwuli, Vivian O., Amadi, Ogechukwu., Ogbuka, Frank F., Ezenwosu, Osita. & Iheji, Chinonso (2022) World Health Organization’s Recommendation on Breastfeeding: Knowledge and Practices of Nursing Mothers in Enugu, Nigeria. International Journal of Medicine and Health Development 27(2):p 137-142, Apr–Jun 2022. | DOI: 10.4103/ijmh.IJMH_25_21
Nigeria Demographic Health Survey, NDHS (2018). https://www.dhsprogram.com/pubs/pdf/FR359/FR359.pdf
Nkoka, O., Ntenda, P., Kanje , V., Milanzi , E., &Arora, A. (2019) Determinants of timely initiation of breast milk and exclusive breastfeeding in Malawi: A population-based cross-sectional study. International Breastfeeding Journal, 14(1), 37-45. https://doi.org/10.1186/s13006-019-0232-y.
Ogbo, F. A., Nguyen, H., Naz, S. Agho, K., & Page, A. (2018). The association between infant and young child feeding practices and diarrhoea in Tanzanian children. Tropical Medicine and Health 46(2), 8-17.https://doi.org/10.1186/s41182-018-0084-y
Ogunfowokan O., Olajide, T., & Aina F. (2017). Nursing-based intervention on exclusive breast feeding among pregnant mothers attending antenatal clinic in two primary healthcare centres in Ikenne local government area, Ogun State, Nigeria. International Journal of Applied Research. IJAR 3(11): 168-173. https:// www.allresearchjournal.com
Okpala, L. Uro-Chukwu, H. & Uneke (2020). Assessment of Knowledge, Attitudes and Practices of Complementary Feeding among Nursing Mothers Attending a Millennium Development Goal Primary Health Centre in an Urban Community in Enugu State, Nigeria. EC Nutrition 15,8 (2020): 38-45. https//researchgate.net/publication/345632187
Olatona, F. A., Adenihun, J. O., Aderibigbe, S. A., & Adeniyi, O. F. (2017). Complementary feeding knowledge, practices, and dietary diversity among mothers of under-five children in an urban community in Lagos State, Nigeria. International Journal of Maternal and Child Health and AIDS (IJMA), 6(1), 46–59. https://doi.org/10.21106/ijma.203
Oyelana, O., Kamanzi, J.& Richter S. (2021). A critical look at exclusive breastfeeding in Africa: Through the lens of diffusion of innovation theory. International Journal of African Nursing Sciences,14,1-10. https://doi.org/10.1016/j.ijans.2020.100267
Phukan, D., Ranjan, M. & Dwivedi, L.K. (2018). Impact of timing of breastfeeding initiation on neonatal mortality in India. International Breastfeeding Journal 13, 27, 1-15. https://doi.org/10.1186/s13006-018-0162-0
Premium Times Nigeria (2022). Why Nigeria has high maternal, infant mortality rate — Ehanire https://www.premiumtimesng.com/health/health-news/565096-why-nigeria-has-high-maternal-infant-mortality-rate-ehanire.html?tztc=1
Renuka M., Nayanabai, S., Praveen, K., Sunil, K., Anupb , M. & Narayana, M. (2020). Effectiveness of educational intervention on breastfeeding among primi pregnant women- a longitudinal study. Clinical epidemiology and global health,8(4), 1306-1311.
Seidu, AA., Ameyaw, E.K., Ahinkorah, B.O. & Bonsu, F. (2020). Determinants of early initiation of breastfeeding in Ghana: a population-based cross-sectional study using the 2014 Demographic and Health Survey data. BMC Pregnancy Childbirth 20, 632-638. https://doi.org/10.1186/s12884-020-03308-w
Souza, E.F. & Pina-Oliveira A., & Shimo K.K (2020). Effect of a breastfeeding educational intervention: A randomized controlled trial Rev. Latino-Am. Enfermagem 2020;28:e3335 DOI: 10.1590/1518-8345.3081.3335 www.eerp.usp.br/rlae
UNICEF (2023) Neonatal Mortality https://data.unicef.org/topic/child-survival/neonatal-mortality/
Ware, J. L., Chen, A., Morrow, A. L., Kmet J (2019). Associations Between Breastfeeding Initiation and Infant Mortality in an Urban Population. Breastfeed Medicine Journal, 14 (7), 465-474. doi: 10.1089/bfm.2019.0067. Epub 2019 Jun 17. PMID: 31210534.
WHO (2022) Complemetary feeding https://www.who.int/health-topics/complementary-feeding#tab=tab_1
WHO (2022) Newborn Mortality: Key facts https://www.who.int/news-room/fact-sheets/detail/levels-and-trends-in-child-mortality-report-2021
WHO and UNICEF (2019). Increasing commitment to breastfeeding through funding and improved policies and programmes: Global breastfeeding scorecard, 2019. https://apps.who.int/iris/handle/10665/326049?locale-attribute=ar&utm_campaign=hotfixpress&utm_source=jardimmsnews.com.br&utm_medium=referral&utm_content=portal_prime.
Woldeamanue, B.T (2020). Trends and factors associated to early initiation of breastfeeding, exclusive breastfeeding and duration of breastfeeding in Ethiopia: evidence from the Ethiopia Demographic and Health Survey 2016. International Breastfeeding Journal 15(3), 1-3. doi.org/10.1186/s13006-019-0248-3.
World Health Organisation Africa (2022). Africa’s advances in maternal, infant mortality face setbacks: WHO report. https://www.afro.who.int/news/africas-advances-maternal-infant-mortality-face-setbacks-who-report
World Health Organization (1993) Breastfeeding Counselling: A training course - trainer's guide, part one, sessions 5- observing a breastfeed. Geneva, Switzerland, 45-55. https://www.who.int/maternal_child_adolescent/documents/pdfs/bc_trainers_guide.pdf
World Health Organization (2009). Infant and young child feeding. Model chapter for textbooks for medical students and allied health professionals ISBN: 9789241597494. https://apps.who.int/iris/handle/10665/44117
Yadav N, Vyas H, & Mamta, Goyal M. (2022). Effectiveness of prenatal lactation counselling on breastfeeding practices, breast engorgement and newborn feeding behaviour among postnatal mothers at a teaching institution. Journal of Family Medicine in Primary Care,11(3),1146-1151. https:// doi: 10.4103/jfmpc.jfmpc_1217_21. Epub 2022 Mar 10. PMID: 35495845; PMCID: PMC9051700.
Yahaya, W. B., & Adebayo S. B. (2013). Modelling the trend and determinants of breastfeeding initiation in Nigeria Hindawi publishing Corporation, child development. Article ID 530396, http://dx.doi.org/10.1155/2013/530396 Research Article.
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