Breastfeeding promotion: maternal empowerment interventions during the pregnancy-parturition cycle
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v17.13829Keywords:
Breastfeeding, Nurse Midwife, Nursing Care, Pregnancy, Postpartum PeriodAbstract
Objective: to identify the interventions conducted by midwives during the pregnancy-puerperium cycle, aimed at training women to practice breastfeeding. Method: Scoping review according to the Joanna Briggs Institute model, covering studies published on the EBSCOhost, B. On, Web of Science and Scopus platforms. Results: Six categories of interventions were identified from the inclusion and analysis of twelve studies: 1) prenatal education; 2) tailored postnatal care; 3) fostering maternal self-efficacy; 4) interventions in the maternity unit and during childbirth; 5) social support and family participation; and 6) complementary and alternative therapies. Conclusions: Comprehensive educational programs from prenatal to postpartum, group sessions, phone follow-up, home visits, online support groups and family participation have proven to be effective strategies in empowering mothers to breastfeed. Breastfeeding promotion is a vital responsibility of midwives. To ensure their interventions are effective, ongoing education and compliance with public health policies are necessary.
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References
World Health Organization, United Nations Children’s Fund. Implementation guidance: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised baby-friendly hospital initiative. World Health Organization. [Internet]. 2018 [cited 2025 jan 9]. Available from: https://iris.who.int/bitstream/handle/10665/272943/9789241513807.
Rojas‐García A, Lingeman S, Kassianos AP. Attitudes of mothers and health care providers towards behavioural interventions promoting breastfeeding uptake: A systematic review of qualitative and MIXED‐METHOD studies. Br J Health Psychol. [Internet]. 2023 [cited 2025 jan 9];28(4). Available from: https://doi.org/10.1111/bjhp.12663.
Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet. [Internet]. 2016 [cited 2025 jan 9];387(10017). Available from: http://dx.doi.org/10.1016/S0140-6736(15)01024-7.
Rollins NC, Bhandari N, Hajeebhoy N, Horton S, Lutter CK, Martines JC, et al. Why invest, and what it will take to improve breastfeeding practices? The Lancet. [Internet]. 2016 [cited 2025 jan 9];387(10017). Available from: http://dx.doi.org/10.1016/S0140-6736(15)01044-2.
Kohan S, Keshvari M, Mohammadi F, Heidari Z. Designing and evaluating an empowering program for breastfeeding: a mixed-methods study. Arch Iran Med. [Internet]. 2019 [cited 2025 jan 9];22(8). Available from: https://www.researchgate.net/publication/334883594_Designing_and_Evaluating_an_Empowering_Program_for_Breastfeeding.
Thuler ACDMC, Wall ML, Souza MARD. Caracterização das mulheres no ciclo gravídico-puerperal e o incentivo à amamentação precoce. Rev Enferm UERJ. [Internet]. 2018 [acesso em 9 de janeiro 2025];26. Disponível em: https://doi.org/10.12957/reuerj.2018.16936.
Kassianos AP, Ward E, Rojas-Garcia A, Kurti A, Mitchell FC, Nostikasari D, et al. A systematic review and meta-analysis of interventions incorporating behaviour change techniques to promote breastfeeding among postpartum women. Health Psychol Rev. [Internet]. 2019 [cited 2025 jan 9];13(3). Available from: https://doi.org/10.1080/17437199.2019.1618724.
Merten S, Dratva J, Ackermann-Liebrich U. Do Baby-Friendly Hospitals Influence Breastfeeding Duration on a National Level? Pediatrics. [Internet]. 2005 [cited 2025 jan 9];116(5). Available from: https://doi.org/10.1542/peds.2005-0537.
Pérez‐Escamilla R, Martinez JL, Segura‐Pérez S. Impact of the Baby‐friendly Hospital Initiative on breastfeeding and child health outcomes: a systematic review. Matern Child Nutr. [Internet]. 2016 [cited 2025 jan 9];12(3). Available from: https://doi.org/10.1111/mcn.12294.
Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editores. JBI Manual for Evidence Synthesis. JBI. [Internet]. 2024 [cited 2025 jan 25]. Available from: https://doi.org/10.46658/JBIMES-24-01.
Alves JDS, Oliveira MICD, Rito RVVF. Orientações sobre amamentação na atenção básica de saúde e associação com o aleitamento materno exclusivo. Ciênc Saúde Coletiva. [Internet]. 2018 [acesso em 9 de janeiro 2025];23(4). Disponível em: https://doi.org/10.1590/1413-81232018234.10752016.
Merigo S, Cella JLM, Oliveira RG, Labegalini CMG. Promoção do aleitamento materno: uma revisão integrativa das práticas educativas. Res Soc Dev. [Internet]. 2021 [acesso em 9 de janeiro 2025];10(12). Disponível em: https://doi.org/10.33448/rsd-v10i12.20871.
Pereira Garcia Galvão DM, Batoca Silva E. O papel do enfermeiro na promoção do aleitamento materno: revisão integrativa. Rev Investig Inov Em Saúde. [Internet]. 2024 [acesso em 9 de janeiro 2025];7(1). Disponível em: https://doi.org/10.37914/riis.v7i1.354.
Siqueira LS, Santos FS, Santos RMDMS, Santos LFS, Santos LHD, Pascoal LM, et al. Fatores associados à autoeficácia da amamentação no puerpério imediato em maternidade pública. Cogitare Enferm. [Internet]. 2023 [acesso em 9 de janeiro 2025];28. Disponível em: https://doi.org/10.1590/ce.v28i0.84086.
Dagla M, Mrvoljak-Theodoropoulou I, Vogiatzoglou M, Giamalidou A, Tsolaridou E, Mavrou M, et al. Association between breastfeeding duration and long-term midwifery-led support and psychosocial support: outcomes from a Greek non-randomized controlled perinatal health intervention. Int J Environ Res Public Health. [Internet]. 2021 [cited 2025 jan 9];18(4). Available from: https://doi.org/10.3390/ijerph18041988.
Burhan R, Destariyani E, Yanniarti S, Yuniarti Y, Solihat S. Comprehensive breastfeeding education: an integration to support successful breastfeeding practice. Media Gizi Indones. [Internet]. 2023 [cited 2025 jan 9];18(1SP). Available from: https://doi.org/10.20473/mgi.v18i1SP.46-54.
Hosseini SA, Vakilian K, Shabestari AA, Nokani M, Almasi A. Effect of midwife-led breastfeeding counseling based on Bandura’s model on self-efficacy and breastfeeding performance: an educational trial study. Open Public Health J. [Internet]. 2023 [cited 2025 jan 9];16(1). Available from: http://dx.doi.org/10.2174/18749445-v16-230221-2022-174.
Bezerra AEM, Batista LHC, Santos RGDA. Breastfeeding: what do women who participate in a prenatal group think? Rev Bras Enferm. [Internet]. 2020 [cited 2025 jan 9];73(3). Available from: https://doi.org/10.1590/0034-7167-2018-0338.
McFadden A, Gavine A, Renfrew MJ, Wade A, Buchanan P, Taylor JL, et al. Support for healthy breastfeeding mothers with healthy term babies. Cochrane Pregnancy and Childbirth Group. [Internet]. 2017 [acesso em 19 de dezembro 2024];2017(2). Available from: https://doi.org/10.1002/14651858.CD001141.pub5.
Setyawati E, Wijayanti E, Kusumayanti I, Noviasari D, Handayani S, Pasiriani N, et al. Effectiveness of the SETIA (self empowering woman, empathy, trust, intimate and affection) program in enhancing exclusive breastfeeding in Indonesia. Healthc Low-Resour Settings. [Internet]. 2024 [cited 2024 dec 16]. Available from: https://doi.org/10.4081/hls.2024.12089.
Moosazadeh M, Khademloo M, Ahmadi M, Hosseini S. Evaluating the effect of telephone counseling during the postpartum period on exclusive breastfeeding. Int J Pediatr. [Internet]. 2020 [cited 2024 dec 16]. Available from: https://doi.org/10.22038/ijp.2020.47230.3831.
Fu I, Fong D, Heys M, Lee I, Sham A, Tarrant M. Professional breastfeeding support for first‐time mothers: a multicentre cluster randomised controlled trial. BJOG Int J Obstet Gynaecol. [Internet]. 2014 [cited 2025 jan 9];121(13). Available from: https://doi.org/10.1111/1471-0528.12884.
Giglia R, Binns C. The effectiveness of the internet in improving breastfeeding outcomes: a systematic review. J Hum Lact. [Internet]. 2014 [cited 2025 jan 9];30(2). Available from: https://doi.org/10.1177/0890334414527165.
Thomson G, Crossland N. Using the behaviour change wheel to explore infant feeding peer support provision: insights from a North West UK evaluation. Int Breastfeed J. [Internet]. 2019 [cited 2025 jan 9];14(1). Available from: https://doi.org/10.1186/s13006-019-0236-7.
Trickey H, Thomson G, Grant A, Sanders J, Mann M, Murphy S, et al. A realist review of one‐to‐one breastfeeding peer support experiments conducted in developed country settings. Matern Child Nutr. [Internet]. 2018 [cited 2025 jan 9];14(1). Available from: https://doi.org/10.1111/mcn.12559.
Tseng JF, Chen SR, Au HK, Chipojola R, Lee GT, Lee PH, et al. Effectiveness of an integrated breastfeeding education program to improve self-efficacy and exclusive breastfeeding rate: a single-blind, randomised controlled study. Int J Nurs Stud. [Internet]. 2020 [cited 2025 jan 9];111. Available from: https://doi.org/10.1016/j.ijnurstu.2020.103770.
Rabiepoor S, Khodaei A, Valizadeh R. Husbands’ participation in prenatal care and breastfeeding self-efficacy in Iranian women: a randomized clinical trial. Med J Islam Repub Iran. [Internet]. 2019 [cited 2025 jan 9]. Available from: https://doi.org/10.47176/mjiri.33.58.
Vakilian K, Tabarte Farahani O, Heidari T. Enhancing breastfeeding – home-based education on self-efficacy: a preventive strategy. Int J Prev Med. [Internet]. 2020 [cited 2025 jan 9];11(1). Available from: http://dx.doi.org/10.4103/ijpvm.IJPVM_494_17.
Fallon V, Groves R, Halford JCG, Bennett KM, Harrold JA. Postpartum anxiety and infant-feeding outcomes: a systematic review. J Hum Lact. [Internet]. 2016 [cited 2025 jan 9];32(4). Available from: https://doi.org/10.1177/0890334416662241.
Islam MdJ, Baird K, Mazerolle P, Broidy L. Exploring the influence of psychosocial factors on exclusive breastfeeding in Bangladesh. Arch Womens Ment Health. [Internet]. 2017 [cited 2025 jan 9];20(1). Available from: https://doi.org/10.1007/s00737-016-0692-7.
Regan S, Brown A. Experiences of online breastfeeding support: support and reassurance versus judgement and misinformation. Matern Child Nutr. [Internet]. 2019 [cited 2025 jan 9];15(4). Available from: https://doi.org/10.1111/mcn.12874.
Akin B, Aksoy YE, Yilmaz SD. The effect of supportive care for pregnant women during labor on breastfeeding self-efficacy and the perception of childbirth in a central region of Turkey. P R Health Sci J. [Internet]. 2023 [cited 2025 jan 9];42(1). Available from: https://doi.org/10.36727/prhsj.2023.42.1.11.
Gálvez-Adalia E, Bartolomé-Gutiérrez R, Berlanga-Macías C, Rodríguez-Martín B, Marcilla-Toribio I, Martínez-Andrés M. Perceptions of mothers about support and self-efficacy in breastfeeding: a qualitative study. Children. [Internet]. 2022 [cited 2025 jan 9];9(12). Available from: https://doi.org/10.3390/children9121920.
Wong MS, Mou H, Chien WT. Effectiveness of educational and supportive intervention for primiparous women on breastfeeding related outcomes and breastfeeding self-efficacy: a systematic review and meta-analysis. Int J Nurs Stud. [Internet]. 2021 [cited 2025 jan 9];117. Available from: https://doi.org/10.1016/j.ijnurstu.2021.103874.
Dias M, Deslandes S. Humanização da assistência ao parto no serviço público: reflexão sobre desafios profissionais nos caminhos de sua implementação. In: Humanização dos cuidados em saúde: conceitos, dilemas e práticas. Fiocruz Editora; 2012. (Criança, Mulher e Saúde).
Moore ER. Early skin‐to‐skin contact for mothers and their healthy newborn infants. J Obstet Gynecol Neonatal Nurs. [Internet]. 2013 [cited 2025 jan 9];42. Available from: https://doi.org/10.1002/14651858.CD003519.pub4.
Takemoto AY, Lopes AE, Viana AT, Michalczyszyn KC, Birolim MM, Nunes MSA. Aleitamento materno: experiência no hospital e percepção de mães sobre o apoio recebido. Braz J Health Rev. [Internet]. 2024 [acesso em 9 de janeiro 2025];7(1). Disponível em: https://doi.org/10.34119/bjhrv7n1-455.
Hadjiona V, Middleton N, Kouta C, Hadjigeorgiou E, Lambrinou E, Kolokotroni O. Cyprus mothers’ breastfeeding self-efficacy and their perceptions about the implementation of the ‘10 steps’ in the first 48 hours after birth. Midwifery. [Internet]. 2016 [cited 2025 jan 9];36. Available from: https://doi.org/10.1016/j.midw.2016.02.021.
Nóbrega VCFD, Melo RHVD, Diniz ALTM, Vilar RLAD. As redes sociais de apoio para o aleitamento materno: uma pesquisa-ação. Saúde Em Debate. [Internet]. 2019 [acesso em 9 de janeiro 2025];43(121). Disponível em: https://doi.org/10.1590/0103-1104201912111.
Prates LA, Schmalfuss JM, Lipinski JM. Social support network of post-partum mothers in the practice of breastfeeding. Esc Anna Nery Rev Enferm. [Internet]. 2015 [cited 2025 jan 9];19(2). Available from: https://www.scielo.br/j/ean/a/TS4DJvZrxKs8WgKnGM8Qszf.
Alcântara FDSCP, Dos Santos IMM, Da Silva DBT, Da Silva CV, Da Silva AP. The role of father in breastfeeding: challenges for nursing in the rooming-in care. Rev Pesqui Cuid é Fundam Online. [Internet]. 2021 [cited 2025 jan 9];13. Available from: https://doi.org/10.9789/2175-5361.rpcfo.v13.9571.
Oliveira JAD, Cardoso LRES, Silva RDOMD, Cardoso VNDS. A participação do pai no aleitamento materno: uma rede de apoio. Res Soc Dev. [Internet]. 2022 [acesso em 9 de janeiro 2025];11(2). Disponível em: https://doi.org/10.33448/rsd-v11i2.25338.
Meedya S, Fahy K, Yoxall J, Parratt J. Increasing breastfeeding rates to six months among nulliparous women: a quasi-experimental study. Midwifery. [Internet]. 2014 [cited 2025 jan 9];30(3). Available from: https://doi.org/10.1016/j.midw.2013.12.010.
Rodríguez-Gallego I, Corrales-Gutierrez I, Gomez-Baya D, Leon-Larios F. Effectiveness of a postpartum breastfeeding support group intervention in promoting exclusive breastfeeding and perceived self-efficacy: a multicentre randomized clinical trial. Nutrients. [Internet]. 2024 [cited 2025 jan 9];16(7). Available from: https://doi.org/10.3390/nu16070988.
Cabral CS, Cavalcanti DS, Barbosa JM, Vasconcelos ACCPD, Vianna RPDT. Inserção de um grupo virtual na rede social de apoio ao aleitamento materno exclusivo de mulheres após a alta hospitalar. Interface Comun Saúde Educ. [Internet]. 2020 [acesso em 9 de janeiro 2025];24. Disponível em: https://doi.org/10.1590/Interface.190688.
Costa Gomes Da Silva O, Gonçalves De Oliveria M, Alapenha Ferro Chaves Costa Lima S. O impacto das redes sociais na prática da amamentação. Rev Científica Sem Acadêmica. [Internet]. 2022 [acesso em 9 de janeiro 2025];10(224). Disponível em: http://dx.doi.org/10.35265/2236-6717-224-12195.
Galvão DMPG, Silva EMB, Silva DM. Use of new technologies and promotion of breastfeeding: integrative literature review. Rev Paul Pediatr. [Internet]. 2022 [cited 2025 jan 9];40. Available from: https://doi.org/10.1590/1984-0462/2022/40/2020234.
Nuampa S, Payakkaraung S. Effectiveness of different massage techniques for breastfeeding mothers to increase milk production: a systematic review. Pac Rim Int J Nurs Res. [Internet]. 2020 [cited 2025 jan 9];25(1). Available from: https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/242609.
Anuhgera D, Kuncoro T, Sumarni S, Mardiyono M, Suwondo A. Hypnotherapy is more effective than acupressure in the production of prolactin hormone and breast milk among women having given birth with caesarean section. Med Sci Int Med J. [Internet]. 2017 [cited 2025 jan 9];1. Available from: http://dx.doi.org/10.5455/medscience.2017.06.8659.
Franciska Y, Yuka AAS. The effect of hypnobreastfeeding and lactation massage on breast milk production. J Ilmu Dan Teknol Kesehat. [Internet]. 2023 [cited 2025 jan 9];10(2). Available from: https://doi.org/10.32668/jitek.v10i2.1079.
World Health Organization. Breastfeeding counselling a training course: director’s guide. WHO/UNICEF. [Internet]. 1993 [cited 2025 jan 9]. Available from: https://www.who.int/publications/i/item/WHO-CDR-93.3-5.
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