Evidence map›Paper›PMID 41413832›Full record

SynthesisInternational breastfeeding journal2025

The effect of antenatal interventions on breastfeeding self-efficacy of first-time mothers: a systematic review.

Dilay Necipoglu, Hatice Bebis

Abstract readSystematic ReviewReview
In one paragraph

Synthesis in International breastfeeding journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Dilay NecipogluDepartment of Public Health Nursing, Near East University, Mersin, 10, Türkiye. dilay.necipoglu@neu.edu.tr.
Hatice BebisDepartment of Public Health Nursing, Eastern Mediterranean University, Mersin, 10, Türkiye.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this systematic review was to evaluate randomised controlled trials examining the effect of breastfeeding self-efficacy interventions implemented in the antenatal period on breastfeeding self-efficacy and exclusive breastfeeding rates in the postnatal period among first-time mothers who were primiparous or nulliparous.

methodsThis systematic review was conducted according to PRISMA 2020 guidelines. This systematic review included studies according to the PICO(S) framework. P: First-time mothers who were primiparous or nulliparous singleton pregnant women over 18. I: Antenatal interventions to enhance breastfeeding self-efficacy. C: Routine or standard care. O: Breastfeeding self-efficacy scores and EBF outcomes. S: Randomized controlled trials published between 2010 and May 2025 in Web of Science, Scopus, ProQuest, PubMed, EBSCOhost, ScienceDirect, and Cochrane Library. A comprehensive search was performed through the [MeSH] keywords. PROSPERO Registration: CRD420251008405.

resultsThirteen randomised controlled studies were included in the review. All interventions were implemented during the antenatal period, while six studies (46.15%) continued interventions into the postnatal period. Of the studies included in this review, 15.4% used couple-based training programs, 15.4% used a group-based training approach, and 69.2% used individualized mixed-methods interventions. The intervention content of 38.5% of the studies consisted of theory-based content. In most of the studies included in the review, an increase in postnatal breastfeeding self-efficacy scores was found in interventions for breastfeeding self-efficacy. In addition, studies conducted for 6 months, increasing the number of interventions and applying interventions in the postnatal period have a positive effect on breastfeeding self-efficacy. Effect sizes (Cohen’s d) indicate moderate to large effects in most trials. In addition, rates of exclusive breastfeeding were significantly higher in the intervention group compared with the control group receiving routine care among first time mothers.

conclusionSupporting first-time mothers in breastfeeding self-efficacy starting from the antenatal period is considered an essential requirement for enhancing their breastfeeding self-efficacy, and exclusive breastfeeding success.

Indexed as

Breast FeedingMothersPrenatal CareSelf EfficacyAdultFemaleHumansInfant, NewbornPregnancyRandomized Controlled Trials as TopicAntenatal interventionBreastfeeding self efficacyFirst-time mothersNulliparousPrimiparousSystematic review

Identifiers

PMID41413832
PMCPMC12821211

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.