Teach-Back Breastfeeding Education After Birth

February 6, 2026 updated by: Nilgun Avci

Effect of Teach-Back Breastfeeding Education on Breastfeeding Success, Breastfeeding Self-Efficacy, and Mother-Infant Bonding in Primiparous Postpartum Women: A Randomized Controlled Trial

This study evaluated whether breastfeeding education delivered using the teach-back method improves breastfeeding outcomes and mother-infant bonding among primiparous postpartum women. Early postpartum breastfeeding education is routinely provided in many hospitals; however, women may have difficulty remembering or applying the information after birth. Teach-back is a communication method where the patient is asked to explain the information back in their own words, allowing the educator to check understanding and clarify misconceptions.

In this randomized controlled trial, postpartum women who gave birth in a private hospital were assigned either to a teach-back breastfeeding education group or to a control group receiving standard breastfeeding education. Breastfeeding success, breastfeeding self-efficacy, and mother-infant bonding were assessed using validated measurement tools at postpartum 6 hours and again at postpartum 24 hours.

The findings of this study aim to support evidence-based postpartum breastfeeding education practices and improve early breastfeeding outcomes.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

102

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey (Türkiye)
    • Istanbul
      • Bayrampaşa, Istanbul, Turkey (Türkiye)
        • State Obstetrics and Gynecology Hospital, Istanbul

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Women who gave birth at the study hospital during the study period
  • Primiparous postpartum women
  • Live birth
  • Volunteered to participate and provided informed consent

Exclusion Criteria:

  • Multiparous women
  • Neonatal or perinatal loss
  • Mothers who refused breastfeeding
  • Inability to communicate in Turkish
  • Hearing impairment or mental health conditions limiting participation

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Teach-Back Breastfeeding Education
Participants received standard postpartum breastfeeding education plus an additional teach-back session delivered one time at postpartum 3-4 hours. The session lasted approximately 30 minutes in total, including education and participant feedback. Content included key elements of effective breastfeeding (latch, audible swallowing, nipple type, breast/nipple comfort, and positioning/hold) and signs of successful breastfeeding.
Behavioral: Teach-Back Breastfeeding Education
Participants received standard postpartum breastfeeding education plus an additional teach-back session delivered one time at postpartum 3-4 hours. The session lasted approximately 30 minutes in total, including education and participant feedback. Content included key elements of effective breastfeeding (latch, audible swallowing, nipple type, breast/nipple comfort, and positioning/hold) and signs of successful breastfeeding.
No Intervention: Control: Standard Breastfeeding Education
Participants received standard postpartum breastfeeding education routinely provided by the hospital (lactation nurse-led), without a teach-back component.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Breastfeeding Success
Time Frame: At postpartum 6 hours and postpartum 24 hours
Breastfeeding success assessed using the LATCH Breastfeeding Assessment Tool.
At postpartum 6 hours and postpartum 24 hours

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Breastfeeding Self-Efficacy
Time Frame: At postpartum 6 hours and postpartum 24 hours
Breastfeeding self-efficacy assessed using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF).
At postpartum 6 hours and postpartum 24 hours
Mother-Infant Bonding
Time Frame: At postpartum 6 hours and postpartum 24 hours
Mother-infant bonding assessed using the Mother-to-Infant Bonding Scale.
At postpartum 6 hours and postpartum 24 hours

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Nilgun Avci

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 1, 2023

Primary Completion (Actual)

January 31, 2024

Study Completion (Actual)

January 31, 2024

Study Registration Dates

First Submitted

February 6, 2026

First Submitted That Met QC Criteria

February 6, 2026

First Posted (Actual)

February 12, 2026

Study Record Updates

Last Update Posted (Actual)

February 12, 2026

Last Update Submitted That Met QC Criteria

February 6, 2026

Last Verified

February 1, 2026

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • Teach-Back Breastfeeding

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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