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Paper Information

Journal:   JOURNAL OF HOLISTIC NURSING AND MIDWIFERY   July 2019 , Volume 29 , Number 3; Page(s) 176 To 183.

The Effect of Cognitive-Behavioral Counseling on Breastfeeding Self-Efficacy of Pregnant Women



Author(s):  Shahsavan Zahra, Oveisi Sonia, JOURABCHI ZINAT*
* Social Determinants of Health Research Center, Department of Midwifery and Maternal and Child Health, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran
Introduction: Breastfeeding has an essential role in providing maternal and infant health and as a result the society health. Breastfeeding self-efficacy is a powerful predictor of the duration of exclusive breastfeeding. Objective: This study aimed to investigate the effect of cognitive-behavioral counseling during pregnancy on breastfeeding self-efficacy of pregnant women referring to comprehensive health centers in Qazvin City, Iran. Materials and Methods: This study is a randomized controlled clinical trial conducted on 120 pregnant women referred to health centers in Qazvin City. The samples were randomly divided into intervention and control groups. The intervention group received 8 sessions of cognitive-behavioral group counseling during the third trimester of pregnancy. The breastfeeding self‐ efficacy Scale questionnaire was used for surveying samples before and after the intervention. For analyzing data, t-test and Chi-squared test were used. Results: The two groups were not significantly different before the intervention in terms of demographic variables. Also, the Mean± SD breastfeeding self‐ efficacy scores in the control (47. 55± 5. 92) and the intervention group (47. 70± 7. 83) were not significantly different before counseling. After the intervention, the Mean± SD breastfeeding self‐ efficacy score of the intervention group (57. 49± 5. 62) was significantly higher than that of the control group (48. 8± 5. 94) (P=0. 001). Conclusion: Cognitive-behavioral counseling will increase breastfeeding self‐ efficacy of pregnant women. It is recommended that the results of the study be used to promote the empowerment of women in breastfeeding.
Keyword(s): Cognitive therapy,Behavior control,Self-efficacy,Counseling,Lactation
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