Zahra Shahsavan - Midwifery (MSc), Student Research Committee, Qazvin university of medical sciences, Qazvin, Iran
Sonya Oveisi - Associated Professor, Metabolic Diseases Research Center, School of Medical, Qazvin University of Medical and Health Sciences, Qazvin, Iran
Zinat Jourabchi - Assistant Professor, Social Determinants of Health Research Center, Department of Midwifery and Midwifery Counselling, School of Nursing and Midwifery,Qazvin University of Medical and Health Sciences, Qazvin, Iran

Introduction: Breastfeeding has an essential role in providing maternal and infant health and as a result the society health. Breastfeeding self-efficacy is a powerful predictor of the duration of exclusive breastfeeding.Objective: This study aimed to investigate the effect of cognitive-behavioral counseling during pregnancy on breastfeeding self-efficacy of pregnant women referring to comprehensive health centers in Qazvin City, Iran.Materials and Methods: This study is a randomized controlled clinical trial conducted on 120 pregnant women referred to health centers in Qazvin City. The samples were randomly divided into intervention and control groups. The intervention group received 8 sessions of cognitive-behavioral group counseling during the third trimester of pregnancy. The breastfeeding self‐efficacy Scale questionnaire was used for surveying samples before and after the intervention. For analyzing data, t-test and Chi-squared test were used. Results: The two groups were not significantly different before the intervention in terms of demographic variables. Also, the Mean±SD breastfeeding self‐efficacy scores in the control (47.55±5.92) and the intervention group (47.70±7.83) were not significantly different before counseling. After the intervention, the Mean±SD breastfeeding self‐efficacy score of the intervention group (57.49±5.62) was significantly higher than that of the control group (48.8±5.94) (P=0.001). Conclusion: Cognitive-behavioral counseling will increase breastfeeding self‐efficacy of pregnant women. It is recommended that the results of the study be used to promote the empowerment of women in breastfeeding.Message for policymakers: ● Breastfeeding self-efficacy scores of the intervention and control groups were not significantly different before the intervention. ● After cognitive-behavioral counseling, breastfeeding self-efficacy score in the intervention group was significantly higher than that of the control group. ● Cognitive-behavioral counseling increases self-efficacy of breastfeeding in mothers. ● Breastfeeding counseling can empower women in breastfeeding.  Therefore, it is recommended that the breastfeeding counseling program be incorporated into the care programs of pregnant women for greater breastfeeding success.

Cognitive-Behavioral Counseling, Self-efficacy, Breast feeding,