Volume 27, Number 1 (4-2017)                   J Holist Nurs Midwifery 2017, 27(1): 27-34 | Back to browse issues page



DOI: 10.18869/acadpub.hnmj.27.1.27

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Poorshaban F, Pakseresht S, Bostani Khalesi Z, KazemNejad Leili E. Factors Associated with Breastfeeding Self-Efficacy of Mothers Within 6 Weeks of Delivery  . J Holist Nurs Midwifery. 2017; 27 (1) :27-34
URL: http://hnmj.gums.ac.ir/article-1-835-en.html

Associate Professor Social Determinants of Health Research Center (SDHRC),Department of Midwifery, Associate Professor, Guilan University of Medical Sciences, Rasht, Iran , paksersht@yahoo.com
Abstract:   (1326 Views)

Introduction: Promoting and maintaining breastfeeding is an important part of the healthcare, nutrition and other social measures required to promote proper growth and development of infants, and a major component of primary healthcare. Several factors affect onset and duration of breastfeeding. Self-efficacy is one of those factors that can be modified, buthas been less studied.

Objective:The present study aimed to determine some risk factors associated with breastfeeding self-efficacy of mothers within 6 weeks of delivery.

Materials and Methods:This cross-sectional descriptive-analytical study recruited 767 mothers presenting to Family Health and Research Center in Rasht in 2013, using consecutive sampling (for 6 months).Data was collected using demographic questionnaires and Dennis Breastfeeding Self-EfficacyScale (BSEF).Data was collected in two phases: on the 3rd-5th days and the 6thweek after delivery.The minimum and maximum breastfeeding self-efficacy scores in BSEF are 14 and 70, respectively. If a subject's score is above average, she has high breastfeeding self-efficacy and vice versa.Descriptive statistics (mean, standard deviation) and inferential statistics (chi-square test, Mann-Whitney test, Pearson’s correlation coefficient and multiple regressions) were used to analyze the data.The confidence interval of 95% and asignificance level of P<0.05 were considered.

Results: The results showed that the mean and standard deviation of breastfeeding self-efficacy score were 57.64±9.94 and 62.66±7.57, respectively on the 3rd-5th days and the 6th week after delivery. The group that exclusively breastfed their newborns had higher than average breastfeeding self-efficacy scores compared to other mothers. The multivariate regression model showed that the variables of educational level (secondary schoolP=0.002, B=2.25; and high school diploma, P=0.03, B=1.51), pain (P=0.01, B=1.6), breastfeeding discontinuation because of pain (P=0.02, B=2.67), having a successful breastfeeding experience (P=0.01, B=1.93), and exclusive breastfeeding (P=0.01, B=6.28) had statistically significant relationships with breastfeeding self-efficacy.

Conclusion:According to the results, breastfeeding self-efficacy influenced the status and type of breastfeeding, hence, necessary interventions should be made to remove the barriers toand resolve the problems of mothers for exclusive breastfeeding.

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Type of Study: Research | Subject: Special
Received: 2017/03/11 | Accepted: 2017/03/11 | Published: 2017/03/11

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