The Influence of Adolescent Mothers' Breastfeeding Confidence and Attitudes on Breastfeeding Initiation and Duration

Mossman, Marion; Heaman, Maureen; Dennis, Cindy‐Lee; Morris, Margaret

doi:10.1177/0890334408316075

Cited by 74 publications

(96 citation statements)

References 43 publications

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“…On the other hand, many studies indicate that attitudes (9,20,21,(26)(27)(28)(29)(30)(31)(32)(33)(34) , self-efficacy (21,27,28,(31)(32)(33)(35)(36)(37)(38) and knowledge (10,22,39) are predictive of breast-feeding initiation and duration. Differences from our results could stem from difficulties in comparing across disparate breastfeeding behavioural outcomes, since we report on EBF and full breast-feeding rather than initiation and attrition.…”

Section: Discussionmentioning

confidence: 99%

Maternal prenatal attitudes and postnatal breast-feeding behaviours in rural Bangladesh

Yu¹,

Thomas²,

Owais³

et al. 2014

Public Health Nutr.

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Objective: To assess the relationships between maternal breast-feeding intention, attitudes, self-efficacy and knowledge at 7 months' gestation with exclusive or full breast-feeding at 3 months postpartum. Design: Prospective cohort study with structured home interviews during pregnancy and 3 months after delivery. Setting: Two rural sub-districts of Kishoreganj district, Bangladesh. Subjects: Mother-infant dyads. Results: Over 80 % of 2178 pregnant women intended to exclusively breast-feed (EBF). Maternal positive attitudes, self-efficacy and knowledge about breastfeeding were positively associated with EBF intention (all P < 0·05). All mothers except one reported initiating breast-feeding and 99·6 % of children were still breast-fed at 3 months. According to 24 h dietary recalls, we categorized 985 (45·2 %) infants as EBF at 3 months (47·8 % among mothers with EBF intention; 31·7 % among mothers with no EBF intention; P < 0·05) and 551 (25·3 %) infants as predominantly breast-fed at 3 months (24·2 % among mothers with EBF intention; 30·8 % among mothers with no EBF intention; P < 0·05). Prenatal EBF intention was associated with EBF (OR = 1·48, 95 % CI 1·14, 1·91) and with full breastfeeding (OR = 1·34, 95 % CI 1·04, 1·72) at age 3 months. EBF at age 3 months was not associated with maternal breast-feeding knowledge, attitudes or self-efficacy. Conclusions: Despite widespread expressed maternal EBF intention and universal breast-feeding initiation, prevalence of both exclusive and full breast-feeding at 3 months remains lower than WHO recommendations. EBF intention predicts breast-feeding behaviours, suggesting the importance of prenatal counselling to improve infant feeding behaviours.Keywords Breast-feeding Attitude Self-efficacy KnowledgeGlobally, over 55 % of infant deaths from diarrhoeal disease and acute respiratory infections are preventable by appropriate breast-feeding and complementary feeding (1) . Suboptimal infant feeding and endemic malnutrition contribute to mortality and morbidity, as well as to detrimental long-term developmental consequences, poorer educational performance and decreased productivity (2)(3)(4)(5)(6)(7) . Although the potential benefits of exclusive breastfeeding (EBF) through to infant age 6 months are widely recognized, EBF remains low in both developed and developing countries.Maternal psychosocial factors and intentions to breastfeed have been associated, to varying extents, with infant feeding behaviours in previous literature. A nationally representative US study among 2372 women found that intention to partially or fully breast-feed predicted breastfeeding duration (>6 months) (8) . Similarly, in a cohort of 566 Australian women, intention to breast-feed was also positively associated with breast-feeding duration (9) . In separate study among 733 women, attitudes about benefits and barriers to breast-feeding, health-care systems, as well as social support were associated with breast-feeding initiation (10) .Over the past two decades, many studies have incorporate...

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Section: Discussionmentioning

confidence: 99%

Maternal prenatal attitudes and postnatal breast-feeding behaviours in rural Bangladesh

Yu¹,

Thomas²,

Owais³

et al. 2014

Public Health Nutr.

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“…In a study in Canada, however, involving adolescent mothers and applying the short version of the BSES, it was demonstrated that, among the adolescents who started breastfeeding, 57% presented high self-efficacy in prenatal care. 32 In independent studies developed in China during pregnancy and during the hospitalization among adult postpartum women, low self-efficacy [33][34] was found, differently from the Brazilian reality.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Breastfeeding Self-Efficacy Between Adolescent and Adult Mothers at a Maternity Hospital in Ribeirão Preto, Brazil

Guimarães

Conde²,

Brito³

et al. 2017

Texto contexto - enferm.

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Objective: to measure and compare the breastfeeding self-efficacy between adolescents and adults mothers in the immediate postpartum.Method: is an observational, cross-sectional and comparative study, developed at a maternity hospital in Ribeirao Preto, Brazil. Data were collected between January and July 2014. The sample consisted of 306 adult mothers and 94 adolescent mothers. The breastfeeding selfefficacy scores were obtained using the Brazilian version of the Breastfeeding Self-Efficacy Scale. Student t-test was used to compare the values of breastfeeding self-efficacy between the groups of participants. We considered a 5% significance level (p=0.05).Results: most adolescents and adults mothers (54%) presented high levels of breastfeeding self-efficacy and there was no statistically significant difference between the scores of the two groups (p=0.3482).Conclusion: health professionals need to be careful about breastfeeding self-efficacy in order to direct specific actions for each group of mothers (adolescents and adult mothers) to improve the breastfeeding rates. DESCRIPTORS:Breastfeeding. Self-efficacy. Confidence. Nursing. Maternal and child health. COMPARAÇÃO DA AUTOEFICÁCIA NA AMAMENTAÇÃO ENTRE PUÉRPERAS ADOLESCENTES E ADULTAS EM UMA MATERNIDADE DE RIBEIRÃO PRETO, BRASIL RESUMOObjetivo: verificar e comparar a autoeficácia na amamentação entre puérperas adolescentes e adultas no pós-parto imediato.Método: estudo observacional, transversal e comparativo, realizado no alojamento conjunto em uma maternidade, no município de Ribeirão Preto, São Paulo. A coleta de dados foi realizada de janeiro a julho de 2014. Participaram do estudo 306 puérperas adultas e 94 puérperas adolescentes. Para avaliar a autoeficácia na amamentação, foi utilizada a versão brasileira da Breastfeeding Self-Efficacy Scale. O teste t de Student foi usado para comparar os valores de autoeficácia entre os grupos participantes. Foi considerado um nível de significância de 5% (p=0,05).Resultados: entre os dois grupos, a maioria (54%) apresentou autoeficácia elevada, e a diferença entre os escores não foi estatisticamente significativa (p=0,3482).Conclusão: os profissionais devem estar atentos à autoeficácia na amamentação, direcionando ações específicas aos grupos de mulheres adolescentes e adultas, favorecendo assim o aumento dos índices de aleitamento. Método: estudio observacional, transversal y comparativo, realizado en el alojamiento conjunto de una maternidad, en la ciudad de Ribeirão Preto, Brazil. La recolección de datos fue realizada en el período de enero a julio de 2014. La muestra fue constituida por 306 madres adultas y 94 adolescentes. La versión brasileña de la Breastfeeding Self-Efficacy Scale evaluó la autoeficacia de la lactancia materna. Para comparar los valores de autoeficacia entre los grupos participantes, los valores fueron sometidos al test de t-Student. Fue considerado un nivel de significancia de 5% (p=0,05).Resultados: entre los grupos participantes la mayoría (54%) presentó niveles elevados de autoefic...

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“…58,59 Emzirme öz yeterliliği, emzirme süresini ve sadece anne sütü vermeyi tahmin etmektedir. Mossman ve arkadaşları (2008) 60 adölesan annelerin emzirme güven ve tutumlarının emzirmeyi başlatma ve süresi üzerine etkisini değerlendirmek amacıyla yaptıkları çalışmada (n=100), prenatal dönemdeki emzirme tutum puanı yüksek olan annelerin emzirme oranlarının daha yüksek ve emzirmeye devam etme sürelerinin daha uzun olduğu belirlenmiştir. 60 Adölesan annelerin, kendi anneleriyle birlikte yaşaması emzirme açısından önemlidir.…”

Section: Adölesan Annelerde Emzirmeyi Etkileyen Faktörlerunclassified

The Breastfeeding in Adolescent Mothers

Işık

Çetişli

2017

Turkish Journal of Family Medicine and Primary Care

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ÖZETDünya Sağlık Örgütü, adölesan dönemini 10-19 yaşları arasındaki dönem olarak tanımlamakta ve dünyada her altı kişiden birinin adölesan olduğunu bildirmektedir. Bu dönemde gerçekleşen fiziksel ve psikolojik değişiklikler, madde bağımlılığı, korunmasız cinsel ilişki ve istenmeyen gebelikler gibi bazı riskli davranışlara neden olabilmektedir. Hem gelişmiş, hem de gelişmekte olan ülkelerde adölesan gebelikler önemli bir sağlık sorunudur. Adölesan gebeliğin risk faktörleri, çok yönlü ve karmaşıktır. Abortus, erken doğum tehditi, gebelikte hipertansiyon, anemi, düşük doğum ağırlığı, konjenital anomali riski, artmış neonatal mortalite ve emzirme problemleri bunlar arasında sayılabilir. Birçok açıdan riskli bir dönemde olan adölesan anneler arasında emzirmeye başlama, emzirmeye devam etme oranlarının az olması da, anne ve bebeğin sağlığını olumsuz etkileyen ve göz ardı edilen önemli sorunlardandır. Düşük sosyoekonomik durum, partner yokluğu, sosyal destek yetersizliği, olumsuz anne ve eş desteği, ağrı, kültürel etkiler, bilgi eksikliği, olumsuz deneyimler, emzirme niyeti, emzirmeye ilişkin tutum ve öz-yeterlilik emzirmeyi etkileyen faktörler olarak belirtilmektedir. Anahtar kelimeler: Adölesan, annelik, emzirme ABSTRACTWorld Health Organization defined the adolescent period between the ages of 10-19 and declared that one out of every six people are adolescent. Physical and psychological changes in this period might cause risky behaviors such as drug abuse, sexual intercourse with no protection and unwanted pregnancy. Adolescent pregnancies are an important health problem in both developed and developing countries. Risk factors of adolescent pregnancy are complicated and miscellaneous. Abortus, threat of premature birth, hypertension in pregnancy, anemia, low weight of the newborn, congenital anomaly risk, increased neonatal mortality and breast feeding problems are some of them. For adolescent mothers, who are in a risky period for many aspects, low rates of starting and continuing breast feeding is another important and neglected problem affecting mother's and newborn's health negatively. Low socio-economic condition, absence of partner, inadequate social support, negative support of parents and couple, pain, cultural factors, lack of knowledge, negative experiences, breast feeding intention, manner regarding breast feeding and self-sufficiency were reported as factors affecting the breast feeding.

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The Influence of Adolescent Mothers' Breastfeeding Confidence and Attitudes on Breastfeeding Initiation and Duration

Abstract: ABSTRACT

Cited by 74 publications

References 43 publications

Maternal prenatal attitudes and postnatal breast-feeding behaviours in rural Bangladesh

Maternal prenatal attitudes and postnatal breast-feeding behaviours in rural Bangladesh

Comparison of Breastfeeding Self-Efficacy Between Adolescent and Adult Mothers at a Maternity Hospital in Ribeirão Preto, Brazil

The Breastfeeding in Adolescent Mothers

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