The aim of this study was to determine the effect of online breastfeeding counseling after cesarean section on breastfeeding success and anthropometric measurements of the baby in the first 6 months. The study was conducted with single-blind randomized controlled experimental research design and performed with 151 primiparous women as intervention (n=76) and control (n=75) groups. The mothers were given training in the first 24 h postpartum by applying the “Data Collection Form,” “Breastfeeding and Infant Follow-up Form,” and “Breastfeeding Self-Efficacy Scale – Short Form,” who followed up at the first and sixth months, and further again for 6 months. Although there was no difference and homogeneity at the beginning of study among the participants in the intervention group compared with the control group, it was observed that the breastfeeding rates at the first and sixth months were higher and significant. When the anthropometric measurements of the participants in both the groups were compared, it was found that there was a significant difference between the measurements of height and weight at discharge, first, and sixth months. Breastfeeding self-efficacy scores in the intervention group were significantly higher at discharge, 4 weeks postpartum, and 6 months postpartum than those in the control group (p<0.05). Breastfeeding training and online counseling given to mothers who give birth by cesarean section during the early postpartum period increased breastfeeding rates and self-sufficiency, and the anthropometric measurements of babies were found to be higher at healthy limits.

Background: Mothers must acquire the knowledge and skills needed to fulfill their responsibilities and take care of themselves and their babies.Purpose: This study aimed to examine the effects of online baby care education and postpartum counseling based on Meleis' transition theory on mothers' readiness for baby care and breastfeeding.Method: This randomized controlled trial was conducted between May 2022 and May 2023 at the pregnancy follow-up outpatient clinic of a state hospital. The study sample consisted of 102 pregnant women (52 in the intervention group, 50 in the control group).Results: The mean scores of the intervention group compared to the control group were significantly higher immediately after birth and at 1, 2, and 3 months postpartum. Change over time was significantly higher in repeated measurements of National Institute of Child Health and Human Development scale scores of the intervention and control groups (P=0.001). In the first 24 hours, mothers in the intervention group breastfed more successfully than those in the control group (P<0.001). Mothers in the intervention group exclusively breast fed at a significantly higher rate immediately and at 1, 2, and 3 months postpartum compared to the control group (P<0.001). A statistically significant difference was noted in mean infant height and weight in the intervention group compared to the control group (P<0.05).Conclusion: Theory-based online education initiated during pregnancy and counseling continued up to 3 months postpartum positively affected the mothers' abilities to care for their infants. Mothers who received education and counseling breastfed their babies more successfully on the first day and breast fed exclusively at a higher rate in the first 3 months.

Amaç: Postpartum dönemde annelerin bebek beslenmesi tutumlarını etkileyen faktörleri incelenmek. Gereç ve Yöntem: Kesitsel tanımlayıcı özellikteki araştırma, bir devlet hastanesinin çocuk polikliniğinde yürütüldü. Çalışmanın örneklemini Nisan 2018-Nisan 2019 tarihleri arasında, çocuk polikliniğinde bebeği izlenen 173 anne oluşturdu. Veriler anket formu ve Bebek Beslenmesi Tutum Ölçeği aracılığıyla elde edildi. Bulgular: Annelerin doğum şekli (p=,002) ve toplum içinde bebeğini emzirme durumuna (p=,002) göre Bebek Beslenmesi Tutum Ölçeği puanları açısından istatistiksel olarak anlamlı fark olduğu saptandı. Annelerin gebelikteki kontrol sayısı ile toplam emzirme süresi arasında ileri düzeyde olumlu yönde bir ilişki olduğu (p=,000) belirlendi. Annelerin doğum sayısı ile Bebek Beslenmesi Tutum Ölçeği puanları arasında olumlu yönde (p=,012) ilişki olduğu görüldü. Sonuç: Sezaryen ile doğum yapan annelerin emzirme tutumu normal doğum yapan annelere göre olumludur. Emzirme tutumu olumlu olan anneler toplumda bebeğini daha rahat emzirmektedir. Annelerin gebelikteki kontrol sayısı artıkça toplam emzirme süresi artmaktadır. Annelerin doğum sayısı arttıkça emzirme tutumu olumlu yönde artmaktadır.

This study aimed to provide a systematic overview of existing quantitative research on the effects of psychotherapy interventions given to women with stillbirth on the grief process and depression in the postpartum period and to analyze the results. Four databases (PubMed (MEDLINE), Cochrane, Google Scholar, Web of Science) were searched between January-March 2024. Risk of bias and precision of evidence were assessed with the Cochrane risk of bias tool ROB-2 and ROBIN-1. Ten studies were included. Meta-analysis results showed that psychotherapeutic interventions significantly reduced the grief adaptations of mothers in the mourning process and there was a significant difference in the assessment of grief adaptation. Sub-group analyzes revealed mothers’ depression values and stress levels compared to the control groups and there was a significant difference between the groups. Psychotherapeutic interventions given to women positively affect their grief adaptation and reduce stress, anxiety, and depression. PROSPERO ID: CRD42024516195