The Impact of Antenatal Breastfeeding Education on Young Women’s Breastfeeding Self-efficacy and Breastfeeding Rates

Young Mothers ◽

Antenatal Education ◽

Breastfeeding Education ◽

Breastfeeding Rates ◽

Background: Despite the known benefits of breastfeeding to the mother, baby and society as a whole, young women’s breastfeeding rates are generally poor compared to older mothers. Effective antenatal education has been identified as one way to improve these rates. Whether or not antenatal breastfeeding education for young women can make a significant impact on their breastfeeding success is of paramount concern in this research. An important and modifiable variable, identified in the literature as influencing breastfeeding outcomes, is self-efficacy (confidence in ability to breastfeed). This breastfeeding self-efficacy in young mothers is of great interest due to this group and their infants being vulnerable in terms of breastfeeding initiation and continuation. Aim: This study aimed to identify the effects of antenatal breastfeeding education on the self-efficacy, experience and duration of breastfeeding for young women. It also aimed to replicate aspects of prior research in this area conducted overseas to see if those findings could be generalized to a New Zealand setting. Method: A repeated measure design using an existing validated tool was utilised to quantify breastfeeding self-efficacy, prior to and following, an antenatal breastfeeding education session for young pregnant women aged less than 25 years old. Findings: Breastfeeding antenatal education improved breastfeeding self-efficacy scores in urban young women less than 25 years of age. The Breastfeeding Self-efficacy Scale (short form), was found to be a reliable tool to test this. Whilst initiation rates were high in this group, there was no statistically significant link with breastfeeding self-efficacy and the duration and continuation of breastfeeding. Conclusion: Whilst breastfeeding antenatal education was shown to increase breastfeeding self-efficacy, there are many confounding factors influencing breastfeeding initiation and continuation for young women. The findings have contributed to the knowledge about breastfeeding patterns of young New Zealand women. It may be that despite international findings, an increased breastfeeding self-efficacy in this setting doesn’t impact on the rates of breastfeeding of urban New Zealand young mothers. Further research with an increased sample size and comparison groups is warranted.

A psychosocial model of sun protection and sunbathing in young women: The impact of health beliefs, attitudes, norms, and self-efficacy for sun protection.

Health Psychology ◽

10.1037/0278-6133.19.5.469 ◽

2000 ◽

Vol 19 (5) ◽

pp. 469-478 ◽

Cited By ~ 147

Author(s):

Kristina M. Jackson ◽

Leona S. Aiken

Keyword(s):

Health Beliefs ◽

Young Women ◽

Self Efficacy ◽

Sun Protection ◽

Psychosocial Model ◽

Pengaruh Thinking Style Tipe II terhadap Efikasi Diri Keputusan Karier yang Dimediasi oleh Planned Happenstance Skills pada Remaja

Provitae: Jurnal Psikologi Pendidikan ◽

10.24912/provitae.v12i2.6258 ◽

2019 ◽

Vol 12 (2) ◽

Author(s):

Rosliyanti Sofyan ◽

Wahyu Indianti

Keyword(s):

Quantitative Study ◽

Self Efficacy ◽

Short Form ◽

Career Decision ◽

Type Ii ◽

Thinking Style ◽

Planned Happenstance ◽

The Impact ◽

Good Career

The aim of this study is to examine the impact of type II thinking style on career decision self-efficacy through planned happenstance skills through mediation of planned happenstance skills in adolescence. There was 720 students from three excellence schools who were participated in this quantitative study. The data were collected by using three scales: Career Decision Self-Efficacy Scale-Short Form, Thinking Style Inventory – Revised II, and Planned Happenstance Career Inventory, that have been adapted to Indonesian version by the researcher and previous researchers. The researchers were used macro PROCESS to analyzed the data. The result showed type II thinking style can affect career decision self-efficacy partially ( c = .3280, p = .0000; c’ = .1917, p = .0000). Based on the result of this study, we concluded when adolescents have good quality of planned happenstance skills, it can help adolescence who have type II thinking style have a good career decision self-efficacy.

Exploring Higher Rates of Breastfeeding Among Civilian Military Wives: A Mixed Methods Study

10.21203/rs.3.rs-365583/v1 ◽

2021 ◽

Author(s):

Nicole Ringo ◽

Sheila M. Gephart

Keyword(s):

United States ◽

Mixed Methods ◽

Self Efficacy ◽

Short Form ◽

The United States ◽

Economic Benefits ◽

Military Wives ◽

Mixed Methods Design ◽

The Military

Abstract Background: As compared to the United States general postpartum population, civilian military wives encounter unique challenges that can impede their ability to breastfeed, including geographic replacement and physical and emotional challenges. Yet despite these challenges, civilian military wives demonstrate higher rates of breastfeeding initiation and duration in the United States postpartum population as a whole. The purpose of this study was to explore factors contributing to the high rate of breastfeeding initiation and duration among civilian military wives and to determine what might be learned from these factors for intervention design for the broader population of postpartum mothers. Methods: The sample consisted of 28 civilian military wives whose ages ranged from 18-45. The study was conducted online using a concurrent mixed-methods design. Results: Seven main themes with 16 subthemes emerged from the descriptions of the semi-structured interviews. The results of the Breastfeeding Self-Efficacy Scale-Short Form score was 55.2 (SD = 5.73). The results of the integrative analysis revealed that factors within the military environment influence a sense of community, thus supporting their breastfeeding self-efficacy (BSE). Additionally, supportive and pro-breastfeeding healthcare facilitators (especially lactation consultants) throughout the prenatal, intrapartum, and postpartum periods described by civilian military wives were associated with high levels of breastfeeding self-efficacy among civilian military wives. Moreover, high levels of breastfeeding self-efficacy related to breastfeeding skills and duration were associated with the accessibility of resources within the military environment, breastfeeding health and economic benefits, and setting of a breastfeeding goal. Conclusions: Using a concurrent mixed-methods design, this study identified facilitators from the descriptions of civilian military wives that they believed promote their higher rates of breastfeeding initiation and continuation, quantified their high level of breastfeeding self-efficacy, and identified descriptive factors that contributed to both areas lacking in the literature among this population.

Reinventing the Squeal: Young New Zealand Women Negotiating Space in the Current Sexual Culture

10.26686/wgtn.16999864.v1 ◽

2021 ◽

Author(s):

◽

Lesley Wright

Keyword(s):

New Zealand ◽

Young Women ◽

Public Discourse ◽

Instant Messaging ◽

Sexual Experience ◽

Casual Sex ◽

Adult Women ◽

Sexual Culture ◽

Wide Range ◽

The sexual behaviour of young emergent adult women in New Zealand has become a target of media attention and commentary. Moralising language is prevalent in the public discourse, describing young women negatively with respect to character and psychology. Research investigating the increase of cultural artefacts such as hooking up or casual sex is often risk-focused, concentrating predominantly on detrimental impacts such as STIs, rape-risks, and depression. Some feminist analyses describe behaviour as postfeminist or as examples of false consciousness. Despite these positions, young New Zealand women are engaging in these and other non-relationship sexual activities in growing numbers, suggesting that current approaches are failing to capture salient explanatory information. Due to the negative impacts of social constraints such as the sexual double standard, traditional femininity and moralising social commentary on young women it is important to present a more holistic image of their behaviour so as to provide a deeper explanatory view which better accounts for young women’s experiences and motivations. In this study I utilise a mixed method research design to access a wide range of participants on a sensitive research topic. A self-selecting sample of 163 young women aged between 18 and 30, recruited from various university campuses around New Zealand, completed an online survey. From this group 18 heterosexually-identifying young women were selected to participate in instant messaging, email and face to face interviews, and an online discussion group. To analyse the material they provided I use a Third Wave feminist theoretical lens in order to give primacy not only to their voices but also their claims to agency and the importance of subjective positionality. I use Sexual Script Theory as a framework to illuminate the impact of cultural dialogues on individuals, and space was conceptualised as a way to illustrate performances and agency. Results suggest that young New Zealand women are strongly affected by risk-focused and moralising dialogues to the effect that they have internalised a risk-focused cultural script that guides their sexual interactions and behaviours within socio-sexual culture in constrained and avoidant ways. Other performed scripts such as ‘good girl’ femininity, traditional masculinity, and the normative performance of heterosex also presented as barriers to subjective sexual experience/development. However, many young women in this study were resistant to some of these scripts, as evidenced in their attempts to occupy traditionally masculine and/or social spaces where non-normative behaviours are (partially) permitted. Their behaviour suggests critical engagement with their socio-sexual environment and some awareness of script elements that dictate acceptable feminine behaviour, and how these constraints can be (at least temporarily) resisted as a means to not only developing sexual subjectivity but also to refashioning modern femininity.

Evaluation of the impact of breastfeeding support groups in primary health centres in Andalusia, Spain: a study protocol for a cluster randomized controlled trial (GALMA project)

BMC Public Health ◽

10.1186/s12889-020-09244-w ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Isabel Rodríguez-Gallego ◽

Fatima Leon-Larios ◽

Cecilia Ruiz-Ferrón ◽

Maria-de-las-Mercedes Lomas-Campos

Keyword(s):

Support Groups ◽

Exclusive Breastfeeding ◽

Intervention Group ◽

World Health ◽

Control Group ◽

Primary Health ◽

Breastfeeding Rate ◽

Breastfeeding Rates ◽

Abstract Background In 2003, the World Health Organization recommended exclusive breastfeeding (EB) during the newborn’s first 6 months of life and, if possible, during the first 2 years. However, EB rates resist these recommendations. In developed countries, only 1 out of 3 babies is breastfed during its first 6 months of life, and great differences between areas and countries can be observed. Only 35% of the newborns receive breastfeeding at 3–4 months of age. There are diverse strategies described in the literature that have proven their efficiency in improving breastfeeding rates. It has also been proven that professional support is an effective tool to extend any kind of breastfeeding; besides, it has been observed that mother-to-mother support also increases breastfeeding initiation, sustainment, and exclusive duration. The overall aim of the study is to assess the impact of the support groups on the sustainment of exclusive breastfeeding until 6 months after birth. Methods/design This study is a cluster-random multicentric clinical trial with a control group and an intervention group, without blinding because it is impossible to mask the intervention. A randomization by centres of primary health (clusters) will be carried out. The women allocated to the intervention or control group will be randomized with a simple randomization sampling. The participants’ breastfeeding rate will be followed up at the first 10 days, and at 2, 4, and 6 months of their newborn’s life. Discussion There is a need to assess the impact of mother support groups on exclusive breastfeeding. This study aims to analyse the outcomes related to the support received and to identify what should the structure of these groups be; in other words, to describe factors related to a better breastfeeding experience in order to help women increase breastfeeding rates. Trial registration The trial is prospectively recorded at the ISRCTN registry (Trial ID: ISRCTN17263529). Date recorded: 17/06/2020.

The Impact of a Prenatal Education Video on Rates of Breastfeeding Initiation and Exclusivity during the Newborn Hospital Stay in a Low-income Population

Journal of Human Lactation ◽

10.1177/0890334415599402 ◽

2015 ◽

Vol 32 (1) ◽

pp. 152-159 ◽

Cited By ~ 16

Author(s):

Ann L. Kellams ◽

Kelly K. Gurka ◽

Paige P. Hornsby ◽

Emily Drake ◽

Mark Riffon ◽

...

Keyword(s):

Hospital Stay ◽

Low Income ◽

Low Cost ◽

Educational Interventions ◽

Prenatal Education ◽

Low Income Population ◽

Breastfeeding Rates ◽

Low Income Women ◽

Background: Guidelines recommend prenatal education to improve breastfeeding rates; however, effective educational interventions targeted at low-income, minority populations are needed as they remain less likely to breastfeed. Objective: To determine whether a low-cost prenatal education video improves hospital rates of breastfeeding initiation and exclusivity in a low-income population. Methods: A total of 522 low-income women were randomized during a prenatal care visit occurring in the third trimester to view an educational video on either breastfeeding or prenatal nutrition and exercise. Using multivariable analyses, breastfeeding initiation rates and exclusivity during the hospital stay were compared. Results: Exposure to the intervention did not affect breastfeeding initiation rates or duration during the hospital stay. The lack of an effect on breastfeeding initiation persisted even after controlling for partner, parent, or other living at home and infant complications (adjusted odds ratio [OR] = 1.05, 95% CI, 0.70-1.56). In addition, breastfeeding exclusivity rates during the hospital stay did not differ between the groups ( P = .87). Conclusion: This study suggests that an educational breastfeeding video alone is ineffective in improving the hospital breastfeeding practices of low-income women. Increasing breastfeeding rates in this at-risk population likely requires a multipronged effort begun early in pregnancy or preconception.

Integrating human‐centred design into the development of an intervention to improve the mental wellbeing of young women in the perinatal period: the Catalyst project

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-03675-y ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Tatiana Taylor Salisbury ◽

Katie H Atmore ◽

Inocencia Nhambongo ◽

Muanacha Mintade ◽

Luciana Massinga ◽

...

Keyword(s):

Mental Health ◽

Young Women ◽

Service Providers ◽

Maternal Mental Health ◽

Community Support ◽

Mental Wellbeing ◽

Young Mothers ◽

Delivery Strategy ◽

The Impact ◽

Human Centred Design

Abstract Background Mental wellbeing during pregnancy and the year after birth is critical to a range of maternal and infant outcomes. Many mental health interventions fail to incorporate stakeholder perspectives. The Catalyst Project aimed to work with key stakeholders in Mozambique to develop interventions and delivery strategies which were in-line with existing evidence and the needs, goals, and priorities of those both directly and indirectly involved in its success. Methods A qualitative, human-centred design approach was utilised. Focus-group discussions, individual interviews, and observations with young women (aged 16–24 years), their families, community leaders, service providers and government were used to better understand the needs, priorities and challenges to mental wellbeing of young women. These findings were triangulated with the literature to determine priority challenges to be addressed by an intervention. Stakeholder workshops were held to identify potential solutions and co-develop an intervention and delivery strategy. Results The 65 participants comprised 23 young pregnant women or new mothers, 12 family members, 19 service providers and 11 staff from the Ministry of Health. Participants highlighted significant uncertainty related to living situations, financial status, education, social support, and limited knowledge of what to expect of the impact of pregnancy and parenting. Family and community support were identified as an important need among this group. The Mama Felíz (Happy Mama) programme was developed with stakeholders as a course to strengthen pregnancy, childbirth and child development knowledge, and build positive relationships, problem-solving and parenting skills. In addition, family sessions address wider cultural and gender issues which impact adolescent maternal wellbeing. Conclusions We have developed an intervention to reduce the risk of poor maternal mental health and gives young mothers hope and skills to make a better life for them and their children by packaging information about the risk and protective factors for maternal mental disorders in a way that appeals to them, their families and service providers. By using human-centred design to understand the needs and priorities of young mothers and the health and community systems in which they live, the resulting intervention and delivery strategy is one that stakeholders view as appropriate and acceptable.

Reinventing the Squeal: Young New Zealand Women Negotiating Space in the Current Sexual Culture

10.26686/wgtn.16999864 ◽

2021 ◽

Author(s):

◽

Lesley Wright

Keyword(s):

New Zealand ◽

Young Women ◽

Public Discourse ◽

Instant Messaging ◽

Sexual Experience ◽

Casual Sex ◽

Adult Women ◽

Sexual Culture ◽

Wide Range ◽

The sexual behaviour of young emergent adult women in New Zealand has become a target of media attention and commentary. Moralising language is prevalent in the public discourse, describing young women negatively with respect to character and psychology. Research investigating the increase of cultural artefacts such as hooking up or casual sex is often risk-focused, concentrating predominantly on detrimental impacts such as STIs, rape-risks, and depression. Some feminist analyses describe behaviour as postfeminist or as examples of false consciousness. Despite these positions, young New Zealand women are engaging in these and other non-relationship sexual activities in growing numbers, suggesting that current approaches are failing to capture salient explanatory information. Due to the negative impacts of social constraints such as the sexual double standard, traditional femininity and moralising social commentary on young women it is important to present a more holistic image of their behaviour so as to provide a deeper explanatory view which better accounts for young women’s experiences and motivations. In this study I utilise a mixed method research design to access a wide range of participants on a sensitive research topic. A self-selecting sample of 163 young women aged between 18 and 30, recruited from various university campuses around New Zealand, completed an online survey. From this group 18 heterosexually-identifying young women were selected to participate in instant messaging, email and face to face interviews, and an online discussion group. To analyse the material they provided I use a Third Wave feminist theoretical lens in order to give primacy not only to their voices but also their claims to agency and the importance of subjective positionality. I use Sexual Script Theory as a framework to illuminate the impact of cultural dialogues on individuals, and space was conceptualised as a way to illustrate performances and agency. Results suggest that young New Zealand women are strongly affected by risk-focused and moralising dialogues to the effect that they have internalised a risk-focused cultural script that guides their sexual interactions and behaviours within socio-sexual culture in constrained and avoidant ways. Other performed scripts such as ‘good girl’ femininity, traditional masculinity, and the normative performance of heterosex also presented as barriers to subjective sexual experience/development. However, many young women in this study were resistant to some of these scripts, as evidenced in their attempts to occupy traditionally masculine and/or social spaces where non-normative behaviours are (partially) permitted. Their behaviour suggests critical engagement with their socio-sexual environment and some awareness of script elements that dictate acceptable feminine behaviour, and how these constraints can be (at least temporarily) resisted as a means to not only developing sexual subjectivity but also to refashioning modern femininity.

Writing/Righting Menstruation: a Feminist Analysis of New Zealand Women's Knowledge of the Menstrual Cycle

10.26686/wgtn.17012762.v1 ◽

2021 ◽

Author(s):

◽

Vicki Marie Culling

Keyword(s):

New Zealand ◽

Menstrual Cycle ◽

Young Women ◽

Cultural Context ◽

Cultural Practices ◽

Historical Context ◽

Discursive Practices ◽

Menstrual Knowledge ◽

Initial Objective ◽

This thesis investigates New Zealand women's menstrual knowledge within a cultural, social and historical context. An analysis or dominant menstrual discourses and their impact on women's menstrual knowledge was undertaken from a feminist poststructural perspective. At the outset, my initial objectives were to examine and record the social construction of menstruation and to determine the extent to which it impacted on New Zealand women's menstrual knowledge. Following a reading of feminist poststructuralism, the initial objective of measuring and quantifying women's menstrual knowledge changed to an approach focusing on discourse. Similarly, I moved to a new methodological focus on feminist epistemologies. As a result, the thesis examines the effects of New Zealand cultural practices and social meanings on women's 'knowing' about menstruation. It seeks to establish the boundaries and markers that both construct and constrain women's menstrual knowledge. Thirty-seven New Zealand women ranging in age from fourteen to eighty-six years contributed their narratives during open-ended interviews. The women's stories located various discursive practices that impacted on their menstrual knowledge and on their adherence to a common or popular menstrual etiquette. Discourses that construct and confine what, and how, women know about their menstrual cycle are identified and discussed. These scientific, medical, and consumerist discourses intersect and overlap to constitute a dominant menstrual discourse. Menstrual product advertising is identified as a prevailing context that surrounds young women as they become menstruants. Discursive practices such as euphemisms, notions of cleanliness and hygiene, authority through technology, and the commodification of feminist imagery contribute to representations that devalue and stigmatise menstruation. This dominant menstrual discourse can be maintained or disrupted through the way mothers impart menstrual knowledge to their daughters. Mothers are faced with the contradiction of preparing their daughters for an experience that is presented as normal yet constructed within strategies of concealment that menstruating women are expected to follow. When young women do become menstraunts, they are faced with the menstrual 'script' that includes the emotional themes of embarrassment, anxiety and ambivalence. The formal acquisition of menstrual knowledge takes place in our schools and again is positioned within a contradictory framework. Menstruation is conveyed as 'ordinary' yet the teaching of the menstrual cycle is often 'extraordinary' 'Menstruation' is routinely taught in sex-segregated classes, in the evening, in the company of parents and often located within scientific and medical discourses. This thesis offers new insight into the different ways New Zealand women construct knowledge about our bleeding bodies. Its uniqueness rests with die theoretical framework used to analyse research data. A feminist poststructuralist discourse analysis enabled the positioning of the women's accounts within a social, historical and cultural context, and the identification of a new way of analysing the impact of discursive practices upon meaning and experience of menstruation.