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The aim of this study was to evaluate the effectiveness of midwifery counseling with the approach of acceptance and commitment to the mental image of the body and breastfeeding self-efficacy. This study is a randomized controlled clinical trial on 90 pregnant women in Jajarm city and its suburbs. Data collection tools included a demographic and midwifery information questionnaire, a multidimensional body-self relationship questionnaire, and a breastfeeding self-efficacy questionnaire in the form of electronic links. The questionnaires were given before and immediately after the intervention, one month after delivery, and three months after delivery and completed by each group. Data analysis and data entry and processing were performed by SPSS software. According to the findings in this study, the two groups were not significantly different in terms of demographic and obstetric characteristics and were homogeneous. There was no significant difference between the breastfeeding self-efficacy score and body image and intervention group before the intervention (P≥0.05), but between the breastfeeding self-efficacy score and body image and intervention group, immediately after the intervention, one month after delivery. There was a significant difference three months after delivery (P≤0.05), and the self-efficacy score of breastfeeding and the body image of the intervention group improved compared to the control group after holding admission and commitment counseling sessions. The results of the present study showed that midwifery counseling with the approach of acceptance and commitment improves the mental image of the body and promotes the breastfeeding self-efficacy of pregnant women
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