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Mother’s milk is a complex biologic liquid and the ideal meal for babies. It could provide, both qualitatively and quantitatively, the most nutritious balance for babies (1, 2). Therefore, just being fed by mother’s milk is strongly recommended for the first 6 months of babies’ life until she is 2 years old. But we must take this important fact into consideration that being fed by mother’s milk must be along with supplementary meals (3). Exclusive feeding by mother’s milk could surely bring the perfect nutrition for an infant and can provide the baby with the benefits of colostrum and mother’s milk (4). Studies have shown that the infants fed by mother’s milk would, at a lower level, suffer from digestive and respiratory diseases, infection of the tympanum, and other diseases (5). The worldwide rate of exclusive breast-feeding in 4-month-old infants is 56.8% and in 6-month infants it is 27.7%. This amount, in rural regions in Iran, is 58% in 4-month-old infants and it is 29% in 6-month-old ones. This rate, in urban areas of Iran, is 56%in 4-month-old infants and it is 27% in 6-month-old ones (6). Although universal measures have been taken to encourage people to choose mother’s milk and prolong the period of breastfeeding, still critical problems have been reported by mothers, indicating that after their delivery, they had to stop breastfeeding their infants (7). Despite the benefits of feeding infants by mother’s milk until the first 6 months after their babies’ birth, nowadays, we witness the decrease of breastfeeding in the world which has been one of the most serious challenges to the public health (8). Self-efficiency in breastfeeding is a very salient point in predicting the duration of breastfeeding. It could also contribute to identify the mothers who immediately quit the period of breastfeeding. Self-efficiency in breastfeeding is also regarded as a comprehensive potency of the mother in feeding her infant(s) and is a valuable framework which could predict the mother’s breastfeeding behavior, showing a mother’s self-confidence and her ability in feeding her child (9). Abstract Objectives: Mother’s milk is very complex biologic liquid for babies. It is strongly recommended that babies be fed exclusively by mother’s milk for the first 6 months of baby’s life and be continued until she is 2 years old. The mothers’ self-efficiency is the main factor to predict the breastfeeding duration. Therefore, regarding the significance of instructing mothers and its effects on breastfeeding efficiency, this research was conducted to investigate the effects of pregnancy care instruction at home on the breastfeeding efficiency of first-time pregnant women. Materials and Methods: In this clinical proficiency research, 65 first-time pregnant women, in their last 3 months of pregnancy, who referred to the clinics related to Shiraz medical school, were studied in 2 groups of treatment and control. The research instruments were 2 questionnaires, one of which contained demographic characteristics and the other one was Breastfeeding SelfEfficacy Questionnaire developed by Dennis. Six sessions of educational programs were conducted for the treatment group at home (3 sessions in the last 3 months of pregnancy and 3 sessions in the first, second, and sixth weeks after delivery). Meanwhile, a questionnaire on breast-feeding self-efficacy was filled out and analyzed in both groups. Results: Both groups were the same in demographic variables. Variance analysis test showed that there was a significant difference in the mean scores of breastfeeding self-efficacy between the 2 groups (P < 0.001). Conclusion: Instruction of pregnancy care (at home), focusing on feeding by mother’s milk, is effective in increasing the efficacy of mother’s breast-feeding.

international journal of women's health and reproduction sciences

An Investigation Into the Effects of Prenatal Care Instruction at Home on Breast-Feeding Self-Efficacy of First-Time Pregnant Women Referred to Shiraz Clinics, Iran