Discussion
PARRY, BSE
This study determined the effect of breastfeeding counseling with the RSB counseling approach on breastfeeding self-efficacy and performance in primiparous teenagers. The results indicated that counseling with the RSB approach increased BSE and improved breastfeeding performance in primiparous teenage mothers. Self-efficacy is a critical factor in exclusive breastfeeding and breastfeeding duration [In the present study, BSE and breastfeeding performance improved significantly after three counseling sessions in the third trimester of pregnancy. Aghababaei et al. claimed that individual counseling increased BSE in women aged 18–35 [Shafaei et al. showed that prenatal group counseling could increase self-efficacy during breastfeeding and solve most breastfeeding problems in the postpartum period [Cantin et al. mentioned that a breastfeeding education program (about 13 training sessions) improves breastfeeding self-efficacy, knowledge, self-confidence, and satisfaction with teenagers in breastfeeding [Parry et al. showed that using the RSB counseling approach in group or individual prenatal counseling sessions improved breastfeeding tendencies and increased breastfeeding knowledge, early initiation of breastfeeding, and breastfeeding continuity and exclusivity [Bhat et al. showed that 59% of mothers used the wrong breastfeeding way, indicating the need for a counseling support system to improve breastfeeding performance [One of the limitations of this research was the carelessness of participants during counseling due to their young age, low literacy level, and unfamiliarity with breastfeeding. So, the authors tried to overcome this limitation by allocating more time, using more straightforward language, flip charts, and providing educational pamphlets in simple language. Another limitation of this study is that the intervention's impact on infant outcomes, including the proportion of exclusive breastfeeding, the timing of the first feed, weight trends, and post-discharge feeding patterns, weren’t measured. An advantage of this study is the research on teenagers, who have not been sufficiently studied to improve their breastfeeding performance despite their poor breastfeeding consequences. Another benefit is the intervention before giving birth, which helps the woman to start breastfeeding with more self-efficacy and to have a more appropriate performance from early breastfeeding. Moreover, using the GATHER method and the RSB model in counseling teenagers showed that a comprehensive approach to education could effectively promote BSE in them. It was tried to increase the generalizability of the results by providing details on the samples, the location and the method.