Predictors of breastfeeding self-efficacy in pregnant adolescents

Main Article Content

Funda Ozdemir
Seda Karaçay Yıkar
Evşen Nazik

Abstract

Background
Breastfeeding is critical for infant health and development globally. Current knowledge and attitude of future parents will significantly influence breastfeeding practices. The study was conducted to determine the levels and determinants of breastfeeding self-efficacy among primiparous and secundigravid adolescents.


Methods
A cross-sectional study was performed involving 54 primiparous and secundigravid adolescents in antenatal clinics of hospitals affiliated to the Ministry of Health in Adana, Turkey. They were aged between 16 and 19 years, had a single living fetus, did not have pregnancy complications, were in their third trimester of pregnancy, attended an antenatal clinic, and agreed to participate in the study. Data were collected using a Personal Information Form and the Antenatal Breastfeeding Self-Efficacy Short Form Scale (BSES-SF). Kruskal-Wallis variance analysis, Mann Whitney U and multiple linear regression analysis test were used to analyze the data.


Results
Mean age of the pregnant adolescents was 18.28 ± 0.79 years, and 31.5% had primary education, 96.3% were not working, 55.6% lived in a nuclear family, and 51.9% had not received breastfeeding education. The total BSES-SF mean score was 55.37 ± 12.84. Breastfeeding education has a statistically significant effect on breastfeeding self-efficacy of pregnant adolescents (p<0.05). Regular antenatal care, breastfeeding training status, breastfeeding education source variables and breastfeeding self-efficacy variable of women significantly predicted negatively (p<0.05).


Conclusions
Breastfeeding education source was the most influential predictor variable of BSES. There is a need for nursing initiatives to enhance the adolescents’ antenatal breastfeeding self-efficacy levels.

Article Details

How to Cite
Ozdemir, F., Karaçay Yıkar, S., & Nazik, E. (2022). Predictors of breastfeeding self-efficacy in pregnant adolescents. Universa Medicina, 41(3), 254–262. https://doi.org/10.18051/UnivMed.2022.v41.254-262
Section
Original Articles

References

. World Health Organization. Adolescent health. Geneva: World Health Organization;2022.

United Nations Population Fund (UNFPA). Girlhood not motherhood: preventing adolescent pregnancy. New York: United Nations Population Fund (UNFPA);2015.

Neal S, Matthews Z, Frost M, Fogstad H, Camacho AV, Laski L. Childbearing in adolescents aged 12-15 years in low source countries: a neglected issue. New estimates from demographic and household surveys in 42 countries. Acta Obstet Gynecol Scand 2012;91:1114-8. doi: 10.1111/j.1600-0412.2012.01467.x.

Türkiye Ýstatistik Kurumu (TÜÝK) Doðum Ýstatistikleri;2017.

Taþkýn L. Obstetrics and Women’s Health Nursing. Extended XIII. Ankara: Akademisyen Týp Kitabevi 2016:103-8.

Haas DM, Yang Z, Parker CB, et al. Factors associated with duration of breastfeeding in women giving birth for the first time. BMC Pregnancy Childbirth 2022;22:722. https://doi.org/10.1186/s12884-022-05038-7.

Oberoi S, Kishore K, Rai SK, Patnaik S. Are adolescents ready for future responsibilities? Experience from a cross-sectional study regarding breastfeeding knowledge and attitude. J Family Med Prim Care 2019;8:1621-5. doi: 10.4103/jfmpc.jfmpc_192_19.

Özsoy S. The adolescent mothers about breastfeeding thought and practices. Florance Nightingale Dergisi 2014;22:84-93. DOI: 10.17672/fnhd.07114.

Dennis CL, Faux S. Development and psychometric testing of the Breastfeeding Self-Efficacy Scale. Res Nurs Health 1999;22:399-409. doi: 10.1002/(sici)1098-240x(199910)22:5<399:aid-nur6>3.0.co;2-4.

Yenal K, Alu Tokat M, Durgun Ozan Y, Çeçe Ö, The relation between breastfeeding self-efficacy and breastfeeding success in mothers. Hemþirelikte Eðitim Ve Araþtýrma Dergisi 2013;10:14-9.

Alu Tokat M, Okumu H. Emzirme. Mothers breastfeeding self-efficacy and success: analysis the effect of education based on improving breastfeeding self-efficacy. Hemsýrelýkte Egýtým Ve Arastýrma Dergisi 2013;10:21-9.

Zhu J, Chan WC, Zhou X, Ye B, He HG. Predictors of breastfeeding self-efficacy among Chinese mothers: a cross-sectional questionnaire survey. Midwifery 2014;30:705-11. doi: 10.1016/j.midw.2013.12.008.

Dennis CL, Heaman M, Mossman M. Psychometric testing of the breastfeeding self-efficacy scale-short form among adolescents. J Adolesc Health 2011;49:265-71. doi: 10.1016/j.jadohealth.2010.12.015.

Alus Tokat M, Okumus H, Dennis CL. Translation and psychometric assessment of the breast-feeding self-efficacy scale - short form among pregnant and postnatal women in Turkey. Midwifery 2010; 26:101-8. doi: 10.1016/j.midw.2008.04.002.

Otsuka K, Taguri M, Dennis CL, et al. Effectiveness of a breastfeeding self-efficacy intervention: do hospital practices make a difference? Matern Child Health J 2014;18:296-306. doi: 10.1007/s10995-013-1265-2.

Brandão S, Mendonça D, Dias CC, Pinto TM, Dennis CL, Figueiredo B. The breastfeeding self-efficacy scale-short form: psychometric characteristics in Portuguese pregnant women. Midwifery 2018;66:49-55. doi: 10.1016/j.midw.2018.07.014.

Conde RG, Guimarães CMS, Gomes-Sponholz FA, Oriá MOB, Monteiro JCS. Breastfeeding self-efficacy and length of exclusive breastfeeding among adolescent mothers. Acta Paul Enferm 2017;30:383-9. DOI: 10.1590/1982-0194201700057.

Gerçek E, Sarýkaya Karabudak S, Ardýç Çelik N, Saruhan A. The relationship between breastfeeding self-efficacy and latch scores and affecting factors. J Clin Nurs 2017;26:994-1004. doi: 10.1111/jocn.13423.

Ince T, Aktaþ G, Aktepe N, Aydýn A. Evaluation of the factors affecting mothers’ breastfeeding self-efficacy and breastfeeding success. Ýzmir Dr. Behçet Uz Çocuk Hast Dergisi 2017;7:183-90. DOI: 10.5222/buchd.2017.183.

Akkoyun S, Arslan FT. Ýlk altý ay boyunca emziren annelerin emzirme öz-yeterlilikleri. J Pediatr Res 2016;3:191-5. DO I: 10.4274/jpr.50469.

Aydýn D, Arzu Aba Y. The relationship between mothers’ health literacy levels and their perceptions about breastfeeding self-efficacy. Dokuz Eylül Üniversitesi Hemþirelik Fakültesi Elektronik Dergisi 2019;12:31-9.

Yang X, Gao LL, Ip WY, Sally Chan WC. Predictors of breast feeding self-efficacy in the immediate postpartum period: a cross-sectional study. Midwifery 2016;41:1-8. doi: 10.1016/j.midw.2016. 07.011.

Tucker CM, Wilson EK, Samandari G. Infant feeding experiences among teen mothers in North Carolina: findings from a mixed-methods study. Int Breastfeed J 2011;6:14. doi: 10.1186/1746-4358-6-14.

Wambach KA, Aaronson L, Breedlove G, Domian EW, Rojjanasrirat W, Yeh HW. A randomized controlled trial of breastfeeding support and education for adolescent mothers. West J Nurs Res 2011;33:486-505. doi: 10.1177/0193945910380408.

Mizrak B, Ozerdogan N, Colak E. The effect of antenatal education on breastfeeding self-efficacy: primiparous women in Turkey. Int J Caring Sci 2017;10:503-10.

Karagöz A. The effect of antenatal education on breastfeeding self-sufficiency breastfeeding process. Istanbul Medipol University / Institute of Health Sciences / Department of Nursing; 2018.

Chan MY, Ip WY, Choi KC. The effect of a self-efficacy-based educational programme on maternal breast feeding self-efficacy, breast feeding duration and exclusive breast feeding rates: a longitudinal study. Midwifery 2016;36:92-8. doi: 10.1016/j.midw.2016.03.003.

Liu L, Zhu J, Yang J, Wu M, Ye B. The effect of a perinatal breastfeeding support program on breastfeeding outcomes in primiparous mothers. West J Nurs Res 2017;39:906-23. doi: 10.1177/0193945916670645.