Breastfeeding self-efficacy and related factors during early postpartum period

Main Article Content

Şenay Topuz
Nuriye BÜYÜKKAYACI DUMAN
Gulzade UYSAL
Dilek Öcalan

Abstract

BACKGROUND
Breastfeeding self-efficacy (BSE) could be an indicator of the performance of mothers in breastfeeding during the immediate postpartum time period. The factor most affecting the duration and success of breastfeeding is the self-efficacy perception of the mothers. This study was carried out to determine the BSE and the factors related to it in the early postpartum period.


METHODS
A cross-sectional study was performed involving 264 mothers. Data were collected by using a questionnaire and the BSE scale (BSES). The questionnaire consisted of questions regarding descriptive characteristics (age, educational status, family type, income level, etc.) and obstetric characteristics regarding pregnancy, delivery and breastfeeding status (number of pregnancies, number of births, type of delivery, planned and desired pregnancy, birth weight, first breast-feeding time after birth, etc.). Simple and multiple linear regression were performed to examine factors related to BSE.


RESULTS
The mean BSE score of the mothers participating in the study was 65.20 ± 9.3. Simple and multiple linear regression models indicated that significant determinants of BSE score include having nuclear family type, having social security, a greater number of pregnancies, a greater number of births, the status of antenatal visits in pregnancy, the status of getting information about breastfeeding, and short first breastfeeding time. Getting information about breastfeeding was the most influential factor of BSE (Beta=3.432; 95% CI : 32.771-51.626; p=0.000).


CONCLUSIONS
In this study, getting information about breastfeeding was the most influential factor of BSE in the early postpartum period. A woman's level of breastfeeding self-efficacy should be determined during the early postpartum period.

Article Details

How to Cite
Topuz, Şenay, DUMAN, N. B., UYSAL, G. ., & Öcalan, D. (2021). Breastfeeding self-efficacy and related factors during early postpartum period. Universa Medicina, 40(3), 216–225. https://doi.org/10.18051/UnivMed.2021.v40.216-225
Section
Original Articles

References

World Health Organization. World Health Organization Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. Geneva: World Health Organization; 2017.

Arts M, Taqi I, Begin F. Improving the early initiation of breastfeeding: the WHO-UNICEF Breastfeeding Advocacy Initiative. Breastfeed Med 2017;12:326-7. doi: 10.1089/bfm.2017.0047.

Hacettepe Universitesi Nufus Etutleri Enstitusu (HUNEE), TC Kalkynma Bakanlydy, Tübitak. 2018 Turkiye Nufus ve Sadlyk Arastyrmasy. Hacettepe Universitesi Nufus Etütleri Enstitusu, Ankara; 2018.

De Roza JG, Fong MK, Ang BL, Sadon RB, Koh EYL, Teo SSH. Exclusive breastfeeding, breastfeeding self-efficacy and perception of milk supply among mothers in Singapore: a longitudinal study. Midwifery 2019;79:102532. doi: 10.1016/j.midw.2019.102532.

Efrat MW. Breastfeeding self-efficacy and level of acculturation among low-income pregnant latinas. Int J Child Health Nutrition 2018;7:169-74. doi:10.6000/1929-4247.2018.07.04.6.

Joshi A, Amadi C, Meza J, Aguire T, Wilhelm S. Evaluation of a computer-based bilingual breastfeeding educational program on breastfeeding knowledge, self-efficacy and intent to breastfeed among rural Hispanic women. Int J Med Inform 2016;91:10-9. doi: 10.1016/j.ijmedinf.2016.04.001.

Dennis CL. Theoretical underpinnings of breastfeeding confidence: a self-efficacy framework. J Hum Lact 1999;15:195–01. doi:10.1177/089033449901500303.

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.

Faridvand F, Mirghafourvand M, Malakouti J, Mohammad-Alizadeh-Charandabi S. Relationship between social support and breastfeeding self-efficacy among women in Tabriz, Iran. Br J Midwifery 2017;25:104-9. doi: 10.12968/bjom.2017.25.2.103.

Kitano N, Nomura K, Kido M, et al. Combined effects of maternal age and parity on successful initiation of exclusive breastfeeding. Prev Med Rep 2015:121-6. doi: 10.1016/j.pmedr.2015.12.010.

Thet MM, Khaing EE, Diamond-Smith N, Sudhinaraset M, Oo S, Aung T. Barriers to exclusive breastfeeding in the Ayeyarwaddy region in Myanmar: qualitative findings from mothers, grandmothers, and husbands. Appetite 2016;96:62-9. doi: 10.1016/j.appet.2015.08.044.

Topal S, Yuvacy HU, Erkorkmaz U, Cynar N, Altýnkaynak S. The determination of infant feeding attitudes among Turkish mothers using the Iowa infant feeding attitude. Scale J Pak Med Assoc 2017;67:1567-73.

Dodt RCM, Ximenes LB, Almeida PC, Oria MOB, Dennis CL. Psychometric and maternal sociodemographic assessment of the breastfeeding self-efficacy scale-short form in a brazilian sample. J Nurs Educ Pract 2012;3:66-73. doi: 10.5430/jnep.v2n3p6.

Glassman ME, McKearney K, Saslaw M, Sirota DR. Impact of breastfeeding self-efficacy and sociocultural factors on early breastfeeding in an urban, predominantly Dominican community. Breastfeed Med 2014;9:301-7. doi: 10.1089/bfm.2014.0015.

Yang X, Gao LL, Ip WY, Chan WCS. 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.

Zhu J, Chan WCS, Zhou X, Ye B, He HG. Predictors of breast feeding self-efficacy among Chinese mothers: a cross-sectional questionnaire survey. Midwifery 2014;30:705-11. doi: 10.1016/j.midw.2016.07.011.

Cantürk D, Kostak MA. First breastfeeding behaviors, breastfeeding self-efficacy levels and influencing factors of mothers who had vaginal delivery and cesarean section. Mersin Universitesi Sadlyk Bilimleri Dergisi 2020;13:382-94. doi: 10.26559/mersinsbd.718662.

Akkoyun S, Arslan FA. Breastfeeding self-efficacy of breastfeeding mothers during the first six months. J Pediatr Res 2016;3:191-5. doi:10.4274/jpr.50469.

Yol E, Tezel A. Evaluation of breastfeeding self-efficacy and breastfeeding success of mothers whose babies were diagnosed with indirect hyperbilirubinemia. Yuksek lisans Tezi. Ankara (Turkey): Ankara Üniversitesi Sadlyk Bilimleri Enstitusu; 2017.

Fata S, Ustun Atan S. The effect of maternal fatigue on breastfeeding self-efficacy in the postpartum period. Yuksek Lisans Tezi. Izmir (Turkey): Ege Universitesi Sadlyk Bilimleri Enstitusu; 2014.

Uludad E. The effect of spousal support on breastfeeding self-efficacy in the postpartum period. Yüksek lisans Tezi. Erzurum (Turkey): Atatürk Universitesi Sadlyk Bilimleri Enstitusu; 2017.

Comert AG, Ege E. Determination of breastfeeding self-efficacy and associated factors in the postpartum period. Yuksek lisans tezi. Konya (Turkey): Selcuk Universitesi Sadlyk Bilimleri Enstitusu; 2011.

Bolat E, Bestas A, Bayar MK, Ozcan S, Erhan OL, Ustundag B. Evaluation of levobupivacaine passage to breast milk following epidural anesthesia for cesarean delivery. Int J Obstet Anesth 2014;23:217-21. doi: 10.1016/j.ijoa.2014.03.005.

Kucukodlu S, Celebiodlu A, Coskun D. Determination of postpartum depression symptoms and breastfeeding self-efficacy levels of mothers whose babies were hospitalized in the neonatal clinic. Gumushane Universitesi Sadlyk Bilimleri Dergisi 2014;3:921-32.

Gokbulut N. The effect of women’s satisfaction with birth on breastfeeding self-efficacy. Yuksek lisans tezi, Okan Universitesi Sadlyk Bilimleri Enstitusu, Istanbul, 2015.

Koskinen KS, Aho AL, Hannula L, Kaunonen M. Maternity hospital practices and breastfeeding self-efficacy in Finnish primiparous and multi-parous women during the immediate post-partum period. Midwifery 2014;30:464-70. doi:10.1016/j.midw.2013.05.003.

Schafer R, Genna CW. Physiologic breastfeeding: a contemporary approach to breastfeeding initiation. J Midwifery Womens Health 2015;60: 546-53. doi:10.1111/jmwh.12319.

Alus Tokat M, Sercekus P, Yenal K, Okumuþ H. Early postpartum breastfeeding outcomes and breastfeeding self efficacy in turkish mothers undergoing vaginal birth or cesarean birth with different types of anesthesia. Int J Nurs Knowl 2015;26:73-9. doi: 10.1111/2047-3095.12037.

Konukodlu T, Pasinliodlu T. Determination of breastfeeding self-efficacy and influencing factors in pregnant women. J Midwifery Health Sci 2021;4:12-22.

Eksioglu AB, Ceber E. Translation and validation of the breast-feeding self-efficacy scale into Turkish. Midwifery 2011;27:e246-e53. doi:10.1016/j.midw.2010.10.009.

Kucukodlu S, Celebiodlu A. Updating breastfeeding self-efficacy level and breastfeeding success of mothers of sick newborns. Erciyes Universitesi Sadlyk Bilimleri Fakültesi Dergisi 2014;2:1-11.

Yenal K, Tokat MA, Ozan YD, Cece O, Abalyn FB. Investigation of the relationship between mothers’ perceptions of breastfeeding self-efficacy and breastfeeding success. Hemþirelikte Eðitim ve Araþtýrma Dergisi 2013;10:14-19.

Gerçek E, Sarykaya Karabudak S, Ardyc Celik 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.

Ynce T, Aktas G, Aktape N, Aydyn A. Evaluation of mothers’ breastfeeding self-efficacy and characteristics affecting breastfeeding success. J Dr. Behcet Uz Children’s Hospital 2017;7:183-90. doi: 10.5222/buchd.2017.183.

Ross-Cowdery M, Lewis CA, Papic M, Corbelli J, Schwarz EB. Counseling about the maternal health benefits of breastfeeding and mothers’ intentions to breastfeed. Matern Child Health J 2017;21:234-41. doi: 10.1007/s10995-016-2130-x.

McCoy MB, Geppert J, Dech L, Richardson M. Associations between peer counseling and breastfeeding initiation and duration: an analysis of Minnesota participants in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Mater Child Health J 2018;22:71-81. doi: 10.1007/s10995-017-2356-2.

Yýlmaz M, Ongan D, Kaya NY, et al. The effect of breastfeeding education given during pregnancy on breastfeeding and breastfeeding behaviors. Beslenme ve Diyet Dergisi 2012;40:2-11.

Muelbert M, Giugliani ER. Factors associated with the maintenance of breastfeeding for 6, 12, and 24 months in adolescent mothers. BMC Public Health 2018;18:675. doi: 10.1186/s12889-018-5585-4.

Jamie K, O’Neill R, Bows H, Hackshaw-McGeagh L. Healthcare practitioner relationships, cultural health capital and breastfeeding support for adolescent mothers. Health Education J 2020;79:901–13. doi: 10.1177/001789692091594.

Sun K, Chen M, Yin Y, Wu L, Gao L. Why Chinese mothers stop breastfeeding: Mothers’ self-reported reasons for stopping during the first six months. J Child Health Care 2017;21:353-63. Doi: 10.1542/peds.2008-1315i.

Hamid SBA, Zaidi NM. Predictors of prenatal breastfeeding self-efficacy in Malaysian women: a cross-sectional study. J Gizi Pangan 2020;15:53-62. Doi: 10.25182/jgp.2020.15.1.53-62.

Ogbo FA, Ezeh OK, Khanlari S, et al. Determinants of exclusive breastfeeding cessation in the early postnatal period among culturally and linguistically diverse (CALD). Nutrients 2019;11:1611. doi: 10.3390/nu11071611.

McKinney ES, James SR, Murray SS, Nelson K, Ashwill J, editors. Maternal child nursing. 5th ed. Elsevier Inc; 2018.

Mirghafourvand M, Kamalifard M, Ranjbar F, Gordani N. Relationship of breastfeeding self-efficacy with quality of life in Iranian breastfeeding mothers. J Mater Fetal Neonat Med 2018;31:2721-8. doi: 10.1080/14767058.2017.1354368.

Erbaydar NP, Erbaydar T. Relationship between caesarean section and breastfeeding: evidence from the 2013 Turkey demographic and health survey. BMC Pregnancy Childbirth 2020;20:55. doi: 10.1186/s12884-020-2732-6.

Parker MG, Melvin P, Graham DA, et al. Timing of first milk expression to maximize breastfeeding continuation among mothers of very low-birth-weight infants. Obstet Gynecol 2019;133:1208-15. doi: 10.1097/AOG.0000000000003258.

Mohammadi F, Kiani A, Gholamzadeh S, Asadi Noghabi F, Sadeghi T. The factors affecting successful breast-feeding. Iranian J Neonatol 2018;9:73-82. Doi: 10.22038/IJN.2018.24904.1322.