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HK J Paediatr (New Series)
Vol 28. No. 3,
2023
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HK J Paediatr (New Series) 2023;28:144-156
Original Article
The Effects of Education Program Applied to the Families of Moderate and Late Premature Infants on Breastfeeding, Parental-infant Attachment and Parents' Anxiety Levels in the First Year: A Randomised Controlled Trial
EÜ Korğalı, FŞ Orhon Cumhuriyet University Faculty of Medicine, Department of Pediatrics, Sivas, Turkey EÜ Korğalı MD Ankara University Faculty of Medicine, Department of Pediatrics, Department of Social Pediatrics, Ankara, Turkey FŞ Orhon MD Correspondence to: Assoc. Prof. EÜ Korğalı Email: elfkorgali@hotmail.com Received February 21, 2021
Abstract Introduction: To evaluate the effect of education given by home visiting on the families of moderate/late premature infants (MLPI) in respect of exclusively breastfeeding (EBF), complementary feeding and parent-infant interaction up to 1-year. Method: MLPI were randomly separated into three groups (n=22) as Standard Care (SCG), Mothers Education (MEG) and Family Education Group (FEG). Four home visits were made to MEG/FEG. They were evaluated at 1-week after discharge and 1/2/3/4/6/9/12 months. Infant-Character-Perception-Scale, Maternal-Attachment-Inventory, Paternal-Postnatal-Attachment-Questionnaire, State-Anxiety-Inventory were used. Results: EBF was higher in MEG/FEG than SCG at 3th (respectively 72.7%, 59.1%, 27.3%, p=0.01, OR:7.11; 95% CI; 1.89-26.80 and OR:3.85; 1.01-13.66), 4th (72.7%, 54.5%, 13.6%, p<0.001, OR:16.89; 3.63-78.56 and OR:7.6; 1.73-33.34) and 6th month (68.2%, 54.5%, 27.3%, p=0.02, OR:13.57; 2.99-61.59 and OR:6.3; 1.45-27.73). At 12 months, breastfeeding cessation was higher in SCG (50%) than MEG (18.2%) and FEG (22.7%) (p=0.04). Mothers' baby perception, mother/father-infant attachment were better in MEG/FEG. Conclusion: Education program can improve EBF and parent-infant interaction in MLPI. Keyword : Breastfeeding; Parents; Premature infants
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