Effectiveness of knowledge, confidence and breastfeeding practices among postnatal mothers: a structured educational interventional study

Authors

  • Soumya Shukla Department of Pediatrics, LNMC and JK Hospital, Bhopal, Madhya Pradesh, India
  • Shweta Anand Department of Pediatrics, LNMC and JK Hospital, Bhopal, Madhya Pradesh, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20260086

Keywords:

Breastfeeding, Educational intervention, Postnatal mothers, Maternal confidence, Exclusive breastfeeding

Abstract

Background: Breastfeeding is essential for infant and maternal health, but exclusive breastfeeding rates remain low due to lack of knowledge, cultural barriers, and insufficient counselling. Structured educational interventions can bridge this gap.

Methods: A hospital-based interventional study was conducted on 165 postnatal mothers at LN Medical College and JK Hospital, Bhopal. Mothers received structured counselling sessions with demonstrations, interactive discussions, and educational materials. Knowledge, confidence, and breastfeeding practices were assessed before and after the intervention using questionnaires and confidence scales.

Results: The study showed significant improvement in knowledge, confidence, and breastfeeding practices after counselling. Prior to the intervention, only 20% of mothers understood the benefits of colostrum, which increased to 100% post- intervention. Confidence in exclusive breastfeeding improved markedly, with 94% strongly agreeing they could successfully breastfeed their second child even if they had failed with the first. Improvements were statistically significant (p<0.05).

Conclusions: Structured postnatal education effectively improves maternal knowledge, confidence, and breastfeeding practices. Incorporating counselling into routine postnatal care is a low-cost, high-impact strategy to enhance maternal and child health outcomes in India.

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References

Hansen K. Breastfeeding: a smart investment in people and in economies. Lancet (London, England). 2016;387(10017):416. DOI: https://doi.org/10.1016/S0140-6736(16)00012-X

Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane Database Syst Rev. 2012;2012(8). DOI: https://doi.org/10.1002/14651858.CD003517.pub2

WHO. Exclusive breastfeeding for optimal growth, development and health of infants. e-Library Evid Nutr Actions. 2019;1-3.

Senarath U, Dibley MJ, Agho KE. Factors associated with nonexclusive breastfeeding in 5 east and southeast Asian countries: a multilevel analysis. J Hum Lact Off J Int Lact Consult Assoc. 2010;26(3):248-57. DOI: https://doi.org/10.1177/0890334409357562

Beake S, Pellowe C, Dykes F, Schmied V, Bick D. A systematic review of structured compared with non-structured breastfeeding programmes to support the initiation and duration of exclusive and any breastfeeding in acute and primary health care settings. Matern Child Nutr. 2012;8(2):141-61. DOI: https://doi.org/10.1111/j.1740-8709.2011.00381.x

WHO. Global Nutrition Targets 2025 policy Brief Series. Policy Br Ser. 2014;12-3.

Aidam BA, Pérez-Escamilla R, Lartey A. Lactation counseling increases exclusive breast-feeding rates in Ghana. J Nutr. 2005;135(7):1691-5. DOI: https://doi.org/10.1093/jn/135.7.1691

Penny ME, Creed-Kanashiro HM, Robert RC, Narro MR, Caulfield LE, Black RE. Effectiveness of an educational intervention delivered through the health services to improve nutrition in young children: a cluster-randomised controlled trial. Lancet (London, England). 2005;365(9474):1863-72. DOI: https://doi.org/10.1016/S0140-6736(05)66426-4

Negin J, Coffman J, Vizintin P, Raynes-Greenow C. The influence of grandmothers on breastfeeding rates: a systematic review. BMC Preg Childbirth. 2016;16(1):91. DOI: https://doi.org/10.1186/s12884-016-0880-5

McFadden A, Siebelt L, Marshall JL, Gavine A, Girard LC, Symon A, et al. Counselling interventions to enable women to initiate and continue breastfeeding: a systematic review and meta-analysis. Int Breastfeed J. 2019;14(1):42. DOI: https://doi.org/10.1186/s13006-019-0235-8

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. 2016;12(3):402-17. DOI: https://doi.org/10.1111/mcn.12294

Barlow A, Mullany B, Neault N, Compton S, Carter A, Hastings R, et al. Effect of a paraprofessional home-visiting intervention on American Indian teen mothers’ and infants’ behavioral risks: a randomized controlled trial. Am J Psychiatry. 2013;170(1):83-93. DOI: https://doi.org/10.1176/appi.ajp.2012.12010121

Balogun OO, O’Sullivan EJ, McFadden A, Ota E, Gavine A, Garner CD, et al. Interventions for promoting the initiation of breastfeeding. Cochrane Database Syst Rev. 2016;(11). DOI: https://doi.org/10.1002/14651858.CD001688.pub3

Lumbiganon P, Martis R, Laopaiboon M, Festin MR, Ho JJ, Hakimi M. Antenatal breastfeeding education for increasing breastfeeding duration. Cochrane Database Syst Rev. 2016;(12). DOI: https://doi.org/10.1002/14651858.CD006425.pub4

Turan J, Say L. Community-based antenatal education in Istanbul, Turkey: effects on health behaviours. Health Policy Plan. 2003;18(4):391-8. DOI: https://doi.org/10.1093/heapol/czg047

Bhutta Z, Ahmed T, Black R, Group for the M and CUS, al. et. What works? Interventions for maternal and child undernutrition and survival. Lancet. 2008;371:417-40. DOI: https://doi.org/10.1016/S0140-6736(07)61693-6

Sankar MJ, Sinha B, Chowdhury R, Bhandari N, Taneja S, Martines J, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta- analysis. Acta Paediatr. 2015;104(467):3-13. DOI: https://doi.org/10.1111/apa.13147

Chola L, Fadnes LT, Engebretsen IMS, Nkonki L, Nankabirwa V, Sommerfelt H, et al. Cost-effectiveness of peer counselling for the promotion of exclusive breastfeeding in Uganda. PLoS One. 2015;10(11). DOI: https://doi.org/10.1371/journal.pone.0142718

Horta BL, Loret De Mola C, Victora CG. Breastfeeding and intelligence: A systematic review and meta-analysis. Acta Paediatr Int J Paediatr. 2015;104:14-9. DOI: https://doi.org/10.1111/apa.13139

Desmond C, Bland RM, Boyce G, Coovadia HM, Coutsoudis A, Rollins N, et al. Scaling-up exclusive breastfeeding support programmes: The example of KwaZulu- Natal. PLoS One. 2008;3(6). DOI: https://doi.org/10.1371/journal.pone.0002454

Kobayashi J. Study Types in Epidemiology. Northwest Cent Public Heal Pract. 2017;1-12.

Nugraheni S, Davoudi-Kiakalayeh A, Mohammadi R, Pourfathollah AA, Siery Z, Davoudi-Kiakalayeh S. Effect of Short Course on the Knowledge and Practice of Housewives Peer Group Activists as Assistance to Lactating Mothers in Providing Exclusive Breastfeeding. Int J Prev Med. 2022;8(4):1-6. DOI: https://doi.org/10.4103/ijpvm.IJPVM_57_20

Muda CMC, Ismail TAT, Jalil RA, Hairon SM, Sulaiman Z, Johar N. Postnatal breastfeeding education at one week after childbirth: What are the effects? Women Birth. 2019;32(2):243-51. DOI: https://doi.org/10.1016/j.wombi.2018.07.008

Namasivayam V, Dehury B, Prakash R, Becker M, Avery L, Sankaran D, et al. Association of prenatal counselling and immediate postnatal support with early initiation of breastfeeding in Uttar Pradesh, India. Int Breastfeed J. 2021;16(1):1-11. DOI: https://doi.org/10.1186/s13006-021-00372-6

Medipalle R, Khresheh R, Suhaimat A, Jalamdeh F, Barclay L. The effect of a postnatal education and support program on breastfeeding among primiparous women: A randomized controlled trial. Int J Nurs Stud. 2011;48(9):105-65. DOI: https://doi.org/10.1016/j.ijnurstu.2011.02.001

Choudhary R, Meena C, Gothwal S, Sitaraman S, Sharma S, Verma DR. Effect of lactation counselling on breast feeding: randomized control trial. Int J Contemp Pediatr. 2021;4(5):1610. DOI: https://doi.org/10.18203/2349-3291.ijcp20173187

Adhisivam B, Vishnu Bhat B, Poorna R, Thulasingam M, Pournami F, Joy R. Postnatal counseling on exclusive breastfeeding using video-experience from a tertiary care teaching hospital, south India. J Matern Neonatal Med. 2017;30(7):834-8. DOI: https://doi.org/10.1080/14767058.2016.1188379

Metin A, Baltacı N. The effects of video-assisted breastfeeding education given to primiparous pregnant women on breastfeeding self-efficacy: randomized control study. BMC Preg Childbirth. 2024;24(1):142. DOI: https://doi.org/10.1186/s12884-024-06317-1

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Published

2026-01-27

How to Cite

Shukla, S., & Anand, S. (2026). Effectiveness of knowledge, confidence and breastfeeding practices among postnatal mothers: a structured educational interventional study. International Journal of Contemporary Pediatrics, 13(2), 180–186. https://doi.org/10.18203/2349-3291.ijcp20260086

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Original Research Articles