Effectiveness of a breastfeeding education package on breastfeeding knowledge, attitude, self-efficacy, and breastfeeding practices among women with gestational diabetes mellitus: A randomized controlled trial.

Authors

Farhanah A Shuhaimi, Syahrul Bariah Abdul Hamid, Aza S Mohamad Yususff

Published in

Journal of education and health promotion. Volume 15. Pages 242. Epub Jun 30, 2026.

Abstract

Women with Gestational Diabetes Mellitus (GDM) frequently encounter challenges that impede successful breastfeeding, despite its significant benefits for postnatal glycemic control. This study aimed to evaluate the effect of the Breastfeeding Education Package (BFEP) on the knowledge, attitude, self-efficacy, and breastfeeding practices among pregnant women with GDM.
This Randomized Controlled Trial was conducted in Selangor, Malaysia, randomized 58 pregnant women with GDM into an Intensive Breastfeeding Intervention (IBI) group (n = 29) or a control group (CG) (n = 29). The IBI group received three individualized dietitian-led education sessions. Knowledge, attitude, and self-efficacy were assessed at baseline and 37 weeks' gestation; breastfeeding practices were monitored for six months post-delivery.
A two-way repeated measures ANOVA confirmed the effectiveness of the intervention, revealing a significant difference between the IBI group and the CG in improving breastfeeding knowledge, attitude, and self-efficacy (P < 0.005). The IBI group attained significantly higher mean scores for knowledge (35.76 ± 5.77), attitude (89.91 ± 9.9), and self-efficacy (56.02 ± 8.17) compared to the CG (P < 0.001). This was reflected in practice, as the mean duration of exclusive breastfeeding (EBF) was longer in the IBI group (92.41 ± 82.14 days) than in the CG (55.59 ± 74.90 days). Furthermore, a Pearson's correlation within the IBI group identified a small, positive relationship between knowledge and attitude scores and the subsequent length of EBF.
BFEP is an effective intervention that significantly improves the antenatal knowledge, attitude, and self-efficacy of mothers with GDM. These psychosocial enhancements, in turn, translate into a longer duration of breastfeeding post-delivery.

PMID:
42491974
Bibliographic data and abstract were imported from PubMed on 24 Jul 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.