Generic placeholder image

Current Women`s Health Reviews

Author(s): Rezvan Poorghasemian, Katayon Vakilian* and Mahboobeh Khorsandi

DOI: 10.2174/1573404817666210719123113

DownloadDownload PDF Flyer Cite As
The Effect of Counseling on Breastfeeding Self-Efficacy (BSFE) in Women with Gestational Diabetes

Article ID: e031121194895 Pages: 8

  • * (Excluding Mailing and Handling)

Abstract

Background: Different strategies have been suggested to increase successful breastfeeding, including establishing child-friendly hospitals, prenatal training courses, and various counseling models in breastfeeding self-efficacy enhancement in women with gestational diabetes.

Objective: This study aimed to determine the effect of counseling on breastfeeding self-efficacy in women with gestational diabetes..

Methods: The present study was a quasi-experimental intervention that was conducted on 100 pregnant women with gestational diabetes after obtaining informed consent. The intervention group received breastfeeding counseling based on the GATHER approach in the third trimester of pregnancy between 32 and 33 weeks and between 35 and 36 weeks of pregnancy, respectively. The follow- up process was performed in 4 sessions after delivery: 14 to 16 days after delivery, and 28 to 30 days after delivery for 60 to 90 minutes. The control group, on the other hand, only received routine care. After counseling, self-efficacy was examined at the end of the study and after the third month. The data were analyzed using statistical independent t-tests and chi-square.

Results: The mean score of self-efficacy of breastfeeding at the end of the study was 55.12 in the experimental group, which was higher than that of the control group (46.16) (P =0.0001). The frequency percentage of exclusive breastfeeding was 58% in the experimental group and 22% in the control group (P =0.0001).

Conclusion: Considering the effectiveness of breastfeeding counseling on increasing self-efficacy and continuity of breastfeeding in diabetic breastfeeding mothers, it is suggested to use prenatal and continued in postnatal for diabetic mothers.

Keywords: Gestational diabetes, self-efficacy, breastfeeding, pregnancy, reproductive health, insulin.

Graphical Abstract

[1]
Saeedi P, Petersohn I, Salpea P, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res Clin Pract 2019; 157: 107843.
[http://dx.doi.org/10.1016/j.diabres.2019.107843] [PMID: 31518657]
[2]
Kampmann U, Madsen LR, Skajaa GO, Iversen DS, Moeller N, Ovesen P. Gestational diabetes: A clinical update. World J Diabetes 2015; 6(8): 1065-72.
[http://dx.doi.org/10.4239/wjd.v6.i8.1065] [PMID: 26240703]
[3]
Leng J, Shao P, Zhang C, et al. Prevalence of gestational diabetes mellitus and its risk factors in Chinese pregnant women: A prospective population-based study in Tianjin, China. PLoS One 2015; 10(3): e0121029.
[http://dx.doi.org/10.1371/journal.pone.0121029] [PMID: 25799433]
[4]
Jafari-Shobeiri M, Ghojazadeh M, Azami-Aghdash S, et al. Prevalence and risk factors of gestational diabetes in Iran: A systematic review and meta-analysis. Iran J Public Health 2015; 44(8): 1036-44.
[PMID: 26587467]
[5]
Erem C, Kuzu UB, Deger O, Can G. Prevalence of gestational diabetes mellitus and associated risk factors in Turkish women: The Trabzon GDM Study. Arch Med Sci 2015; 11(4): 724-35.
[http://dx.doi.org/10.5114/aoms.2015.53291] [PMID: 26322083]
[6]
Macaulay S, Dunger DB, Norris SA. Gestational diabetes mellitus in Africa: A systematic review. PLoS One 2014; 9(6): e97871.
[http://dx.doi.org/10.1371/journal.pone.0097871] [PMID: 24892280]
[7]
Zhu Y, Zhang C. Prevalence of gestational diabetes and risk of progression to type 2 diabetes: A global perspective. Curr Diab Rep 2016; 16(1): 7.
[http://dx.doi.org/10.1007/s11892-015-0699-x] [PMID: 26742932]
[8]
Ramos-Román MA. Prolactin and lactation as modifiers of diabetes risk in gestational diabetes. Horm Metab Res 2011; 43(9): 593-600.
[http://dx.doi.org/10.1055/s-0031-1284353] [PMID: 21823053]
[9]
Meek CL, Lewis HB, Patient C, Murphy HR, Simmons D. Diagnosis of gestational diabetes mellitus: Falling through the net. Diabetologia 2015; 58(9): 2003-12.
[http://dx.doi.org/10.1007/s00125-015-3647-z] [PMID: 26071759]
[10]
Ovesen PG, Jensen DM, Damm P, Rasmussen S, Kesmodel US. Maternal and neonatal outcomes in pregnancies complicated by gestational diabetes. a nation-wide study. J Matern Fetal Neonatal Med 2015; 28(14): 1720-4.
[http://dx.doi.org/10.3109/14767058.2014.966677] [PMID: 25228278]
[11]
Cunningham F, Leveno K, Bloom S, et al. Williams obstetrics.Mcgraw-hill 2018.
[12]
Achong N, McIntyre HD, Callaway L, Duncan EL. Glycaemic behaviour during breastfeeding in women with Type 1 diabetes. Diabet Med 2016; 33(7): 947-55.
[http://dx.doi.org/10.1111/dme.12993] [PMID: 26479263]
[13]
Matias SL, Dewey KG, Quesenberry CP Jr, Gunderson EP. Maternal prepregnancy obesity and insulin treatment during pregnancy are independently associated with delayed lactogenesis in women with recent gestational diabetes mellitus. Am J Clin Nutr 2014; 99(1): 115-21.
[http://dx.doi.org/10.3945/ajcn.113.073049] [PMID: 24196401]
[14]
Vakilian k, Farahani K, Heidari T. Enhancing breastfeeding – Home base education on self-efficacy -A preventive strategy. International journal of preventive medicine. Int J Prev Med 2020; 11: 63.
[http://dx.doi.org/10.4103/ijpvm.IJPVM_494_17]
[15]
Shub A, Miranda M, Georgiou HM, McCarthy EA, Lappas M. The effect of breastfeeding on postpartum glucose tolerance and lipid profiles in women with gestational diabetes mellitus. Int Breastfeed J 2019; 14(1): 46.
[http://dx.doi.org/10.1186/s13006-019-0238-5] [PMID: 31708997]
[16]
Gunderson EP, Lewis CE, Wei GS, Whitmer RA, Quesenberry CP, Sidney S. Lactation and changes in maternal metabolic risk factors. Obstet Gynecol 2007; 109(3): 729-38.
[http://dx.doi.org/10.1097/01.AOG.0000252831.06695.03] [PMID: 17329527]
[17]
Gunderson EP, Jacobs DR Jr, Chiang V, et al. Duration of lactation and incidence of the metabolic syndrome in women of reproductive age according to gestational diabetes mellitus status: A 20-Year prospective study in CARDIA (Coronary Artery Risk Development in Young Adults). Diabetes 2010; 59(2): 495-504.
[http://dx.doi.org/10.2337/db09-1197] [PMID: 19959762]
[18]
Taylor JS, Kacmar JE, Nothnagle M, Lawrence RA. A systematic review of the literature associating breastfeeding with type 2 diabetes and gestational diabetes. J Am Coll Nutr 2005; 24(5): 320-6.
[http://dx.doi.org/10.1080/07315724.2005.10719480] [PMID: 16192255]
[19]
Binns C, Lee M, Low WY. The long-term public health benefits of breastfeeding. Asia Pac J Public Health 2016; 28(1): 7-14.
[http://dx.doi.org/10.1177/1010539515624964] [PMID: 26792873]
[20]
Grummer-Strawn LM, Mei Z. Does breastfeeding protect against pediatric overweight? Analysis of longitudinal data from the Centers for Disease Control and Prevention Pediatric Nutrition Surveillance System. Pediatrics 2004; 113(2): e81-6.
[http://dx.doi.org/10.1542/peds.113.2.e81] [PMID: 14754976]
[21]
Hayatbakhsh MR, O’Callaghan MJ, Bor W, Williams GM, Najman JM. Association of breastfeeding and adolescents’ psychopathology: A large prospective study. Breastfeed Med 2012; 7(6): 480-6.
[http://dx.doi.org/10.1089/bfm.2011.0136] [PMID: 22612623]
[22]
Kramer MS, Chalmers B, Hodnett ED, et al. Promotion of breastfeeding intervention trial (PROBIT): A randomized trial in the republic of belarus. JAMA 2001; 285(4): 413-20.
[http://dx.doi.org/10.1001/jama.285.4.413] [PMID: 11242425]
[23]
Anderson AK, Damio G, Young S, Chapman DJ, Pérez-Escamilla R. A randomized trial assessing the efficacy of peer counseling on exclusive breastfeeding in a predominantly Latina low-income community. Arch Pediatr Adolesc Med 2005; 159(9): 836-41.
[http://dx.doi.org/10.1001/archpedi.159.9.836] [PMID: 16143742]
[24]
Lumbiganon P, Martis R, Laopaiboon M, et al. Antenatal breastfeeding education for increasing breastfeeding duration. Cochrane Database Syst Rev 2011; (11): CD006425.
[http://dx.doi.org/10.1002/14651858.CD006425.pub4]
[25]
Otsuka K, Taguri M, Dennis C-L, et al. Effectiveness of a breastfeeding self-efficacy intervention: Do hospital practices make a difference? Matern Child Health J 2014; 18(1): 296-306.
[http://dx.doi.org/10.1007/s10995-013-1265-2] [PMID: 23592322]
[26]
Bandura A. Guide for constructing self-efficacy scales. Self-efficacy beliefs of adolescents 2006; 5(1): 307-37.
[27]
Dennis C-L, Heaman M, Mossman M. Psychometric testing of the breastfeeding self-efficacy scale-short form among adolescents. J Adolesc Health 2011; 49(3): 265-71.
[http://dx.doi.org/10.1016/j.jadohealth.2010.12.015] [PMID: 21856518]
[28]
Dennis CLE. Identifying predictors of breastfeeding self-efficacy in the immediate postpartum period. Res Nurs Health 2006; 29(4): 256-68.
[http://dx.doi.org/10.1002/nur.20140] [PMID: 16847899]
[29]
Saljughi F, Savabi Esfahani M, Kohan S, et al. Promoting breastfeeding self-efficacy through role-playing in pregnant women. Int J Pediatr 2016; 4(7): 2061-8.
[30]
Rinehart W, Rudy S, Drennan M. GATHER guide to counseling. Popul Rep J 1998; (48): 1-31.
[PMID: 10096107]
[31]
Kohan S, Heidari Z, Keshvari M, Dolati A. Promoting breastfeeding empowerment in primiparus women: Effect of family-center education and support. 2016; 24(125): 51-8.
[32]
Parsa P, Masoumi Z, Parsa N, Parsa B. Parents’ health beliefs influence breastfeeding patterns among Iranian women. Oman Med J 2015; 30(3): 187-92.
[http://dx.doi.org/10.5001/omj.2015.40] [PMID: 26171125]
[33]
Araban M, Mehrjardi FF, Shahry P, Montazeri AL. The Persian version of breastfeeding self-efficacy scale-short form (BSES-SF): Translation and psychometric assessment. Payesh 2016; 15(1): 87-93.
[34]
Daneshvar M, Vakilian K, Zadeh-Emran AH, et al. The Effect of ACT on Self-Esteem and Self-efficacy of Women with Breast Cancer in Iran. Curr Womens Health Rev 2020; 16(1): 74-80.
[http://dx.doi.org/10.2174/1573404815666191121150647]
[35]
Ross-Cowdery M, Lewis CA, Papic M, Corbelli J, Schwarz EB. Counseling about the maternal health benefits of breastfeeding and mothers’ intentions to breastfeed. Matern Child Health J 2017; 21(2): 234-41.
[http://dx.doi.org/10.1007/s10995-016-2130-x] [PMID: 27443655]
[36]
Farrag NS, Abdelsalam SA, Laimon W, El-Gilany AH. Pediatric Nurses’ Knowledge of and Self-Efficacy in Breastfeeding Counseling. Am J Perinatol 2019; 36(11): 1120-6.
[http://dx.doi.org/10.1055/s-0038-1676486] [PMID: 30551232]
[37]
Chan MY, Ip WY, Choi KC. The effect of a self-efficacy-based educational programme on maternal breast feeding self-efficacy, breast feeding duration and exclusive breast feeding rates: A longitudinal study. Midwifery 2016; 36: 92-8.
[http://dx.doi.org/10.1016/j.midw.2016.03.003] [PMID: 27106949]
[38]
Spencer JP. Management of mastitis in breastfeeding women. Am Fam Physician 2008; 78(6): 727-31.
[PMID: 18819238]
[39]
Govoni L, Ricchi A, Molinazzi MT, et al. Breastfeeding pathologies: Analysis of prevalence, risk and protective factors. Acta Biomed 2019; 90(4-S)(Suppl. 4): 56-62.
[PMID: 30977749]