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Problem: While partner support benefits breastfeeding outcomes, its impact across perinatal stages on maternal co-parenting perception is unclear.
Background: Spousal involvement plays a vital role in successful breastfeeding and maternal well-being.
Aim: This study aimed to examine the effects of spousal participation in breastfeeding interventions at different perinatal stages on maternal co-parenting perceptions and infant feeding practices for full-term infants.
Methods: Pregnant women who received antenatal care and delivered at our hospital, together with their partners, were recruited and categorized by the timing of partner involvement in breastfeeding activities: both antenatal and postnatal (Group A); antenatal only (Group B); postnatal only (Group C); and no antenatal education but routine postnatal guidance (Group D). Maternal breastfeeding self-efficacy and coparenting perception were assessed at 6, 12, and 24 weeks postpartum.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Full-stage Parental Involvement Group (A) | Experimental | Perinatal (14 weeks gestation to 24 weeks postpartum) parental joint breastfeeding support |
|
| Prenatal Parental Involvement Group (B) | Experimental | Prenatal (14 weeks gestation to delivery) parental joint breastfeeding support, postpartum maternal-only support |
|
| Postpartum Parental Involvement Group (C) | Experimental | Prenatal maternal-only support, postpartum (delivery to 24 weeks) parental joint breastfeeding support |
|
| Maternal-only Support Group (D) | Active Comparator | Postpartum maternal-only routine breastfeeding guidance |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Parental Involvement in Breastfeeding Support | Behavioral | Multistage breastfeeding support involving fathers: prenatal education (14-37 weeks gestation, including manuals and videos), intrapartum 'three early' practices (skin-to-skin contact, early suckling, early milk initiation), and postpartum follow-up (48 hours to 24 weeks, including activity records, QR code resources, and weekly follow-up). |
| Measure | Description | Time Frame |
|---|---|---|
| Maternal Breastfeeding Self-Efficacy | Measured by the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF). This 14-item scale uses a 5-point response scale (1 = not confident at all, 5 = completely confident), with a total score ranging from 14 to 70. Higher scores indicate stronger breastfeeding self-efficacy. Measured at 6, 12, and 24 weeks postpartum. | 6 weeks postpartum, 12 weeks postpartum, 24 weeks postpartum |
| Spousal Involvement Frequency in Breastfeeding | Recorded via a self-designed activity log, including spousal assistance in breastfeeding preparation, positioning, and follow-up. | 6 weeks postpartum; 12 weeks postpartum; 24 weeks postpartum |
| Measure | Description | Time Frame |
|---|---|---|
| Coparenting Perception Level | Measured by the Brief Coparenting Relationship Scale (Brief-CRS). This 14-item scale uses a 6-point response scale (0 = completely disagree, 6 = completely agree), with a total score ranging from 0 to 84. Higher scores indicate better coparenting coordination between parents. Measured at 6, 12, and 24 weeks postpartum. | 6 weeks postpartum; 12 weeks postpartum; 24 weeks postpartum |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northwest Women's and Children's Hospital | Xi'an | Shaanxi | 710061 | China |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Feb 25, 2026 | Feb 26, 2026 |
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|
| Maternal-only Breastfeeding Support | Behavioral | Routine postpartum breastfeeding guidance provided only to mothers (no paternal involvement), including basic breastfeeding skill training and regular follow-up. |
|
| Breastfeeding Type | Categorized as exclusive breastfeeding, mixed feeding, or formula feeding, based on maternal self-report. | 6 weeks postpartum; 12 weeks postpartum; 24 weeks postpartum |
| Neonatal Weight Gain | Recorded as the change in neonatal body weight (in kilograms) from birth to each follow-up time point, based on clinical follow-up records. | 6 weeks postpartum; 12 weeks postpartum; 24 weeks postpartum |
| Duration of Jaundice | Recorded as the number of days from the onset of neonatal jaundice to its complete resolution, based on clinical follow-up records. | 6 weeks postpartum; 12 weeks postpartum; 24 weeks postpartum |
| Prot_000.pdf |
| ID | Term |
|---|---|
| D001942 | Breast Feeding |
| ID | Term |
|---|---|
| D005247 | Feeding Behavior |
| D001519 | Behavior |
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