A Randomized Controlled Trial of Knowledge Sharing Practice with Empowerment Strategies in Pregnant Women to Improve Exclusive Breastfeeding during the First Six Months Postpartum
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2013-05-31
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10 หน้า
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Proceeding of APHEIT conference, Chiang Mai, Thailand, May 31, 2013: 594-603
Title
A Randomized Controlled Trial of Knowledge Sharing Practice with
Empowerment Strategies in Pregnant Women to Improve Exclusive
Breastfeeding during the First Six Months Postpartum
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Abstract
The objective of the study was to investigate whether a Knowledge Sharing Practices with
Empowerment Strategic (KSPES) program on antenatal education and postnatal support
strategies in experimental group improves the rates of 6 months exclusive breastfeeding during
the first six months postpartum compared with Routine Standard Knowledge of Breastfeeding
Techniques (RSKBT) in control group. A randomized controlled trial was conducted. Pregnant
women of more than 32 weeks’ gestation were randomly assigned to receive a routine standard
knowledge of breastfeeding techniques alone (control group) or with KSPES on antenatal
education and postnatal support strategies (experimental group). The primary outcome was
proportion of exclusive breastfeeding at 6 months postpartum. The secondary outcomes were
proportion at 7 days, 14 days, 1, 2, 3, 4 and 5 months postpartum. The results indicated that
proportion of exclusive breastfeeding in the experimental group were significantly higher than
the control group at 14 days (82.5% vs 52.6%, P<0.005), 1 month (77.5% vs 52.6%, P=0.021), 2
months (62.5% vs 36.8%, P=0.023), 4 months (35.0% vs 7.9%, P=0.008), 5 months (25.0% vs
2.6%, P=0.012) and 6 months postpartum (20.0% vs 0%, P=0.005). KSPES program on
antenatal education and postnatal support strategies significantly improved rates of exclusive
breastfeeding at 6 months postpartum. These strategies also significantly improved rates of
exclusive breastfeeding at 14 days, 1, 2, 4, 5 and 6 months postpartum.