The Influence of Participative Counseling Approach on Improving Breastfeeding Self-Efficacy to Pregnant Women in Indonesia

Abstract

Objective: The objective of this study was to know the effect of participatory counseling on increasing breastfeeding self-efficacy (BSE) in pregnant women in Bogor city, Indonesia.
 Methods: The pre-experimental design method, namely, one group pretest-posttest, with the number of study subjects was 35 third trimester pregnant women with normal reproductive age without complications in the Bogor City. Data analysis was performed by univariable and bivariable by Friedman test and Wilcoxon post hoc test and multivariable using linear regression test.
 Results: Participatory counseling has an effect on increasing breastfeeding efficacy in pregnant women (p<0.001), while confounding variables (education, parity, own breastfeeding experience, and other’s experience of breastfeeding) have no significant effect on increasing BSE in pregnant women (p>0.05).
 Conclusion: Participatory counseling increases BSE in pregnant women.

The Effect of Psychological Interventions on the Anxiety and Breastfeeding Self-Efficacy: A Systematic Review and Meta-Analysis

“…In general, the interventions of the reviewed studies were classified as follows: - Counseling interventions: including cognitive-behavioral counseling ( 27 ). breast-feeding counseling ( 28 ), participative counseling approach on improving BSE ( 29 ), incorporation of stress management counseling ( 17 , 30 ), in-home supportive counselling ( 31 – 32 ) and dialectical behavior therapy (DBT) ( 25 ). - Educational interventions, including educational packages ( 33 ), training sessions at home with educational pamphlet ( 34 ), and face-to-face training, and training by role-playing ( 35 ), interventions were done via SMS and text messages about infant care and maternal mental health ( 36 ).…”

“…- Counseling interventions: including cognitive-behavioral counseling ( 27 ). breast-feeding counseling ( 28 ), participative counseling approach on improving BSE ( 29 ), incorporation of stress management counseling ( 17 , 30 ), in-home supportive counselling ( 31 – 32 ) and dialectical behavior therapy (DBT) ( 25 ).…”

“…The findings of another study with the cognitive-behavioral based intervention, indicated positive effect of cognitive-behavioral counseling on maternal breastfeeding self-efficacy (BSE) ( 27 ). The results of interventional studies with the approaches including breastfeeding counseling, participative counseling ( 29 ), stress management counseling ( 17 ), in-home supportive counselling ( 31 – 32 ) indicate improve in the EBF and BSE of lactating women during postpartum period. Also a case study examined the effect of dialectical behavior therapy (an innovative and principle and cognitive-behavioral based therapy with the integration of mindfulness) on depression and anxiety during late pregnancy and early childbirth in a lactating woman during the Covid-19 pandemic and report that this intervention could decrease maternal anxiety and depression ( 25 ).…”