Caricature-based Antenatal BreastFeeding Education Trial (CABFET)

INTERVENTION: Previous: Random allocation to intervention or control groups was done via randomizer.org. Updated 02/08/2022: Participants were randomly assigned to the intervention or control arms in a 1:1 ratio using computerized random numbers. The intervention group received two caricature‐based lectures on breastfeeding (2 hours). The control group received one standard lecture on breastfeeding (1 hour). Both groups received a breastfeeding paper booklet. There will be 4 follow‐up points of data collection. First follow‐up (during pregnancy before the intervention): sociodemographic data and intention to breastfeed Second follow‐up (during pregnancy after the intervention): prenatal breastfeeding self‐efficacy scale and satisfaction about health education Third follow‐up (1 month postpartum): infant feeding practice and breastfeeding self‐efficacy scale – short form Fourth follow‐up (3 months postpartum): infant feeding practice and Iowa infant feeding attitude scale CONDITION: Antenatal breastfeeding education ; Pregnancy and Childbirth PRIMARY OUTCOME: Exclusive breastfeeding measured using electronic Google surveys on infant feeding practice delivered via WhatsApp at 1 and 3 months postpartum SECONDARY OUTCOME: 1. Prenatal breastfeeding self‐efficacy measured using the prenatal breastfeeding self‐efficacy scale during pregnancy after the intervention; 2. Maternal satisfaction about the health education measured using the satisfaction about health education questionnaire during pregnancy after the intervention; 3. Postpartum breastfeeding self‐efficacy measured using the breastfeeding self‐efficacy scale – short form at 1 month postpartum; 4. Infant feeding attitude measured using the Iowa infant feeding attitude scale at 3 months postpartum INCLUSION CRITERIA: 1. Aged >18 years 2. Pregnant women in the second or third trimesters 3. Receiving antenatal care in Riyadh First Health Cluster (C1) 4. No contraindication to breastfeeding 5. Have access to the internet 6. Literate