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The Impact of a Focused Education Session on the Knowledge, Attitude,
and Intended Behaviour Regarding Breastfeeding by Saudi Women Who
Are Pregnant for the First Time

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ABSTRACT
Background
As one of the richest countries in the world, the Kingdom of Saudi Arabia has transitioned
into a rapidly growing nation socio-economically during the last decade. This progress,
however, has resulted in nutritional repercussions, specifically in hasty modification in
lifestyle, supply of food, and eating patterns. Data for Saudi Arabia correlates such
transformation strongly with decline in breastfeeding. The global policy recommendation for
infant feeding from the World Health Organization and UNICEF is that infants should be
breastfed exclusively for the first six months. Yet, despite the great advances in healthcare
services in Saudi Arabia, data reports a downward trend in breastfeeding practice.
Aims
This study was designed to explore the effects of a focused education intervention on the
attitudes, knowledge, and intended behaviours regarding breastfeeding by Saudi women who
were pregnant for the first time in Hail City.
Study Design
This study utilised a mixed methods design using scored tests (pretest and post-test) as well as
a follow-up test and interview. A pretest was conducted prior to the introduction of the
breastfeeding education intervention, and a post-test was also implemented immediately after
the programme. At two months after the intervention (postnatally) a follow-up interview was
undertaken which included a follow-up test. A sample of twenty-three Saudi women was
selected and assigned to the intervention group, whilst ten Saudi women who were also
pregnant for the first time were assigned to the comparison group.
Results
A change of breastfeeding practice in KSA can be achieved, but only through a series of small
steps. It is vital to start the process of transformation of breastfeeding in KSA by first
addressing women’s knowledge and attitude. The intervention in this study was affective in
increasing the participants’ knowledge about breastfeeding, and this increase continued at
follow up. The intervention shaped participants core thought on the subject of breastfeeding.
Although the measures did not show significant change in attitudes, the women explained in
interviews that their attitudes had, indeed, changed, but they still felt unable to act on this due
to the constraints of Saudi society and culture. Behaviour changed in the women decided to

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The Impact of a Focused Education Session on the Knowledge, Attitude, and Intended Behaviour Regarding Breastfeeding by Saudi Women Who Are Pregnant for the First Time I ABSTRACT Background As one of the richest countries in the world, the Kingdom of Saudi Arabia has transitioned into a rapidly growing nation socio-economically during the last decade. This progress, however, has resulted in nutritional repercussions, specifically in hasty modification in lifestyle, supply of food, and eating patterns. Data for Saudi Arabia correlates such transformation strongly with decline in breastfeeding. The global policy recommendation for infant feeding from the World Health Organization and UNICEF is that infants should be breastfed exclusively for the first six months. Yet, despite the great advances in healthcare services in Saudi Arabia, data reports a downward trend in breastfeeding practice. Aims This study was designed to explore the effects of a focused education intervention on the attitudes, knowledge, and intended behaviours regarding breastfeeding by Saudi women who were pregnant for the first time in Hail City. Study Design This study utilised a mixed methods design using scored tests (pretest and post-test) as well as a follow-up test and interview. A pretest was conducted prior to the introduction of the breastfeeding education intervention, and a post-test was also implemented immediately after the programme. At two months after the intervention (postnatally) a fo ...
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