The Impact of Maternal Negative Affectivity and General Self-Efficacy on Breastfeeding: The Norwegian Mother and Child Cohort Study

Ystrøm, Eivind; Niegel, Susan; Klepp, Knut‐Inge; Vollrath, Margarete E.

doi:10.1016/j.jpeds.2007.06.005

Cited by 60 publications

(80 citation statements)

References 34 publications

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“…Likewise, the proposition that reduced maternal selfconfidence and self-esteem is sometimes in the path between SPVP and EBF seems quite tenable. This hypothesis is strengthened by connecting previous findings pointing out that low confidence and feelings of worthlessness are consistent with the long-term psychological consequences of SPVP victimization (38,39) , and with other studies indicating that the psychosocial wellbeing of women during pregnancy is an important protective factor for early weaning (5,(40)(41)(42)(43)(44)(45)(46)(47) . The importance of maternal self-esteem as a mediator of the relationship between SPVP and EBF is also reasonable when comparing the gradual effects of introducing the dimensions in the multivariate model.…”

Section: Discussionsupporting

confidence: 84%

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

Moraes

Oliveira

Reichenheim

et al. 2011

Public Health Nutr.

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Objective: To investigate the role of severe physical violence during pregnancy (SPVP) between intimate partners in early cessation of exclusive breast-feeding (EBF). Design: A health services survey. The revised Conflict Tactics Scale was used to characterize SPVP; premature breast-feeding cessation was identified using a current status data approach, which was based on the information reported from food recall during the preceding 7 d. The cumulative hazard function was estimated by complementary log-log transformation models, which allowed the ensuing estimation of early breast-feeding cessation rates in different age groups and the ratio of rates of weaning between women exposed and not exposed to violence. Setting: Five large public primary health-care facilities of Rio de Janeiro, Brazil. Subjects: The sample comprised 811 randomly selected mothers of children under 5 months of age who were waiting to be consulted. Results: SPVP is an independent risk factor of cessation of EBF since, after controlling for socio-economic, demographic, reproductive and lifestyle variables, women exposed to violence presented an incidence density that was 31 % higher than those who were not exposed (hazard ratio 5 1?30, 95 % CI 1?01, 1?69). Conclusions: The findings corroborate the hypothesis that SPVP is an important risk factor for EBF. This indicates the need for incentives to adequately train healthcare personnel in dealing with lactating women in order to gain a broader view of breast-feeding beyond the biological aspects of lactation, including the maternal psychological dimension.

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Section: Discussionsupporting

confidence: 84%

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

Moraes

Oliveira

Reichenheim

et al. 2011

Public Health Nutr.

View full text Add to dashboard Cite

show abstract

“…Studies suggest that feeling sad in the perinatal period are associated with breastfeeding difficulties (Dennis 2002;Eberhard-Gran and Slinning 2007). This is in accordance with a recent Norwegian large-scale study which found that both a low sense of general self-efficacy and negative affect during pregnancy predicted difficulty with breastfeeding (Ystrøm et al 2008). A similar study in the USA found that depressive symptoms during pregnancy predicted who would cease to breastfeed within the first month (Pippins et al 2006).…”

Section: Social Supportsupporting

confidence: 83%

“…BSE represents a relatively underresearched risk factor for the development of PPD. Most studies have hitherto focused on breastfeeding and how it relates to depressive symptoms both antenatally and postpartum (Pippins et al 2006;Ystrøm et al 2008). In the present study, the focus was on BSE, rather than the actual act of breastfeeding.…”

Section: Discussionmentioning

confidence: 99%

A longitudinal study of postpartum depressive symptoms: multilevel growth curve analyses of emotion regulation strategies, breastfeeding self-efficacy, and social support

Haga

Ulleberg

Slinning

et al. 2012

Arch Womens Ment Health

145

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Postpartum depression is a serious health issue affecting as many as 10-15 % of postpartum women. This longitudinal study aimed to explore how psychological variables such as cognitive emotion regulation strategies, breastfeeding self-efficacy (BSE), and dimensions of social support predicted postpartum depressive symptoms (Edinburgh Postnatal Depression Scale). The data were collected with web-based survey questionnaires between May 2008 and December 2009, in a sample of 737 new mothers. The same questionnaire was surveyed at three points in time: 6 weeks, 3 months, and 6 months postpartum. Data were analyzed using multilevel modeling (level 1, time points; level 2, person). Results showed that BSE, certain cognitive emotion regulation strategies, perceived available support, and need for support predicted the rate of postpartum depressive symptoms. Only breastfeeding self-efficacy predicted change in postpartum depressive symptoms. This study illustrates the importance of psychological variables with regard to postpartum depressive symptoms. Implications for preventative efforts are discussed.

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“…[30][31][32] Consistent with the AAP's key breastfeedingduration recommendation, when breastfeeding ends, mothers who are adequately supported throughout their breastfeeding experience can feel confident that they were indeed able to "continue breastfeeding as long as mutually desired by mother and infant. 1 "…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Breastfeeding Practices Among US Mothers

et al. 2008

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OBJECTIVES. Although much has been published about breastfeeding rates, little is known about how breastfeeding is practiced in the United States. We describe the distributions and characteristics of practices related to common advice about breastfeeding during the infant's first year of life.PARTICIPANTS AND METHODS. Participants in the 2005-2007 Infant Feeding Practices Study II received monthly questionnaires during their infants' first year of life. Among breastfeeding respondents, we investigated patterns and trends in types of breastfeeding (supplementing with formula or not, and at the breast or not) and maternal report of infant feeding behaviors corresponding to common breastfeeding advice on frequency, duration, and intervals of feedings.RESULTS. More than half of the breastfeeding mothers fed their infants nothing other than breast milk until 4 months of age. Formula supplementation declined from 42% at 1 month to 15% at 1 year; adding other foods/liquids increasingly surpassed supplementing with formula beginning at 5 months of age. Six percent of the mothers reported that the only breast milk the infant was fed was expressed, rather than at the breast. Frequency of breast milk feedings per day declined from 8 at 1 month to 3.5 at 1 year. Reported feeding durations of Ͻ20 minutes increased from 46% at 1 month to 88% at 1 year. Feeding from both breasts per feeding decreased 15% over the infant's first year (from 69% to 59%). Longest interfeeding intervals more than doubled over the year.CONCLUSIONS. Exclusive breastfeeding was common up to 4 but not to 6 months of age. Breastfeeding with only expressed milk was rare. Considerable variation existed in maternal report of practices that correspond to common breastfeeding advice. More research is needed to better understand how these variations relate to breastfeeding outcomes and the role of common breastfeeding advice in infant feeding decisions. Pediatrics 2008;122:S50-S55 T HE AMERICAN ACADEMY of Pediatrics (AAP) identifies pediatricians in particular, and health professionals overall, as important advocates to "enthusiastically" 1 encourage breastfeeding and to gain and maintain knowledge and skills related to management of breastfeeding. 1 However, few pathways exist for health professionals to learn about breastfeeding practices. Breastfeeding is not a core element of most medical training. 2,3 Breastfeeding information in medical texts is often incomplete, inconsistent, and inaccurate. 4 Although the AAP and other health professional organizations publish numerous books and other resources on breastfeeding for both professional and lay audiences 5-9 and professional support is an evidence-based strategy for improving breastfeeding outcomes, 10 no standard guidelines specifically suggest what kinds of information are components of ideal professional support. In addition, health professionals vary widely in both their attitudes about their role in breastfeeding promotion and support and their practices. 11 Mothers receive infant feeding inf...

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The Impact of Maternal Negative Affectivity and General Self-Efficacy on Breastfeeding: The Norwegian Mother and Child Cohort Study

Cited by 60 publications

References 34 publications

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

Severe physical violence between intimate partners during pregnancy: a risk factor for early cessation of exclusive breast-feeding

A longitudinal study of postpartum depressive symptoms: multilevel growth curve analyses of emotion regulation strategies, breastfeeding self-efficacy, and social support

Characteristics of Breastfeeding Practices Among US Mothers

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