Maternal Breastfeeding Self‐Efficacy and the Breastfeeding Behaviors of Newborns in the Practice of Exclusive Breastfeeding

Published on Nov 1, 2013in Journal of Obstetric, Gynecologic, & Neonatal Nursing1.25
· DOI :10.1111/1552-6909.12250
Alice Yuen Loke1
Estimated H-index: 1
(PolyU: Hong Kong Polytechnic University),
Lai‐Kwai S. Chan1
Estimated H-index: 1
Sources
Abstract
ABSTRACT Objectives To explore the maternal breastfeeding self‐efficacy of Chinese women, the breastfeeding behaviors of newborns, and the relationship with breastfeeding outcomes at 6 weeks postpartum. Design Descriptive correlation study. Setting Postnatal ward of a regional maternity hospital Participants All postnatal Chinese women who were admitted from mid‐February 2010 to mid‐March 2010 with the intention of breastfeeding. Methods The Infant Breastfeeding Assessment Tool (IBFAT) was used to assess neonatal breastfeeding behaviors, and a modified Chinese version of the Breastfeeding Self‐Efficacy Scale–Short Form (MBSES‐SF) was used to examine the breastfeeding self‐efficacy of mothers. Results A total of 199 postnatal women were recruited. At 6 weeks postpartum, 85 (42.7%) infants were bottle‐fed, 66 (33.2%) were complementary breastfed, and 48 (24.1%) were exclusively breastfed. The significant contributing factors for exclusive breastfeeding were women who planned to breastfeed for at least 6 months (odds ratio [OR] = 5.537, 95% confidence interval [CI] [2.430, 12.619], p ≤ 0.001), women with a high level of breastfeeding self‐efficacy (OR =, 7.776, 95% CI [2.546, 23.748], p ≤ 0.001), and those women whose infants had high‐IBFAT scores (OR = 2.381, 95% CI [1.019, 5.562], p = .045). Conclusions Maternal breastfeeding confidence and newborn breastfeeding behavior are strong predictors of breastfeeding duration as well as exclusivity. Health care professionals should monitor the breastfeeding behavior of newborns and not only provide mothers with the factual information on breastfeeding but help also them to develop maternal confidence in breastfeeding before they are discharged.
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References38
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#1John Yuen (PolyU: Hong Kong Polytechnic University)H-Index: 17
#2Alice Yuen Loke (PolyU: Hong Kong Polytechnic University)H-Index: 1
Last. Mayur Danny I. Gohel (PolyU: Hong Kong Polytechnic University)H-Index: 12
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Abstract Background The nutritional and immunological qualities of human milk from Hong Kong mothers were profiled. Methods A total of 25 colostrum (≤ 3 days postpartum) and 11 mature (30–45 days postpartum) milk specimens were collected from healthy Chinese women in Hong Kong. Parameters including total protein, whey, casein, triglycerides, lactose, lysozyme, secretory immunoglobulin A, lactoferrin and antibacterial activity of human milk were quantified. Result Breast milk of Hong Kong Chinese...
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Considerable advances have occurred in recent years in the scientific knowledge of the benefits of breastfeeding, the mechanisms underlying these benefits, and in the clinical management of breastfeeding. This policy statement on breastfeeding replaces the 1997 policy statement of the American Academy of Pediatrics and reflects this newer knowledge and the supporting publications. The benefits of breastfeeding for the infant, the mother, and the community are summarized, and recommendations to g...
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#1Ching-Man Ku (United Christian Hospital)H-Index: 1
#2Susan Ka Yee ChowH-Index: 17
Aims and objectives. The purpose of this article is to explore the relationships between breastfeeding knowledge, self-efficacy and demographic factors on breastfeeding patterns among Hong Kong Chinese primiparous women. Background. There is substantial evidence showing that maternal education, social class, ethnic background and religion are related to the decision to initiate as well as continue breastfeeding. Nevertheless, not much is known about how the controllable factors are able to influ...
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#1Yen-Ju Ho (VCU: Virginia Commonwealth University)H-Index: 3
#2Jacqueline M. McGrath (VCU: Virginia Commonwealth University)H-Index: 30
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The hospital stay of the mother and her healthy term newborn infant should be long enough to allow identification of early problems and to ensure that the family is able and prepared to care for the infant at home. The length of stay should also accommodate the unique characteristics of each mother-infant dyad, including the health of the mother, the health and stability of the infant, the ability and confidence of the mother to care for her infant, the adequacy of support systems at home, and a...
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#1Jennifer Baxter (Australian Institute of Family Studies)H-Index: 18
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#1Anna Gregory (University of Birmingham)H-Index: 1
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#1Karolina Wutke (University of Łódź)H-Index: 1
#2Cindy-Lee Dennis (U of T: University of Toronto)H-Index: 84
Abstract Background The majority of women discontinue breastfeeding before the recommended 6 months postpartum. If health professionals are to improve low breastfeeding duration and exclusivity rates, they need to reliably assess high-risk women and identify predisposing factors that are amenable to intervention. One possible modifiable variable is breastfeeding confidence. The Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) is a 14-item measure designed to assess a mother's confidence in...
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#1Erin K. Murray (Colorado Department of Public Health and Environment)H-Index: 2
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