Video-Feedback Intervention to Support the Establishment of the Mother-Infant Relationship in Breastfeeding Mothers: A Pilot Study
Introduction: Video-feedback intervention (VFI) uses a strengths-based approach to enhance maternal sensitivity. VFI has been found to enhance maternal sensitivity, but has not been tested in the breastfeeding (BF) context with mothers in contexts of social and economical vulnerability. Objective: To assess the acceptability, feasibility and the preliminary effect of VFI combined with information on maternal sensitivity in a BF context with mothers enrolled in a community-based program. Methods: A pilot study was conducted. Twenty mothers and their babies were assigned either to group A (2 VFI, n=6), group B (1 VFI, n=6) or group C (control, n=8). Eight nurses participated. During VFI, the nurse would stop the video on significant sensitive interactions and help the mother acknowledge the positive exchanges taking place between her and her child. All participants completed acceptability and feasibility questionnaire and were interviewed. Mothers completed a maternal sensitivity scale and a BF questionnaire. Results: All participants found VFI acceptable and feasible. The VFI had no effect on maternal sensitivity. Total BF duration seemed longer in the intervention groups. Also, the nurses found the VFI helpful to strengthen the nurse-mother relationship. Discussion and conclusion: VFI is feasible and acceptable for mothers and nurses. Two VFI seemed to be more satisfying to mothers than one. More research is needed to determine the effectiveness of VFI.