{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:14:13Z","timestamp":1783556053500,"version":"3.55.0"},"reference-count":42,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2026,8,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Although breastfeeding is a common practice in T\u00fcrkiye, breastfeeding rates remain below the levels recommended by the World Health Organization. This study aimed to determine the effects of simulation-based breastfeeding education given in the antenatal period on the breastfeeding success of primiparous women in the postnatal period, their perceptions of breastfeeding self-efficacy, and their attitudes and knowledge regarding breastfeeding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This randomized controlled study included 128 primigravida women (intervention group: 64, control group: 64). The intervention group received simulation-based breastfeeding education during the antenatal period, while the control group watched the routine hospital breastfeeding education video. Data were collected using the Personal Information Form, Postnatal Follow-Up Form, Breastfeeding Attitudes and Knowledge Questionnaire (BAKQ), LATCH Assessment Tool, and Breastfeeding Self-Efficacy Scale\u2013Short Form (BSES-SF). The BSES-SF and BAKQ were administered at baseline and within 24 hours after delivery, while breastfeeding success was evaluated twice postnatally using the LATCH Assessment tool. Data analysis involved chi-squared tests, independent-samples\n                      <jats:italic toggle=\"yes\">t-<\/jats:italic>\n                      tests, and multiple linear regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The postintervention scores of these scales were significantly higher in the intervention group compared with the control group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). The LATCH Assessment tool score was significantly higher in the intervention group at both postnatal follow-ups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Women who received simulation-based breastfeeding education had more successful breastfeeding practices, greater knowledge and better attitudes toward breastfeeding, as well as better perceptions of breastfeeding self-efficacy, than women who received routine breastfeeding education.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15568253261451761","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T06:56:03Z","timestamp":1779432963000},"page":"443-451","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Simulation-Based Education Improves Breastfeeding Initiation and Self-Efficacy of Primiparous Women: A Randomized Controlled Study"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5857-980X","authenticated-orcid":false,"given":"Hamide","family":"Arslan Tarus","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Nursing, Division of Nursing, Faculty of Health Sciences, Marmara University, Istanbul, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gonul","family":"Kurt","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Nursing, Gulhane Faculty of Nursing, University of Health Sciences, Ankara, T\u00fcrkiye."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)01932-8"},{"key":"e_1_3_2_3_1","unstructured":"2.World Health Organization (WHO). Global breastfeeding scorecard 2023: Rates of breastfeeding increase around the world through improved protection and support. Available from: https:\/\/www.who.int\/publications\/i\/item\/WHO-HEP-NFS-23.17"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2025-071516"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajcnut.2025.07.027"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2021.11.017"},{"key":"e_1_3_2_7_1","unstructured":"6.T\u00fcrkiye Demographic and Health Survey (TDHS). T\u00fcrkiye demographic and health survey: 2018. Available from: http:\/\/www.hips.hacettepe.edu.tr\/tnsa2018\/rapor\/TNSA_2018_anarapor.pdf"},{"key":"e_1_3_2_8_1","unstructured":"7.World Health Organization (WHO). Guideline: Counselling of women to improve breastfeeding practices. 2018. 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