Effect of maternal confidence on breastfeeding duration: an application of breastfeeding self-efficacy theory.

Published on Dec 1, 2002in Birth-issues in Perinatal Care3.689
· DOI :10.1046/J.1523-536X.2002.00202.X
Rosemary Blyth3
Estimated H-index: 3
(Royal Women's Hospital),
Debra Creedy61
Estimated H-index: 61
+ 3 AuthorsSusan M. De Vries3
Estimated H-index: 3
Sources
Abstract
ABSTRACT: Background: Although much research has focused on identifying factors that influence breastfeeding initiation and duration, many high-risk factors are nonmodifiable demographic variables. Predisposing factors for low breastfeeding duration rates that are amenable to supportive interventions should be identified. The purpose of this study was to assess the effect of maternal confidence (breastfeeding self-efficacy) on breastfeeding duration. Method: A prospective survey was conducted with 300 women in the last trimester of pregnancy recruited from the antenatal clinic of a large metropolitan hospital in Brisbane, Australia. Telephone interviews were conducted at 1week and 4 months postpartum to assess infant feeding methods and breastfeeding confidence using the Breastfeeding Self-Efficacy Scale. Results: Although 92 percent of participants initiated breastfeeding, by 4 months postpartum almost 40 percent of mothers discontinued and only 28.6 percent were breastfeeding exclusively; the most common reason for discontinuation was insufficient milk supply. Antenatal and 1-week Breastfeeding Self-Efficacy Scale scores were significantly related to breastfeeding outcomes at 1 week and 4 months. Mothers with high breastfeeding self-efficacy were significantly more likely to be breastfeeding, and doing so exclusively, at 1 week and 4 months postpartum than mothers with low breastfeeding self-efficacy. Conclusions: Maternal breastfeeding self-efficacy is a significant predictor of breastfeeding duration and level. Integrating self-efficacy enhancing strategies may improve the quality of care that health care professionals deliver and may increase a new mother's confidence in her ability to breastfeed, and to persevere if she does encounter difficulties. (BIRTH 29:4 December 2002)
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ABSTRACT: Background: Several studies have demonstrated the positive effects of peer support on various breastfeeding outcomes, but no study has assessed women's and peer volunteers’ views on, or the nature and intensity of, the supportive intervention. The objective of this study was to describe maternal and peer volunteer perceptions of their experience while participating in a breastfeeding peer support trial. Methods: A randomized controlled trial was conducted to evaluate the effect of tele...
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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 MEDLINE, 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 ar...
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#1Jane A. Scott (Glas.: University of Glasgow)H-Index: 48
#2M. C. G. Landers (Glas.: University of Glasgow)H-Index: 1
Last. Colin W. Binns (Glas.: University of Glasgow)H-Index: 72
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Objective: To identify determinants of the initiation and duration of breastfeeding amongst Australian women. Methods: A prospective cohort study of 556 women in Perth, Western Australia and 503 women from the Darling Downs area, Queensland, Australia. Results: Breastfeeding at discharge was most strongly associated with perceived paternal support of breastfeeding with an adjusted odds ratio of 9.13 (95% CI 4.83–17.26), using multivariate logistic regression analysis. Duration of breastfeeding w...
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SUMMARY Breastfeeding provides ideal nutrition, growth hormones, and antibodiesthat change over time as growing infants' and children's needs change andprovides these inexpensively, with no harmto the environment. Breastfed infantsare healthier than other infants overall, and research indicates that the healthbenefits may continue on into adulthood.v" Increasingly, women are choosingto initiate breastfeeding in the hospital, but the attrition starts early and isdramatic. For women to meet their ...
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#1Ilgi Ozturk Ertem (Ankara University)H-Index: 15
#2Nancy VottoH-Index: 3
Last. John M. LeventhalH-Index: 59
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#1S. M. ChanH-Index: 2
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Last. C. Y. LiH-Index: 12
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#1T A Papinczak (QUT: Queensland University of Technology)H-Index: 1
#2C T TurnerH-Index: 1
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#2Catherine Williams (St Martin's College)H-Index: 5
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#1Cindy-Lee Dennis (U of T: University of Toronto)H-Index: 84
#2Sandra A. Faux (Rush University)H-Index: 2
Many new mothers discontinue breastfeeding prematurely. Researchers have shown that maternal confidence is an important factor in the continuation of breastfeeding. The purpose of this methodological study was to develop and conduct preliminary psychometric assessment of an instrument to measure confidence in new breastfeeding mothers. Using self-efficacy theo- ry as a conceptual framework, the Breastfeeding Self-Efficacy Scale (BSES) was developed and content validity was judged by a panel of e...
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#1Cindy-Lee Dennis (U of T: University of Toronto)H-Index: 84
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Breastfeeding brings benefits for newborns and parents, but can be a challenging process. In this paper, we leverage a mixed-methods approach that builds on the Integrated Behavioural Model (IBM) to explore parents’ perspectives toward breastfeeding along with their lived experiences, and examine the role of technology in this setting. Results of twelve semi-structured interviews and 175 online survey responses suggest generally positive attitudes toward breastfeeding and good theoretical knowle...
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