Research Article
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The Effect of Breastfeeding Education Provided to Pregnant Women Who Expect Twins on Their Breastfeeding Intention

Year 2022, Volume: 7 Issue: 4, 593 - 601, 10.12.2022
https://doi.org/10.26453/otjhs.1097111

Abstract

Objective: The study was conducted to determine the effect of breastfeeding education provided to pregnant women expecting twins on their breastfeeding intention.
Materials and Methods: The research was conducted as a single group pre-test-post-test design study in the antenatal education class of a training and research hospital between August and December 2017. The study sample consisted of 38 pregnant women expecting twins between 20 and 34 weeks of gestation who came to the hospital's pregnant outpatient clinics and agreed to participate in the study. In the study, data were collected using the "Descriptive Information Form,” "Information Form on Breastfeeding of Twin Babies," and "Breastfeeding Intent Scale for Twin Expecting Pregnant Women." The data were evaluated in the SPSS program, using percentages, averages, and paired Student’s t-test.
Results: The mean age of the pregnant women was 29.84 years (SD=5.63). The mean total score obtained by the pregnant women from the scale was 22.84±4.46 before the education and 29.68±3.09 after the education, and the difference between them was statistically highly significant (t= -13.577, p=0.000). The effect size of this significant difference is 2.930, which is high.
Conclusion: It was determined that breastfeeding education provided in the antenatal period affected the breastfeeding intention of pregnant women expecting twins (p<0.05). 

Supporting Institution

The study was doctorate thesis and supported by the Sakarya University Scientific Research Projects Commission.

Project Number

2016-40-02-002.

Thanks

We also thank the mothers participating in this study.

References

  • Damato EG, Dowling DA, Madigan EA, Thanattherakul C. Duration of breastfeeding for mothers of twins. Journal of Obstetric Gynecologic and Neonatal Nursing Clinical Research 2005;34:201-209. doi:10.1177/0884217504273671
  • Martin JA, Hamilton BE, Osterman MJ, Driscoll AK, Mathews TJ. Births: Final data for 2015. Natl Vital Stat Rep. 2017;66(1):1
  • Otta E, Fernandes ES, Acquaviva TG, et al. Twinning and multiple birth rates according to maternal age in the City of São Paulo, Brazil: 2003–2014. Twin Research and Human Genetics 2017;19(6):679-686. doi:10.1017/thg.2016.75
  • Flidel-Rimon O, Shinwell ES. Breastfeeding twins and high multiples. Archives of Disease in Childhood: Fetal&Neonatal 2006;91:377-380. doi:10.1136/adc.2005.082305
  • Cinar N, Kose D, Dogu O. Breast Feeding in multiple babies. Sakarya Medical Journal 2012;2:115-121. doi:10.5505/sakaryamj.2012.20082 
  • Bennington LK. Breastfeeding multiples: It can be done. Newborn Infant Nursing Reviews,2011;11:194-197. doi:10.1053/j.nainr.2011.09.012
  • Multiple Births Foundation. Guidance for health professionals on feeding twins, triplets and higher order multiples 2011. http://www.multiplebirths.org.uk/mbf_professionals_final.pdf. Accessed March 4, 2022.
  • Ooki S. Breast-feeding rates and related maternal and infants’ obstetric factors in Japanese twins. Environmental Health and Preventive Medicine 2008;13:187-97. doi:10.1007/s12199-008-0028-y
  • Cinar ND, Alvur TM, Kose D, Nemut T. Breastfeeding twins: A qualitative study. J Health Popul Nutr. 2013;31(4):504-509. doi:10.3329/jhpn.v31i4.20049
  • Cinar N, Kose D, Alvur M, Dogu O. Mothers’ attitudes toward feeding twin babies in the first six months of life: A sample from Sakarya, Turkey. Iran Journal of Pediatrics 2016;26(5):e5413. doi:10.5812/ijp.5413
  • Geraghty SR, Khoury JC, Kalwarf HJ. Comparison of feeding among multiple birth infants. Twin Research 2004;7(2):542-547. doi:10.1375/1369052042663788
  • Geraghty SR, Pinney SM, Sethuraman G, Roy-Chaudhury A, Kalkwarf HJ. Breast milk feeding rates of mothers of multiples compared to mothers of singletons. Ambulatory Pediatrics 2004;4 (3):226-231.
  • Langkamp DL, Girardet RG. Primary care for twins and higher order multiples. Current Problems Pediatric and Adolescent Health Care 2006;36(2):47-67. doi:10.1016/j.cppeds.2005.10.005
  • Odei AB. Factors associated with exclusive breastfeeding of Ghanaian twins. The Unıversity of Ghana, Retrieved from http://ugspace.ug.edu.gh/handle/123456789/5335,2013.
  • Leonard LG, Denton J. Preparation for parenting multiple birth children. Early Human Development 2006;82:371-378. doi:10.1016/j.earlhumdev.2006.03.009
  • Hannula L, Kaunonen M, Tarkka MT. A systematic review of professional support interventions for breastfeeding. Journal of Clinical Nursing 2008;17(9):11321143.   doi:10.1111/j.1365-2702.2007.02239.x
  • Machin D, Campbell M, Fayers P, Pinol A. Sample Size Tables for Clinical Studies, 2nded.Blackwell Science. Malden, MA; 1997.
  • Menekşe D, Çınar N. Breastfeeding intent scale in twin expecting pregnancy: development, validity and reliability, Second International Nursing Congress, 2018, Istanbul/Turkey
  • Dennis CL, Faux S. Development and psychometric testing of the Breastfeeding Self-Efficacy Scale. Res Nurs Health 1999;22:399-409. doi:10.1002/(sici)1098-240x(199910)22:5<399::aid-nur6>3.0.co;2-4
  • Yokoyama Y, Wada S, Sugimoto M, Katayama M, Saito M, Sono J. Breast-feeding rates among singletons, twins and triplets in japan: A population based study. Twin Research and Human Genetics 2006;9(2):298-302. doi:10.1375/183242706776382347
  • Kielbratowska B, Cwiek D, Preis K, Malinowski W, Hofman A. Breastfeeding of twins. Archives of Perinatal Medicine 2010;16(4):201-205.
  • Basu S, Aundhakar CD, Galgali A. Gender discrimination in relation to exclusive breast feeding practices amongst twins in Rural India. International Journal of Health Sciences & Research 2014;4(5):139-43.
  • Damato EG, Dowling DA, Standing TS, Schuster SD. Explanation for cessation of breastfeeding in mothers of twins. Journal of Human Lactation 2005; 21(3):296-304 doi:10.1177/0890334405277501
  • Lumbiganon P, Martis R, Laopaiboon M, Festin MR, Ho JJ, Hakimi M. Antenatal breastfeeding education for increasing breastfeeding duration. Cochrane Database of Systematic Reviews 2016;11:Art. No.:CD006425. doi:10.1002/14651858.CD006425.pub4
  • Shim JI, Kang SJ. Impact of breastfeeding knowledge, attitude, and barriers on breastfeeding practice among twin mothers. Korean Journal of Women Health Nursing 2017;23(2):89-98. (Korean) doi:10.4069/kjwhn.2017.23.2.89
  • Wouk K, Lara-Cinisomo S, Stuebe AM, Poole C, Petrick JL, McKenney KM. Clinical interventions to promote breastfeeding by latinas: A meta-analysis. Pediatrics 2016;137(1). doi:10.1542/peds.2015-2423.
  • Lutsiv O, Pullenayegum E, Foster G, et al. Women’s intentions to breastfeed: a population-based cohort study. An International Journal of Obstetrics and Gynaecology 2013;120:1490–1499. doi:10.1111/1471-0528.12376
  • Stuebe AM,  Bonuck K. What predicts intent to breastfeed exclusively? Breastfeeding knowledge, attitudes, and beliefs in a diverse urban population. Breastfeed Med. 2011;6(6):413-20. doi:10.1089/bfm.2010.0088
  • Whitford HM, Wallis SK, Dowswell T, West HM, Renfrew MJ. Breastfeeding education and support for women with twins or higher order multiples. Cochrane Database of Systematic Reviews 2017;2: Art. No.:CD012003. doi:10.1002/14651858.CD012003.pub2
  • Hmone MP, Li M, Agho K, Alam A, Dibley MJ. Factors associated with intention to exclusive breastfeed in central women’s hospital, Yangon, Myanmar. International Breastfeeding Journal 2017;12(29):1-12. doi:10.1186/s13006-017-0120-2

İkiz Bebek Bekleyen Gebelere Verilen Emzirme Eğitiminin Emzirme Niyetlerine Etkisi

Year 2022, Volume: 7 Issue: 4, 593 - 601, 10.12.2022
https://doi.org/10.26453/otjhs.1097111

Abstract

Amaç: Çalışma ikiz bebek bekleyen gebelere verilen emzirme eğitiminin gebelerin emzirme niyeti üzerine etkisinin belirlenmesi amacıyla gerçekleştirilmiştir.
Materyal ve Metot: Çalışma tek grup ön test- son test tasarımlı olup, Sakarya ilinde bir eğitim ve araştırma hastanesinde Ağustos-Aralık 2017 tarihleri arasında yürütülmüştür. Çalışmanın örneklemini hastanenin gebe polikliniklerine gelen, çalışmaya katılmayı kabul eden 20-34. gestasyon haftası arasında olan 38 ikiz gebe oluşturmuştur. Çalışmada veriler, araştırmacılar tarafından hazırlanan ‘‘Tanıtıcı Bilgi Formu”, “İkiz Bebeklerin Emzirilmesi ile İlgili Bilgi Formu” ve “İkiz Bebek Bekleyen Gebelerde Emzirme Niyet Ölçeği” kullanılarak toplanmıştır. Veriler SPSS programı ile yüzde, ortalama ve Bağımlı örneklme t testi kullanılarak değerlendirildi.
Bulgular: Gebelerin yaş ortalaması 29,84 yıldır (SD=5,63). Gebelerin ölçekten aldıkları toplam puan ortalaması eğitim öncesi 22,84±4,46 ve eğitim sonrası 29,68±3,09 olup, aradaki farkın istatistiksel olarak ileri derecede anlamlıdır (t= -13,577, p=0,000). Bu anlamlı farklılığın etki büyüklüğü 2,930 olup, yüksektir.
Sonuç: Antenatal dönemde verilen emzirme eğitiminin ikiz bebek bekleyen gebelerin emzirme niyetlerini etkilediği belirlendi (p<0,05). 

Project Number

2016-40-02-002.

References

  • Damato EG, Dowling DA, Madigan EA, Thanattherakul C. Duration of breastfeeding for mothers of twins. Journal of Obstetric Gynecologic and Neonatal Nursing Clinical Research 2005;34:201-209. doi:10.1177/0884217504273671
  • Martin JA, Hamilton BE, Osterman MJ, Driscoll AK, Mathews TJ. Births: Final data for 2015. Natl Vital Stat Rep. 2017;66(1):1
  • Otta E, Fernandes ES, Acquaviva TG, et al. Twinning and multiple birth rates according to maternal age in the City of São Paulo, Brazil: 2003–2014. Twin Research and Human Genetics 2017;19(6):679-686. doi:10.1017/thg.2016.75
  • Flidel-Rimon O, Shinwell ES. Breastfeeding twins and high multiples. Archives of Disease in Childhood: Fetal&Neonatal 2006;91:377-380. doi:10.1136/adc.2005.082305
  • Cinar N, Kose D, Dogu O. Breast Feeding in multiple babies. Sakarya Medical Journal 2012;2:115-121. doi:10.5505/sakaryamj.2012.20082 
  • Bennington LK. Breastfeeding multiples: It can be done. Newborn Infant Nursing Reviews,2011;11:194-197. doi:10.1053/j.nainr.2011.09.012
  • Multiple Births Foundation. Guidance for health professionals on feeding twins, triplets and higher order multiples 2011. http://www.multiplebirths.org.uk/mbf_professionals_final.pdf. Accessed March 4, 2022.
  • Ooki S. Breast-feeding rates and related maternal and infants’ obstetric factors in Japanese twins. Environmental Health and Preventive Medicine 2008;13:187-97. doi:10.1007/s12199-008-0028-y
  • Cinar ND, Alvur TM, Kose D, Nemut T. Breastfeeding twins: A qualitative study. J Health Popul Nutr. 2013;31(4):504-509. doi:10.3329/jhpn.v31i4.20049
  • Cinar N, Kose D, Alvur M, Dogu O. Mothers’ attitudes toward feeding twin babies in the first six months of life: A sample from Sakarya, Turkey. Iran Journal of Pediatrics 2016;26(5):e5413. doi:10.5812/ijp.5413
  • Geraghty SR, Khoury JC, Kalwarf HJ. Comparison of feeding among multiple birth infants. Twin Research 2004;7(2):542-547. doi:10.1375/1369052042663788
  • Geraghty SR, Pinney SM, Sethuraman G, Roy-Chaudhury A, Kalkwarf HJ. Breast milk feeding rates of mothers of multiples compared to mothers of singletons. Ambulatory Pediatrics 2004;4 (3):226-231.
  • Langkamp DL, Girardet RG. Primary care for twins and higher order multiples. Current Problems Pediatric and Adolescent Health Care 2006;36(2):47-67. doi:10.1016/j.cppeds.2005.10.005
  • Odei AB. Factors associated with exclusive breastfeeding of Ghanaian twins. The Unıversity of Ghana, Retrieved from http://ugspace.ug.edu.gh/handle/123456789/5335,2013.
  • Leonard LG, Denton J. Preparation for parenting multiple birth children. Early Human Development 2006;82:371-378. doi:10.1016/j.earlhumdev.2006.03.009
  • Hannula L, Kaunonen M, Tarkka MT. A systematic review of professional support interventions for breastfeeding. Journal of Clinical Nursing 2008;17(9):11321143.   doi:10.1111/j.1365-2702.2007.02239.x
  • Machin D, Campbell M, Fayers P, Pinol A. Sample Size Tables for Clinical Studies, 2nded.Blackwell Science. Malden, MA; 1997.
  • Menekşe D, Çınar N. Breastfeeding intent scale in twin expecting pregnancy: development, validity and reliability, Second International Nursing Congress, 2018, Istanbul/Turkey
  • Dennis CL, Faux S. Development and psychometric testing of the Breastfeeding Self-Efficacy Scale. Res Nurs Health 1999;22:399-409. doi:10.1002/(sici)1098-240x(199910)22:5<399::aid-nur6>3.0.co;2-4
  • Yokoyama Y, Wada S, Sugimoto M, Katayama M, Saito M, Sono J. Breast-feeding rates among singletons, twins and triplets in japan: A population based study. Twin Research and Human Genetics 2006;9(2):298-302. doi:10.1375/183242706776382347
  • Kielbratowska B, Cwiek D, Preis K, Malinowski W, Hofman A. Breastfeeding of twins. Archives of Perinatal Medicine 2010;16(4):201-205.
  • Basu S, Aundhakar CD, Galgali A. Gender discrimination in relation to exclusive breast feeding practices amongst twins in Rural India. International Journal of Health Sciences & Research 2014;4(5):139-43.
  • Damato EG, Dowling DA, Standing TS, Schuster SD. Explanation for cessation of breastfeeding in mothers of twins. Journal of Human Lactation 2005; 21(3):296-304 doi:10.1177/0890334405277501
  • Lumbiganon P, Martis R, Laopaiboon M, Festin MR, Ho JJ, Hakimi M. Antenatal breastfeeding education for increasing breastfeeding duration. Cochrane Database of Systematic Reviews 2016;11:Art. No.:CD006425. doi:10.1002/14651858.CD006425.pub4
  • Shim JI, Kang SJ. Impact of breastfeeding knowledge, attitude, and barriers on breastfeeding practice among twin mothers. Korean Journal of Women Health Nursing 2017;23(2):89-98. (Korean) doi:10.4069/kjwhn.2017.23.2.89
  • Wouk K, Lara-Cinisomo S, Stuebe AM, Poole C, Petrick JL, McKenney KM. Clinical interventions to promote breastfeeding by latinas: A meta-analysis. Pediatrics 2016;137(1). doi:10.1542/peds.2015-2423.
  • Lutsiv O, Pullenayegum E, Foster G, et al. Women’s intentions to breastfeed: a population-based cohort study. An International Journal of Obstetrics and Gynaecology 2013;120:1490–1499. doi:10.1111/1471-0528.12376
  • Stuebe AM,  Bonuck K. What predicts intent to breastfeed exclusively? Breastfeeding knowledge, attitudes, and beliefs in a diverse urban population. Breastfeed Med. 2011;6(6):413-20. doi:10.1089/bfm.2010.0088
  • Whitford HM, Wallis SK, Dowswell T, West HM, Renfrew MJ. Breastfeeding education and support for women with twins or higher order multiples. Cochrane Database of Systematic Reviews 2017;2: Art. No.:CD012003. doi:10.1002/14651858.CD012003.pub2
  • Hmone MP, Li M, Agho K, Alam A, Dibley MJ. Factors associated with intention to exclusive breastfeed in central women’s hospital, Yangon, Myanmar. International Breastfeeding Journal 2017;12(29):1-12. doi:10.1186/s13006-017-0120-2
There are 30 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research article
Authors

Dilek Menekşe 0000-0003-0176-8778

Nursan Çınar 0000-0003-3151-9975

Project Number 2016-40-02-002.
Early Pub Date December 3, 2022
Publication Date December 10, 2022
Submission Date April 1, 2022
Acceptance Date September 21, 2022
Published in Issue Year 2022 Volume: 7 Issue: 4

Cite

AMA Menekşe D, Çınar N. The Effect of Breastfeeding Education Provided to Pregnant Women Who Expect Twins on Their Breastfeeding Intention. OTJHS. December 2022;7(4):593-601. doi:10.26453/otjhs.1097111

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