|Continuing Nursing Education
Breastfeeding Preterm Infants: An Educational Program to Support Mothers of Preterm Infants in Cairo, Egypt
Azza H. Ahmed
To develop, implement, and examine the effect of a breastfeeding
educational program on breastfeeding knowledge and practices of
Egyptian mothers of preterm infants.
An experimental design was used with a convenience sample of 60 mothers
and their preterm infants who were born before 37 weeks of gestation.
They were randomly assigned to intervention and control groups. Data
collection instruments included breastfeeding knowledge questionnaire,
observational checklist of mother’s breastfeeding practices,
breastfeeding diary, infant’s and mother’s profile form, and
demographic information. A five-session breastfeeding educational
program based on Bandura’s Social Cognitive Theory was implemented with
the intervention group during the infant’s hospitalization and after
discharge. Both groups were followed up to 3 months after discharge.
Descriptive statistics, ANOVA, Chi-square, and regression were used to
analyze the data.
Mother’s knowledge significantly increased for the intervention group
but not the control group (p = 0.041). The intervention group showed
gradual improvement in breastfeeding practices, i.e., started breast
milk expression earlier and had more breast milk expression frequency
than the control group. Of the intervention group, 80% were discharged
on exclusive breastfeeding compared to 40% among the control group, and
breastfeeding problems were less among the intervention group.
The breastfeeding educational program was effective in improving
breastfeeding knowledge and practices among mothers of preterm infants.