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IRCT20170611034452N15 IRCT 2023-04-28 Kerman University of Medical Sciences Investigating the effect of breastfeeding counseling on the quality and continuity of breastfeeding and the health of mothers and babies Investigating the effect of breastfeeding counseling based on the information – motivation – behavior skills (IMB) model on the some of maternal and newborn’s health indicators among referees to the breastfeeding counseling center 2023-04-21 anticipated 62 Complete https://irct.ir/trial/67108 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Mothers and their babies who are eligible will continue to be selected by available sampling method until reaching the sample size (at least 21 people in each group). Using the software (https://www.sealedenvelope.com/simple- randomiser/v1/lists) People are placed in two groups of routine care and intervention with simple randomization method (double blocks). N/A Breastfeeding counseling in mothers with breastfeeding problems. Intervention group: Breastfeeding counseling based on correct breastfeeding teaching based on the model of information, motivation, and behavior to improve some maternal and child health indicators, which is the first face-to-face session immediately after sampling. In the second session if the problem is not resolved the mother will visit face to face the next day. If the mother does not come, the consultant will make a phone call on the 1st-3rd day via WhatsApp or Rubika. the consultant Coordinates with the mother to contact WhatsApp or Rubika. If not possible, a phone call will be made. Follow-ups determin on the 7th, 14th and 21st days from the time of the mother's visit (the second day after giving birth does not include, for example a mother who visited on the 16th day after giving birth, the follow-up date of the mother is determined 7 days later from the time of the visit). the first counseling session (referral day): 1.to state goals and rules 2.to define latch and position trainingthe importance of their correct performance in maternal and newborn outcomes. to state the difference of maternal and newborn outcomes in correct and incorrect breastfeeding. task: performing correct breastfeeding (to the mother). if The mother’s breastfeeding problem does not solve, she can come back the next day or she can give number to call him. If person does not refer or call, counselor call with him on day 1-3. The second counselling session of day 1 to 3: (face to face or by phone) if mother come back counselor revision remaining problem and then following step will be performed and then the following steps will be performed:1. check the correctness of the mother's breastfeeding 2.state the process of correct breastfeeding and its continue based on the relationship between information and motivation and breastfeeding skills3. mention the benefits of proper breastfeeding in the child (based on the indicators examined in this study, if the mother does not come back, counselor will call him). Follow-up on day 7: (phone call)1.check the correctness of mother's breastfeeding2.state maternal benefits of correct breastfeeding (based on the indicators examined in this study). Follow-up on day 14: (phone call) 1.check the correctness of mother's breastfeeding2. motivate the mother to continue correct breastfeeding. Follow-up on day 21: (phone call)1. check the correctness of mother's breastfeeding2.creating self-care and guidance to remove personal, family and environmental obstacles to proper breastfeeding. The third counseling session, the end of the third month: (telephone call)check the correctness of mother's breastfeeding2.creat self-efficacy and guidance to remove personal, family and environmental obstacles to correct breastfeeding. The fourth counseling session, the end of the fifth month: (telephone call)1.check the correctness of the mother's breastfeeding2.creating self-efficacy and guidance to remove personal, family and environmental obstacles to proper breastfeeding. The third counseling session, the end of the third month: (telephone call)1. check the correctness of mother's breastfeeding2. creat self-efficacy and guidance to remove personal, family and environmental obstacles to correct breastfeeding. The fourth counseling session, the end of the fifth month: (telephone call)1.check the correctness of the mother's breastfeeding2. creat self-efficacy and guidance to remove personal, family and environmental obstacles to correct breastfeeding.. Yes - There is a plan to make this available What will be shared: all collected deidentified IPD When: starting 6 months after publication To whom: people working in academic institutions Conditions: with previous agreement with the corresponding author Where to obtain: email address How to obtain: email address Comments:
public Atefeh Ahmadi
Kerman University of Medical Sciences, Medical University Campus, Haft-Bagh Highway, Kerman, Iran
Kerman Iran (Islamic Republic of) 7616913555 +98 34 3132 5220 a.ahmadi@kmu.ac.ir Kerman University of Medical Sciences scientific Atefeh Ahmadi
Kerman University of Medical Sciences, Medical University Campus, Haft-Bagh Highway, Kerman, Iran
Kerman Iran (Islamic Republic of) 7616913555 +98 34 3132 5220 a.ahmadi@kmu.ac.ir Kerman University of Medical Sciences Iran (Islamic Republic of) Infancy period mother hasn't prohibition for breastfeeding mother hasn't an untreated psychiatric mother doesn't take medicine that prohibit breastfeeding mother should be Iranian / Afgan people who spease persian no limit no limit Female Stopping exclusive breastfeeding and then , starting bottle feeding Non cooperation in comple the questionnaiers and checke the study indicators after intervention at 2 , 4 and 6 months If mother use a special diet / exercise in order to decrease weight but it doesn’t cause decrease breastfeeding, it isnot important Diseases disrupt on breastfeeding , such as Sheehan's syndrome Behavior Intervention group: Breastfeeding counseling based on correct breastfeeding teaching based on the model of information, motivation, and behavior to improve some maternal and child health indicators, which is the first face-to-face session immediately after sampling. In the second session if the problem is not resolved the mother will visit face to face the next day. If the mother does not come, the consultant will make a phone call on the 1st-3rd day via WhatsApp or Rubika. the consultant Coordinates with the mother to contact WhatsApp or Rubika. If not possible, a phone call will be made. Follow-ups determin on the 7th, 14th and 21st days from the time of the mother's visit (the second day after giving birth does not include, for example a mother who visited on the 16th day after giving birth, the follow-up date of the mother is determined 7 days later from the time of the visit). the first counseling session (referral day): 1.to state goals and rules 2.to define latch and position trainingthe importance of their correct performance in maternal and newborn outcomes. to state the difference of maternal and newborn outcomes in correct and incorrect breastfeeding. task: performing correct breastfeeding (to the mother). if The mother’s breastfeeding problem does not solve, she can come back the next day or she can give number to call him. If person does not refer or call, counselor call with him on day 1-3. The second counselling session of day 1 to 3: (face to face or by phone) if mother come back counselor revision remaining problem and then following step will be performed and then the following steps will be performed:1. check the correctness of the mother's breastfeeding 2.state the process of correct breastfeeding and its continue based on the relationship between information and motivation and breastfeeding skills3. mention the benefits of proper breastfeeding in the child (based on the indicators examined in this study, if the mother does not come back, counselor will call him). Follow-up on day 7: (phone call)1.check the correctness of mother's breastfeeding2.state maternal benefits of correct breastfeeding (based on the indicators examined in this study). Follow-up on day 14: (phone call) 1.check the correctness of mother's breastfeeding2. motivate the mother to continue correct breastfeeding. Follow-up on day 21: (phone call)1. check the correctness of mother's breastfeeding2.creating self-care and guidance to remove personal, family and environmental obstacles to proper breastfeeding. The third counseling session, the end of the third month: (telephone call)check the correctness of mother's breastfeeding2.creat self-efficacy and guidance to remove personal, family and environmental obstacles to correct breastfeeding. The fourth counseling session, the end of the fifth month: (telephone call)1.check the correctness of the mother's breastfeeding2.creating self-efficacy and guidance to remove personal, family and environmental obstacles to proper breastfeeding. The third counseling session, the end of the third month: (telephone call)1. check the correctness of mother's breastfeeding2. creat self-efficacy and guidance to remove personal, family and environmental obstacles to correct breastfeeding. The fourth counseling session, the end of the fifth month: (telephone call)1.check the correctness of the mother's breastfeeding2. creat self-efficacy and guidance to remove personal, family and environmental obstacles to correct breastfeeding. Breastfeeding counseling based on the IMB model. Timepoint: before the intervention and after the intervention at 2, 4 and 6 months. Method of measurement: WHO breastfeeding observation form checklist, Latch questionnaire. Newborn weight. Timepoint: The first day of visit, then at 2, 4 and 6 months. Method of measurement: It is measured using a digital flat scale (874 seca, Germany). Kerman University of Medical Sciences Approved 2023-04-15 Research Ethics Committees of Kerman University of Medical Sciences Kerman University of Medical Sciences, Medical University campus. Haft. Bagh Highway,Kerman ,Iran Kerman Kerman Kerman Iran (Islamic Republic of)