Maternal breastfeeding self-efficacy and the breastfeeding behaviors of newborns in the practice of exclusive breastfeeding.

To explore the maternal breastfeeding self-efficacy of Chinese women, the breastfeeding behaviors of newborns, and the relationship with breastfeeding outcomes at 6 weeks postpartum. Descriptive correlation study. Postnatal ward of a regional maternity hospital All postnatal Chinese women who were admitted from mid-February 2010 to mid-March 2010 with the intention of breastfeeding. The Infant Breastfeeding Assessment Tool (IBFAT) was used to assess neonatal breastfeeding behaviors, and a modified Chinese version of the Breastfeeding Self-Efficacy Scale-Short Form (MBSES-SF) was used to examine the breastfeeding self-efficacy of mothers. A total of 199 postnatal women were recruited. At 6 weeks postpartum, 85 (42.7%) infants were bottle-fed, 66 (33.2%) were complementary breastfed, and 48 (24.1%) were exclusively breastfed. The significant contributing factors for exclusive breastfeeding were women who planned to breastfeed for at least 6 months (odds ratio [OR] = 5.537, 95% confidence interval [CI] [2.430, 12.619], p ≤ 0.001), women with a high level of breastfeeding self-efficacy (OR =, 7.776, 95% CI [2.546, 23.748], p ≤ 0.001), and those women whose infants had high-IBFAT scores (OR = 2.381, 95% CI [1.019, 5.562], p = .045). Maternal breastfeeding confidence and newborn breastfeeding behavior are strong predictors of breastfeeding duration as well as exclusivity. Health care professionals should monitor the breastfeeding behavior of newborns and not only provide mothers with the factual information on breastfeeding but help also them to develop maternal confidence in breastfeeding before they are discharged.

Loke AY ，Chan LK 《-》

Breastfeeding self-efficacy in women of African descent.

McCarter-Spaulding D ，Gore R 《-》

Prevalence and factors affecting breastfeeding among Aboriginal women in Northwestern Ontario.

To evaluate breastfeeding outcomes among Aboriginal women and to determine variables affecting breastfeeding in the early postpartum period. Prospective cohort study. Two sites in Northwestern Ontario, Canada: a tertiary care center and a rural hospital. One hundred thirty breastfeeding Aboriginal women agreed to participate in the study. All women completed a baseline survey in hospital that included questions regarding demographic, prenatal, breastfeeding, obstetric, postpartum, and neonatal characteristics. Women were then telephoned at 4 and 8 weeks postpartum to complete additional questionnaires regarding infant feeding. Low rates of breastfeeding initiation (69%) and exclusive breastfeeding were identified at 4 (37.5%) and 8 (35.3%) weeks postpartum. Among those who initiated breastfeeding, duration rates at 4 (86%) and 8 weeks (78%) postpartum are comparable to other studies. Variables associated with any and exclusive breastfeeding at 8 weeks included the following: (a) household income, (b) intended breastfeeding duration, (c) plan to exclusively breastfeed, (d) perception of meeting their planned duration goal, and (e) higher breastfeeding self-efficacy. Partner support was associated with any breastfeeding at 8 weeks but not exclusivity. Women who were breastfeeding exclusively in hospital (prevalence ratio [PR] = .48, 95% confidence interval [CI] [0.27, 0.86]), did not smoke (PR = 2.5, 95% CI [1.4, 4.3]) and/or use substances during pregnancy (PR = 4.5, 95% CI [1.5, 14]) were more likely to be breastfeeding exclusively at 8 weeks. Many of the variables may be considered modifiable and amenable to intervention. Targeted interventions should be directed toward improving breastfeeding outcomes among Aboriginal women.

McQueen K ，Sieswerda LE ，Montelpare W ，Dennis CL ... -  《-》

The relationship between breastfeeding self-efficacy and LATCH scores and affecting factors.

This study investigates the relationship between breastfeeding self-efficacy and LATCH scores and affecting factors in Turkish mothers. The benefits of breastfeeding for newborns and mothers are well documented. Type of birth, maternal and neonatal complications; lack of support from healthcare professionals during breastfeeding, hospital routines, time and duration of mother-newborn attachment; and insufficiency of husband and family support are the most significant factors affecting breastfeeding initiation and mothers' breastfeeding self-efficacy in early postpartum period. Therefore, it is important to determine how all these factors affect breastfeeding. This was a cross-sectional, descriptive study. The sample of the study consisted of 303 postpartum women who were recruited at the obstetrics clinic of maternity hospital in one of the three largest city of Turkey. The data were obtained using Personal Identification Form, Breastfeeding Self-Efficacy Scale-Short Form and LATCH Breastfeeding Assessment Tool to determine breastfeeding success. The mean, standard deviation, frequency, percentages, correlation analysis and Kruskal-Wallis variance analysis were used in data collection. The main finding of the study was a weak positive correlation between average LATCH scores and average Breastfeeding Self-Efficacy Scale-Short Form scores of women in the postpartum period. The women becoming pregnant four times or more got significantly higher average Breastfeeding Self-Efficacy Scale-Short Form and average LATCH scores, and the women married for 11 years or longer and the mothers starting to breastfeed their babies within 30 minutes of their birth got significantly higher average LATCH scores. The results of the present research affirm the beneficial role of high self-efficacy in successful breastfeeding. It is of great importance that midwives and obstetric nurses routinely evaluate breastfeeding self-efficacy and the capability of breastfeeding for early detection of problems related to breastfeeding.

Gerçek E ，Sarıkaya Karabudak S ，Ardıç Çelik N ，Saruhan A ... -  《-》

Family members' infant feeding preferences, maternal breastfeeding exposures and exclusive breastfeeding intentions.

Maternal breastfeeding intentions are strongly associated with breastfeeding exclusivity and duration. Factors that affect new mothers' exclusive breastfeeding intentions have not been adequately examined. The purpose of this study was to examine the association between family member's infant feeding preferences, breastfeeding exposures, and womens' exclusive breastfeeding intentions. 1277 breastfeeding mother-infant pairs were recruited from four public hospitals in Hong Kong. We used multiple logistic and linear regression models to explore the impact of the family members' infant feeding preferences and breastfeeding exposures on exclusive breastfeeding intentions. 78.1% mothers reported an intention to exclusively breastfeed, and the median intended duration of exclusive breastfeeding was 26 weeks. The husband's preference for breastfeeding (aOR = 1.67; 95% CI 1.20-2.31), previous breastfeeding experience (aOR = 1.56; 95% CI 1.10-2.23) and attendance at an antenatal breastfeeding class (aOR = 2.09; 95% CI 1.45-3.02) were all strongly associated with higher maternal intention to exclusively breastfeed. For every additional family member who preferred breastfeeding, the odds of intending to exclusively breastfeed increased by 32% (aOR1.32; 95% CI, 1.13-1.55). Similarly, the proportion of participants intending to exclusively breastfeed increased progressively with more breastfeeding exposures. Including fathers and other significant family members in antenatal breastfeeding education can help to maximize breastfeeding support for the new mother and encourage new mothers to exclusively breastfeed.

Lok KYW ，Bai DL ，Tarrant M 《-》