Impact of Podcast-Based Breastfeeding Education During Pregnancy on Breastfeeding Self-Efficacy in Pregnant Women

Location of the study: The study is planned to be conducted in the Obstetrics Department of Süleyman Demirel University, Faculty of Medicine. The Department of Gynecology and Obstetrics was established in 1994 in the old faculty of medicine hospital in the city center. Over time, with its 5 outpatient clinic rooms and 38-bed capacity, it has become an important reference center in the Lakes Region and its surroundings, especially in complicated patient approaches. Süleyman Demirel University, Faculty of Medicine, Department of Gynecology and Obstetrics contributes to health services with its faculty members specialized in General Gynecology, Obstetrics, High Risk Pregnancies, Infertility, Assisted Reproductive Techniques (IVF), Gynecologic Oncology, Gynecologic Endoscopic Surgery, Urogynecology. Time of the study: The study will be conducted between April 2024 and January 2025. Research universe, sample, research group: The research universe will consist of women who voluntarily accept to participate in the study and apply to the Obstetrics and Gynecology outpatient clinic of Süleyman Demirel University Research and Practice Hospital. The criteria for inclusion in the study are as follows: • Being literate and speaking Turkish • Agreeing to participate in the research Research method and data collection tools: The data of this study will be collected with the Descriptive Characteristics Form and the Prenatal Breastfeeding Self-Efficacy Scale. Descriptive Characteristics Form: It will be developed by the researchers and will include questions about some sociodemographic data of the pregnant women and their breastfeeding experiences. The Prenatal Breastfeeding Self-Efficacy Scale was developed by Wells et al. in 2006 in order to determine the breastfeeding self-efficacy perceptions of pregnant women in the prenatal period. The scale consists of a total of 20 items (Appendix-III). The original scale has a total of 4 sub-dimensions. These are: Skills and Desires Sub-dimension: It consists of a total of 7 items. These items are items 6, 7, 8, 9, 10, 11 and 12. The lowest score that can be obtained from this subdimension is 7 and the highest score is 35. Information Acquisition Subdimension: It consists of a total of 5 items. These items are items 1, 2, 3, 5 and 17. The lowest score that can be obtained from this subdimension is 5 and the highest score is 25. Viewpoint of Surrounding People Subdimension: It consists of a total of 4 items. These items are items 13, 14, 15 and 16. The lowest score that can be obtained from this subdimension is 4 and the highest score is 20. Social Pressure Subdimension: It consists of a total of 2 items. These items are items 18 and 19. The lowest score that can be obtained from this subdimension is 2 and the highest score is 10. The validity and reliability of the scale for Turkish was made by Aydın and Pasinlioğlu in 2016 (Aydın \& Pasinlioğlu., 2018). Implementation of the Study: Women who meet the sampling selection criteria will be met and informed about the study. Considering the patients who meet the research criteria and accept the study, the patients will be divided into groups according to whether their barcode numbers are odd or even, provided that the number of individuals in the intervention and control groups is equal (1:1 ratio). It is planned to work with a total of 80 pregnant women, considering the losses. The intervention and control groups will be selected by drawing lots. The Introductory Information Form and Prenatal Breastfeeding Self-Efficacy Scale will be filled out by the women who meet the sampling selection criteria and accept to participate in the study before the application. The content of the podcast-based education to be given to the pregnant women in the intervention group will be created by the researcher and the consultant, and expert opinion will be obtained regarding the content. For the pregnant women in the control group; a brochure will be prepared for breastfeeding education and expert opinion will be obtained. The brochure prepared by the researcher and the consultant will be given to the pregnant women in the control group at the planned time. The pregnant women in the intervention group will be given a period of two weeks to complete the prepared podcast education. At the end of the two-week period, pregnant women in the intervention and control groups will be asked to fill out the Prenatal Breastfeeding Self-Efficacy Scale again.

Education Content: Benefits of breastfeeding, How breastfeeding mothers should be fed Hormones, What to consider when breastfeeding, Breastfeeding problems, Symptoms of insufficient milk, Reasons for and treatment of breast refusal,Necessary information on storing breast milk. Evaluation of Data: Data evaluation will be done in a computer environment using SPSS (Statistical Package For Social Sciences) 21.0 package program. Percentage distributions, mean, standard deviation chi-square test, t-test in dependent groups will be used in the analysis of data. Research findings will be evaluated at a 95% confidence interval and at a significance level of p<0.05.