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:: Volume 26, Issue 4 (11-2018) ::
sjimu 2018, 26(4): 64-73 Back to browse issues page
Effect of Peer Support on the Incidence of Pregnancy during Breastfeeding in Nulliparous Women
Zolaykha Karamelahi 1, Shahnaz Tork zahrani 2, Alireza Akbarzade baghban 3, Hashemieh Chehreh 4, Monireh Mohammad hasan nahal 5
1- Dept of Midwifery, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran , mohamad20101@gmail.com
2- Dept of Midwifery, Faculty of Nursing and Midwifery, Shaheed Beheshti University of Medical Sciences, Tehran, Iran
3- Dept of Biostatistics, Faculty of Allied Medical Sciences, Shaheed Beheshti University of Medical Sciences, Tehran, Iran
4- Student Research Commitee, Faculty of Nursing and Midwifery, Shaheed Beheshti University of Medical Sciences, Tehran, Iran
5- Dept of Midwifery, Faculty of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
Abstract:   (58 Views)


Introduction: Consecutive pregnancies with an of interval less than two years is associated with adverse consequences for the mother and child. Education and support of women during breastfeeding is one of strategies that have been used for appropriate spacing between pregnancies. This study aimed to investigate the effect of peer support on the incidence of pregnancy during breastfeeding and the use of family planning methods in Ilam, Iran.
 
Materials & Methods: This interventional study was conducted in birth and health centers of Ilam between 2010 and 2012 among 240 nulliparous women who were randomly divided into case and control groups. The control group received the standard educational programs, while the case group received both the standard education and peer support from 30 consultants for six months after delivery. One hundred fifty-four participants (79 subjects in the case group and 74 in the control group) completed the questionnaires.. The collected data were analyzed using decriptive statistics such as mean and percentage and chi-square test and Fisher's exact test in SPSS, version 16.
 
Findings: The results showed that 24 months after delivery,  pregnancy rate during breastfeeding in the control group was significantly higher than the case group (20% v.s  1.5%; P=0.004). The time of pregnancy in the control group was significantly earlier than the case group(9.6±3.56 months postpartum vs. 18.26±1.25; p=0.01). The two groups were statistically different in terms of onset of use of contraceptive methods (72.71±61.35 vs. 10.02±36.71 days post-partum; P=0.001).
 
Discussion & Conclusions: Appropriate education and consultation programs for young and inexperienced women can prevent pregnancies during breastfeeding.

Keywords: Peer support, Nulliparous, Breastfeeding, Family planning methods
Full-Text [PDF 779 kb]   (46 Downloads)    
Type of Study: Research | Subject: midwifery
Received: 2017/01/10 | Accepted: 2017/07/16
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Karamelahi Z, Tork zahrani S, Akbarzade baghban A, Chehreh H, Mohammad hasan nahal M. Effect of Peer Support on the Incidence of Pregnancy during Breastfeeding in Nulliparous Women . sjimu. 2018; 26 (4) :64-73
URL: http://sjimu.medilam.ac.ir/article-1-4067-en.html


Volume 26, Issue 4 (11-2018) Back to browse issues page
مجله علمی پزوهشی دانشگاه علوم پزشکی ایلام scientific journal of ilam university of medical sciences
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