Breastfeeding self-efficacy as a dominant factor affecting maternal breastfeeding satisfaction (original) (raw)
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International journal of public health science, 2024
Besides the benefits of breastfeeding, the number of children exclusively breastfed was still low. The mother's breastfeeding decision might be influenced by breastfeeding support and preparation. The decision also might influence the mother's satisfaction and the child's well-being. Thus, to minimize the adverse effect of the decision, it is essential to identify the factors associated with mother satisfaction on their breastfeeding status. This study aimed to understand the correlation between breastfeeding support and preparation on mother's satisfaction with the infant's breastfeeding status. This study was a cross-sectional, observational study held in Yogyakarta, Indonesia. The inclusion criteria were the mother of a baby aged 6 to 24 months who lived in Yogyakarta City and was willing to join the research. A total of 150 respondents, mostly aged 19-40 years, joined the study. Spouse support is most influential on breastfeeding (BF) status. Mother's satisfaction with infant feeding choices was influenced by BF status, husband's support, and healthcare support. Husband support is essential for the mother to achieve exclusive breastfeeding and meet maternal satisfaction. Appropriate healthcare personnel support positively impacts maternal satisfaction by providing information and encouraging mothers to make informed infant feeding decision-making.
Postpartum education and support on breastfeeding duration
Although the benefits of breastfeeding for both mother and infant are numerous, a large number of women choose not to breastfeed. The purpose of this study was to determine whether regular postpartum follow-up by a certified lactation Consultant (CLC) or Certified lactation Educator (CLE) increased the duration mothers breastfed their infants. Ninety-four (Control = 54; Experimental = 40) breastfeeding mothers completed a 24-week study in which participants in the experimental condition received 9 follow-up support telephone calls by either a CLC or CLE. These calls were used to elicit possible breastfeeding problems, offer solutions, identify factors that may have influenced the mother's decision to initiate and continue breastfeeding, and to identify why mothers would decide to discontinue breastfeeding. Follow-up by a CLC or CLE did not yield significantly longer durations in breastfeeding. However, gender of the breastfeeding infant, hospital discharge with supplemental formula, and the use of pacifiers were found to influence breastfeeding duration. In addition, both groups breastfed longer than the national average indicating that specific hospital protocols can positively influence breastfeeding duration. Findings are discussed and practical implications for health practitioners are provided.
Women and Birth, 2015
Background: Although the benefits of breastfeeding to six months are well-established, only about half of Australian women succeed. The factors associated with successful breastfeeding are rarely translated into effective interventions. A new educational and support program, called the Milky Way program has been demonstrated to be effective in supporting women to achieve prolonged breastfeeding. In the Milky Way program, breastfeeding is considered an embodied performance which requires an engaged combination of body, mind and spirit. This paper aims to explain how the two theories that informed the program were used to better enable women's long term breastfeeding success. Method: The theory of self-efficacy is first described as a way to develop women's cognitive processes to organise and execute the course of actions to breastfeed for a longer period of time. Birth territory theory is then presented. This theory discusses women as embodied selves; an essential concept for breastfeeding success. Birth territory theory also describes the effects of the holistic environment on the woman and explores the effects of power that is used in the environment. This power can be used integratively to strengthen the woman's breastfeeding confidence and success or, disintergratively which reduces her confidence and undermines her success. Conclusion: Strategies based on self-efficacy theory are helpful, but are not sufficient to promote breastfeeding to six months. Health educators also need to foster the woman's connection to, and trust in, her body and her baby's body to breastfeed spontaneously. Being aware of environmental impacts on how the woman and baby breastfeed; and using one's own power integratively is crucial to women being able to achieve prolonged breastfeeding. ß (S. Meedya). G Model WOMBI-436; No. of Pages 7 Please cite this article in press as: Meedya S, et al. Supporting women to achieve breastfeeding to six months postpartum -The theoretical foundations of a successful program. Women Birth (2015), http://dx.Please cite this article in press as: Meedya S, et al. Supporting women to achieve breastfeeding to six months postpartum -The theoretical foundations of a successful program. Women Birth (2015), http://dx.doi.org/10.1016/j.wombi.2015.06.006 G Model WOMBI-436; No. of Pages 7 Please cite this article in press as: Meedya S, et al. Supporting women to achieve breastfeeding to six months postpartum -The theoretical foundations of a successful program. Women Birth (2015), http://dx.doi.org/10.1016/j.wombi.2015.06.006 G Model WOMBI-436; No. of Pages 7 Please cite this article in press as: Meedya S, et al. Supporting women to achieve breastfeeding to six months postpartum -The theoretical foundations of a successful program. Women Birth (2015), http://dx.
The influence of psychosocial factors on the duration of breastfeeding
Scandinavian Journal of Public Health, 2004
Aim: A study was undertaken to examine to what extent psychosocial factors are related to the length of breastfeeding. Methods: A cohort of Danish mothers giving birth to a single child was followed up for four months. Information on mother and baby including psychosocial variables was obtained from a self-report questionnaire. Breastfeeding status was subsequently monitored by a health visitor. Results: A total of 471 (88%) mothers participated, 98.7 % initiated breastfeeding and after four months 277 (59%) were still exclusive breastfeeding; 99 mothers, 51% of those who stopped, stopped within the first five weeks. In Cox regression analyses the duration of breastfeeding showed a positive association with mother's schooling ( p~0.002), her intention to breastfeed ( p~0.001), previous experience with breastfeeding ( pv0.001), self-efficacy with respect to breastfeeding ( pv0.001), her confidence in breastfeeding ( p~0.012) and knowledge about breastfeeding ( p~0.001). The effect of the mother's knowledge depended on the parity of the child. Among primiparous mothers high knowledge was associated with long duration of breastfeeding, but this association was not found among the multiparous. Conclusions: To help the mothers who would like to breastfeed their baby, we must improve our ability to identify mothers at risk of early cessation. Mother's schooling, her intention, self-efficacy and earlier breastfeeding experience can be used as early predictors. An intervention should aim at improving the self-efficacy and resources of these mothers, with a focus on practical knowledge. The first five weeks, when the largest proportion of the cessations occurred, require special attention.
Exclusive maternal breastfeeding and the Breastfeeding Self-efficacy Scale
Revista da Rede de Enfermagem do Nordeste, 2014
This study aimed at determining the factors related to the duration of exclusive breastfeeding and to associate them to the scores of the Breastfeeding Self-efficacy Scale. 300 mother-baby binomials were studied, from the capital cities of the southern region of Brazil in 2012, using the Breastfeeding Self-efficacy Scale during postpartum period and with intervals from 15 to 120 days after delivery. The average of the score of breastfeeding was 36 points. The risk factors for breastfeeding were: hospitals which were not Child Friendly (p=0.002), schooling (≤ 8 years of study; p=0.004), and working mother (p=0.013). When evaluating the maternal breastfeeding after 120 days, the variables which were considered as protection factors for breastfeeding were the maternal age of majority (p=0.039) and the score in the test of breastfeeding (p=0.046). The variables for the exclusive breastfeeding were the maternal age of majority and the score in the test of breastfeeding. Descriptors: Breast Feeding; Weaning; Self Efficacy; Risk Factors. Objetivou-se determinar os fatores relacionados com o tempo de aleitamento materno exclusivo e associar aos escores da Escala de Autoeficácia na Amamentação. Estudou-se 300 binômios mãe-bebê, de duas capitais da Região Sul do Brasil em 2012, utilizando-se a Escala de Autoeficácia na Amamentação durante o puerpério e com intervalos de 15 até 120 dias após o parto. A média materna do escore de amamentação foi de 36 pontos. Os fatores de risco para a amamentação foram: hospitais não Amigos da Criança (p=0,002), escolaridade (≤ 8 anos de estudo; p=0,004) e mãe que trabalhava (p=0,013). Ao avaliar o aleitamento materno aos 120 dias, as variáveis que se mostraram como fatores de proteção para a amamentação foram a maior idade materna (p=0,039) e a pontuação no teste de amamentação (p=0,046). Já aquelas para a amamentação exclusiva foram a maior idade materna e a pontuação no teste de amamentação. Descritores: Aleitamento Materno; Desmame; Autoeficácia; Fatores de Risco. El objetivo fue determinar los factores relacionados con el tiempo de lactancia materna exclusiva y asociar a las puntuaciones de la Escala de Autoeficacia en el amamantamiento. Se estudiaron 300 binomios madre-bebé de dos capitales del sur del Brasil en 2012, utilizándose la Escala de Autoeficacia en el amamantamiento durante el puerperio y en intervalos de 15 a 120 días después del parto. El promedio materno del escore de lactancia fue de 36 puntos. Los factores de riesgo para lactancia materna fueron: hospitales no Amigos del Niño (p=0,002), escolaridad (≤ 8 años de estudio; p=0,004) y madre que trabajaba (p=0,013). Al evaluar la lactancia materna a los 120 días, mayor edad materna (p=0,039) y puntuación en el examen de lactancia materna (p=0,046) fueron las variables señaladas como factores de protección para el amamantamiento. Para lactancia materna exclusiva, fueron mayor edad de la madre y puntuación en el examen de amamantamiento. Descriptores: Lactancia Materna; Destete; Autoeficacia; Factores de Riesgo.
Education of Parents in Increasing Breastfeeding Rates, Success, and Self-Efficacy Levels
The Journal of Pediatric Research
This study aimed to determine the effect of breastfeeding education given to parents in the early postpartum period on the duration of exclusive breastfeeding for the first six months, breastfeeding success and breastfeeding self-efficacy levels of mothers. Materials and Methods: This study had three groups including a control (n=49), intervention I (n=48) and intervention II group (n=48). As a nursing intervention, breastfeeding training using pre-structured training modules was given only to the mothers in intervention group 1 and to both the mothers and fathers in Intervention group 2. Routine nursing services were provided to the families in the control group. The infant feeding behaviors of the mothers in all three groups were monitored until the end of the sixth month. The parental introductory information form, infant follow-up form, LATCH diagnosis and evaluation scale and breastfeeding self-efficacy scale were used to collect the data. Results: It was determined that the breastfeeding training given to mothers increased breastfeeding self-efficacy levels and breastfeeding success and this increase was statistically significant (p<0.05). It was determined that the difference between the supplemental nursing systems feeding rates for the intervention groups at the 1 st , 2 nd , 4 th and 6 th months were significantly higher than in the control group (p<0.05). Conclusion: Breastfeeding training increased the mothers' breastfeeding self-efficacy and the duration of exclusive breastfeeding, but the fathers' support made no significant difference.
2018
Background Research demonstrates better health outcomes for both women and their infants when infants are breast-fed. There is evidence that an increasing number of full-term, normal birth weight infants are being admitted to the Neonatal Intensive Care Unit (NICU) and that these infants receive less breast milk than their well full-term and preterm infant counter parts. The effect of short-term admission of full-term infants to the NICU on maternal breastfeeding selfefficacy and breastfeeding exclusivity and duration, and the facilitators of and barriers to breastfeeding success reported by these mothers, has not been well explored. Purpose The purpose of this study was to explore the relationship of breast feeding self-efficacy to breastfeeding duration and breastfeeding exclusivity of full-term infants discharged from the NICU and to explore the facilitators and barriers that influence breastfeeding success for a woman with a full-term infant in the NICU. Factors that may affect the breastfeeding selfefficacy of mothers with a full-term infant in the NICU were also explored. Method This was a mixed method study where quantitative and qualitative data were collected concurrently. The Critical Incident Technique (CIT) was used to identify the facilitators and barriers to breastfeeding success. The breastfeeding self-efficacy scale for preterm and ill infants (BFSE-SF-IP) was used to measure the mothers' breastfeeding self-efficacy. One week after the infant's discharge, the researcher contacted the mothers, who completed the BSFE and described what they thought facilitated or hindered their breastfeeding success. Mothers were contacted three weeks later to ascertain breastfeeding status and formula usage. Data on other maternal and infant variables were also collected. All data was interpreted and integrated to form a phenomenon of a successful mother breastfeeding a full-term infant in the NICU. Results The sample was comprised of 41 ethnically diverse postpartum women who were predominately married, well educated, first-time mothers, and delivered by cesarean section. Most had no prior breastfeeding experience. The Cronbach's alpha of the BSEF-SF-IP in this sample was .953. Regression analyses using the BFSE score and other factors revealed the BFSE to be the only significant predictor of breastfeeding duration and exclusivity at four weeks after discharge and accounted for 47 percent of the variance in the amount of formula used at four weeks. There was a positive correlation between breastfeeding experience, number of live births, breastfeeding at one and four weeks and BFSE scores. There was also a strong negative correlation between breastmilk pumping at one week, formula usage at one and four weeks and BFSE scores. Mothers identified 67 critical incidents as facilitators for and barriers to breastfeeding success in the NICU and one week postpartum. The most frequently cited facilitators in the NICU were nurses/lactation consultant support, and breastfeeding skills. The most common cited barriers to breastfeeding success were feeding the infant formula, separation from the baby, scheduled feedings and not enough breastmilk. After the baby was home for one week, mothers most often reported the facilitators to be family support, determination, and staying with the baby. Not having enough milk and infant not taking the breast were the most frequently cited barriers to breastfeeding success at one week.
Breastfeeding Initiation and Duration: A 1990-2000 Literature Review
Journal of Obstetric, Gynecologic, <html_ent glyph="@amp;" ascii="&"/> Neonatal Nursing, 2002
Objective: To review the literature on breastfeeding initiation and duration and to delineate effective strategies for promoting positive breastfeeding behaviors. Data Sources: Computerized searches on MED-LINE, CINAHL, and the Cochrane Library. Study Selection: Articles from indexed journals relevant to the objective and published after 1990 (except for classic findings) were reviewed. Although a myriad of pertinent articles was located, referenced citations were limited to three per point. When article selection was required for a specific point, preferences were given to (a) randomized controlled trials; (b) meta-analyses; (c) studies with the largest, most representative samples; and (d) investigations conducted in North America. Data Extraction: Data were extracted and organized under the following headings: benefits of breastfeeding, breastfeeding initiation and duration, personal characteristics, attitudinal and intrapersonal characteristics, hospital policies and intrapartum experience, sources of support, breastfeeding interventions, and review implications. Data Synthesis: Although the health benefits of breastfeeding are well documented and initiation rates have increased over the past 20 years, most mothers wean before the recommended 6-months postpartum because of perceived difficulties with breastfeeding rather than due to maternal choice. Women least likely to breastfeed are those who are young, have a low income, belong to an ethnic minority, are unsupported, are employed full-time, decided to breastfeed during or late in pregnancy, have negative attitudes toward breastfeeding, and have low confidence in their ability to breastfeed. Support from the mother's partner or a nonprofessional greatly increases the likelihood of positive breastfeeding behaviors. Health care professionals can be a negative source of support if their lack of knowledge results in inaccurate or inconsistent advice. Furthermore, a number of hospital routines are potentially detrimental to breastfeeding. Although professional interventions that enhance the usual care mothers receive increase breastfeeding duration to 2 months, these supportive strategies have limited long-term effects. Peer support interventions also promote positive breastfeeding behaviors and should be considered. Conclusions: A promising intervention is the complementation of professional services with peer support from a mother experienced in breastfeeding. This lay support appears to be an effective intervention with socially disadvantaged women. JOGNN,
Health System Factors Contributing to Breastfeeding Success
1999
Objective. To identify and characterize health care system factors that contribute to successful breastfeeding in the early postpartum period. Study Design. A prospective 8-week cohort study of 522 women at five area hospitals who had a vaginal delivery of a healthy, full-term single child and who intended to breastfeed. Mothers and infants had free access to each other for breastfeeding during the hospital stay. Data were obtained through chart review and surveys. In-person postpartum interviews in the hospital and 4- and 8-week telephone interviews were used to determine participants' perceptions of breastfeeding support by hospital personnel, home visit nurses, and family and friends. The hospital in-person interview with each mother was conducted before discharge to confirm maternal interest and intent to breastfeed. Questions were asked regarding breastfeeding information and support provided by medical and nursing personnel. Mothers were asked to rate the quality of inform...