Breastfeeding self-efficacy, social support, and breastfeeding among Chinese mothers with late preterm infants

Author(s):  
Jinjin He ◽  
Susanha Yimyam ◽  
Nethong Namprom
2020 ◽  
Author(s):  
Akram Kahforoushan ◽  
Shirin Hasanpour ◽  
Mojgan Mirghafourvand

Abstract BackgroundLate preterm infants suffer from many short-term and long-term problems after birth. The key factor in fighting these problems is effective breastfeeding. The present study aimedto determine the breastfeeding self-efficacy and its relationship with the perceived stress and breastfeeding performance in mothers with late preterm infants. MethodsIn this prospective study, 171 nursing mothers with late preterm infants born in Alzahra Medical Center of Tabriz, Iran, who met the conditions of this study were selected through convenience sampling. The Breastfeeding Self-Efficacy Scale-Short Form (BSES- SF) was employed to measure breastfeeding self-efficacy and 14-item Perceived Stress Scale (PSS14) was used to measure the perceived stress during 24 hours after giving birth and when the child was 4 months old the breastfeeding performance was measured by the standard breastfeeding performance questionnaire. The data were analyzed by Pearson and Spearman’s correlation tests, independent t-test, one-way ANOVA, and Multiple Linear Regression.ResultsThe mean (standard deviation) of breastfeeding self-efficacy equaled 50.0 (7.8) from the scores ranging between13-65 and the mean (standard deviation) of the perceived stress equaled to 26.5 (8.8) from the scores ranging between 0-56. The median (25-75 percentiles) of breastfeeding performance score in the mothers equaled 2.0 (1.0 to 3.0) from the scores ranging between 0-6. On the basis of multiple linear regression and through adjusting the personal-social characteristic, by increasing the score of the breastfeeding self-efficacy, the perceived stress was decreased to a statistically significant amount (B=-0.1, 95%CI=-0.3 to 0.0), however, there was no statistically significant relationship between breastfeeding self-efficacy and breastfeeding performance (p=0.418). ConclusionDue to the modifiable variability of breastfeeding self-efficacy and its role in perceived maternal stress, the development of appropriate strategies to further increase breastfeeding self-efficacy and provide more support to these mothers and infants is of particular importance.


2020 ◽  
pp. 089033442097838
Author(s):  
Kartika Darma Handayani ◽  
Irwanto ◽  
Melinda Masturina ◽  
Risa Etika ◽  
Agus Harianto ◽  
...  

Background More than 550,000 late preterm infants are born each year in Indonesia. These infants, born between 340/7–366/7 weeks, have more complications than term infants. Breastfeeding is considered the most optimal nutrition for newborn infants. Two groups of factors are important for successful breastfeeding: infant and maternal factors. The infant factors can be evaluated using the Infant Breastfeeding Assessment Tool and the maternal aspects with the Breastfeeding Self-Efficacy Scale–Short Form. Aim To determine whether the Infant Breastfeeding Assessment Tool or the Breastfeeding Self-Efficacy Scale–Short Form was more predictive of successful breastfeeding among late preterm infants. Methods This study was conducted in the Academic Teaching Hospital in Surabaya, Indonesia in March–July 2017. Mothers who delivered their infant between a gestational age of 340/7 and 366/7 weeks were included. Results Fifty-four single born participant mother–infant pairs were included. The mean total Breastfeeding Self-Efficacy Scale–Short Form score was 57.8 ( SD = 8.9). The mean Infant Breastfeeding Assessment Tool score was 8.3 ( SD = 1.8). There was a significant correlation between the total Breastfeeding Self-Efficacy Scale–Short Form score and the Infant Breastfeeding Assessment Tool score ( p = .020, r = 0.316). The Breastfeeding Self-Efficacy Scale–Short Form was significantly higher in the participant (mothers) of the infants breastfed ≥ 4 months, compared to < 4 months, 61.59 ( SD = 5.78) versus 51.78 ( SD = 11.64; p = .001). No correlation was found between the duration of breastfeeding and Infant Breastfeeding Assessment Tool score ( p = .087) Conclusion Maternal factors were more important for successful breastfeeding in these late preterm infants than infant factors in our sample.


2018 ◽  
Vol 107 (5) ◽  
pp. 799-805 ◽  
Author(s):  
Emma Gerhardsson ◽  
Ingegerd Hildingsson ◽  
Elisabet Mattsson ◽  
Eva-Lotta Funkquist

2021 ◽  
Vol 17 ◽  
Author(s):  
Akram Kahforoushan ◽  
Shirin Hasanpour ◽  
Mojgan Mirghafourvand

Background: Late preterm infants suffer from several problems after birth, and the key factor in fighting these problems is effective breastfeeding. Objective: To determine breastfeeding self-efficacy and its relationship with perceived stress and assess breastfeeding performance in mothers with late preterm infants Methods: In this prospective study, 171 eligible nursing mothers with late preterm infants born in Alzahra Medical Center of Tabriz, Iran, were selected via convenience sampling. The Breastfeeding Self-Efficacy Scale-Short Form was employed to measure breastfeeding self-efficacy, and the 14-item Perceived Stress Scale was used to measure the perceived stress 24 hours after giving birth. When the child was 4 months old, breastfeeding performance was measured by the Standard Breastfeeding Performance Questionnaire. The data were analyzed by Pearson and Spearman’s correlation tests, independent t-test, one-way ANOVA, and multiple linear regression analysis. Results: The mean (standard deviation) of breastfeeding self-efficacy was 50.0 (7.8) with scores ranging from 13 to 65, and the mean (standard deviation) of perceived stress was 26.5 (8.8) with scores ranging from 0 to 56. The median (25-75 percentiles) of breastfeeding performance score equaled 2.0 (1.0 to 3.0) with scores ranging from 0 to 6. Based on multiple linear regression analysis and after adjusting the personal-social characteristics, by increasing the score of breastfeeding self-efficacy, perceived stress was significantly decreased (B=-0.1, 95%CI=-0.3 to 0.0). However, there was no statistically significant relationship between breastfeeding self-efficacy and breastfeeding performance (p=0.418). Conclusion: Due to the possibility of adjusting breastfeeding self-efficacy and its role in mothers’ perceived stress, developing proper strategies seems to be essential for enhancing breastfeeding self-efficacy.


2020 ◽  
Vol 29 (15-16) ◽  
pp. 2872-2885
Author(s):  
Meredith Brockway ◽  
Karen M. Benzies ◽  
Eloise Carr ◽  
Khalid Aziz

2021 ◽  
Author(s):  
Izumi Sato ◽  
Masumi Imura

Abstract Background: Nutritional support affects the growth and development of late preterm infants (LPIs) and also impacts their health in the long term. Though breastmilk is the first choice as a nutrition source for LPIs, there is no consensus on how to provide supplements when breastmilk is unavailable, as well as the quantity to be provided or nutritional strategies to be followed. LPIs may need to wait for a certain period until breastmilk supply is sufficient. Nurses and midwives play an important role in supporting the promotion of breastmilk secretion in the postnatal period. Therefore, this study aimed to develop an educational program for them and test its efficacy. Methods: In this two-group parallel randomized controlled trial, the data were collected between July and April 2019 from nurses and midwives working in obstetrics facilities who were randomly assigned to either the breastfeeding support for LPIs (BSLPI) program or the non-technical skills (NTS) program. The effects of the intervention were assessed immediately before, after, and one month after the program. Results: There were 36 participants in the BSLPI group and 33 in the NTS group. The BSLPI group had significantly higher self-efficacy for providing breastfeeding support immediately after (mean=55.7, SD=8.0, p=.001) and one month after the intervention (mean=57.3, SD=8.6, p=.001) compared to immediately before the intervention (mean=47.8, SD=10.3). The BSLPI group demonstrated significant improvements in social skills in nursing interactions with mothers immediately after the intervention (BSLPI: mean=80.5, SD=110.9 vs. NTC: mean=75.0, SD=9.7, p=.032) and one month later (BSLPI: mean=82.5, SD=10.1 vs. NTC: mean=75.8, SD=9.4, p=.010), as well as in knowledge and skills necessary for breastfeeding support for LPIs immediately after the intervention (BSLPI: mean=84.5, SD=8.3 vs. NTC: mean=48.7, SD=11.9, p=.001) and one month later (BSLPI: mean=79.3, SD=11.3 vs. NTC: mean=51.3, SD=12.6, p=.001). Conclusions: The BSLPI intervention increased nurses’ and midwives’ sense of self-efficacy for providing breastfeeding support, social skills in nursing interactions with mothers, and knowledge and skills necessary for breastfeeding support for LPIs, suggesting that it provided effective support. This trial was retrospectively registered with the University Hospital Medical Information Network (UMIN; R000040145UMIN000035227).


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