Workplace support and breastfeeding duration: The mediating effect of breastfeeding intention and self‐efficacy

Wallenborn, Jordyn T.; Perera, Robert A.; Wheeler, David C.; Lü, Juan; Masho, Saba W.

doi:10.1111/birt.12377

Cited by 48 publications

(40 citation statements)

References 32 publications

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“…The key barriers for employed mothers to continue breastfeeding include privacy issues, low support from their workplace, fatigue, lack of break time to express milk, inflexible work schedules, and inadequate facilities for pumping and storing milk [ 40 , 45 , 46 ]. Studies have suggested that breastfeeding-friendly workplaces increase the rate of breastfeeding duration among mothers who return to work postpartum [ 45 , 47 ]. Hence, health-promotion policies with effective translation around breastfeeding-friendly workplaces could significantly affect breastfeeding duration.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Full Breastfeeding at 6 Months and Any Breastfeeding at 12 and 24 Months among Women in Sydney: Findings from the HSHK Birth Cohort Study

Chimoriya

Jordan

John

et al. 2020

IJERPH

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The aim of this study was to report on breastfeeding duration up to 24 months and determine the predictors of breastfeeding duration among women in South Western Sydney, one of the most culturally diverse and socioeconomically disadvantaged regions of New South Wales (NSW), Australia. Mother–infant dyads (n = 1035) were recruited to the Healthy Smiles Healthy Kids birth cohort study. Study data were collected through telephone interviews at 2, 4, 8, 12, and 24 months postpartum. Cox proportional hazards models were used to determine factors associated with the risk of stopping full breastfeeding at six months and any breastfeeding at 12 and 24 months. The majority of mothers (92.3%) had initiated breastfeeding. At six months, 13.5% of infants were fully breastfed, while 49.9% received some breast milk. Only 25.5% and 2.9% of infants received some breast milk at 12 and 24 months, respectively. Lower maternal education level, lower socioeconomic status, full-time employment, maternal smoking during pregnancy, and caesarean delivery were associated with increased risk of stopping full breastfeeding at six months and any breastfeeding at 12 and 24 months. Older maternal age and partner’s preference for breastfeeding were associated with an increased likelihood of continuing any breastfeeding at 12 and 24 months. These findings present a number of opportunities for prolonging breastfeeding duration in disadvantaged communities in NSW.

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Section: Discussionmentioning

confidence: 99%

Determinants of Full Breastfeeding at 6 Months and Any Breastfeeding at 12 and 24 Months among Women in Sydney: Findings from the HSHK Birth Cohort Study

Chimoriya

Jordan

John

et al. 2020

IJERPH

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“…Breastfeeding problems are common, affecting between 20%-80% of women (Cooklin et al, 2018). These problems may interfere with breastfeeding self-efficacy, a factor linked to breastfeeding duration (Franco-Antonio et al, 2019;Wallenborn et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

An evaluation of a prenatal individualised mixed management intervention addressing breastfeeding outcomes and postpartum depression: A randomised controlled trial

Zhao

Lin

Wang

2021

Journal of Clinical Nursing

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Aims and objectives: To determine the effects of an individualised mixed management combined lactation education and psychoeducation intervention on breastfeeding outcomes and postpartum depression (PPD) at 3 and 42 days postpartum. Background: Pregnant women with antenatal depression are prone to postpartum depression and failure in breastfeeding. Design: Eligible women participated in a randomised single-blind controlled trial. Results are reported as per the CONSORT 2010 statement. Methods: Participants were recruited from December 2017-August 2018 at a major teaching hospital located in Shanghai. Primiparous women (n = 182) with an Edinburgh Postnatal Depression Scale score ≥9 were randomly enrolled in the intervention group (n = 91) or the control group (n = 91). The intervention group participated in a 4-session face-to-face mixed management intervention targeting perinatal depression and breastfeeding. The control group received usual care. Breastfeeding and psychological outcomes were measured during the third trimester (≥28 weeks and <35 weeks), and at 3 and 42 days postpartum.Results: There were statistically significant differences in rates of overall and exclusive breastfeeding, initial breastfeeding experience, breastfeeding behaviour and self-efficacy between the two groups at 3 and 42 days postpartum (p < .05). Intentionto-treat linear mixed model analysis showed that EPDS scores were statistically significantly different between groups over time (F = 20.42, p < .001). Intervention group were more satisfied with their husbands' care and care received during the first month postpartum (p < .05). Conclusions:The results demonstrate the effectiveness and feasibility of delivering an individualised mixed management intervention combining lactation guidance with psychological support during pregnancy. Relevance to clinical practice:This study supports the need to identify pregnant women at risk of perinatal depression and indicates that the prenatal individualised mixed management intervention has the potential to reduce PPD and help achieve better breastfeeding outcomes.

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“…Araştırmalar, süt salınımından sorumlu ana hormon olan oksitosinin stres durumunda engellendiğini göstermektedir. 39 İşveren, amirler, sendika ve iş arkadaşlarının rolünün, kadının iş ve aile ihtiyaçlarını dengelemesinde etkili olduğu, destekleyici davranışların stresi azaltarak emzirme uygulamaları üzerinde pozitif bir etki oluşturduğu ifade edilmektedir 31 . Ayrıca çalışan annelerin emzirme uygulamalarında, aileden alınan sosyal ve duygusal desteğin önemli bir rolü olduğu vurgulanmaktadır.…”

Section: Discussionunclassified

Çalışan Kadınlarda Emzirmenin Başlatılma ve Sürdürülme Zamanıyla İlişkili Faktörler

Sağlam

Özerdoğan

Gürsoy

et al. 2020

Mersin Üniversitesi Tıp Fakültesi Lokman Hekim Tıp Tarihi Ve Folklorik Tıp Dergisi

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Amaç: Bu çalışma çalışan kadınlarda emzirmenin başlatılma ve sürdürülme zamanıyla ilişkili faktörlerin belirlenmesi amacı ile yapılmıştır. Yöntem: Tanımlayıcı türde yapılan araştırmanın örneklemini bir üniversite hastanesinin çocuk polikliniği ve kadın doğum polikliniğine başvuran 382 anne oluşturmuştur. Veriler anket formu aracılığıyla toplanmıştır. Verilerin analizinde frekans, yüzde, t testi, Oneway Anova testi, Ki kare testi kullanılmıştır. Bulgular: Kadınların %53.9'unun 31-40 yaş grubunda, %59.9'unun lisans-önlisans öğrenim düzeyinde ve %94.5'inin evli olduğu saptanmıştır. Kadınların %53.4'ü devlet kurumunda, %85.1'i tam zamanlı, %21.7'si vardiyalı çalışmakta ve %21.7'sinin kendi ne ait özel ofisi bulunmaktadır. Çalışan kadınlarda ortalama emzirmenin başlatılma süresi 5.05±11.43 saat, toplam emzirme süresi 14.26±8.17 ay ve sadece anne sütü verme süresi 5.20±2.02 ay olarak bulunmuştur. Anne yaşı ile emzirmenin sürdürülmesi ve doğum şekli ile emzirmenin başlatılma süreleri arasında istatistiksel olarak anlamlı bir fark saptanmıştır. Kadınların öğrenim düzeyi, eş desteği, ücretli izin durumu, çalışma arkadaşlarının desteği ve emzirme tecrübesi ile çalışmaya başladıktan sonra emzirmeyi sürdürmeleri arasında istatistiksel olarak anlamlı bir ilişki saptanmıştır. İşyerlerine ilişkin koşullar (emzirme odası, süt sağma pompası, süt saklama dolabı, kreş bulunması, ücretli doğum izni, daha hafif iş ve esnek çalışma imkânı, emzirme molası, yönetici desteği ve emzirme molasında destek kişi varlığı) ile emzirmenin başlatılması, emzirmenin sürdürülmesi ve sadece anne sütü verme süresi arasında istatistiksel olarak anlamlı bir ilişki bulunmamıştır. Sonuç: Bu çalışmada işyeri koşullarının kadınların emzirmeyi sürdürmelerinde büyük oranda destekleyici olmadığı saptanmıştır. Ancak emzirmenin sürdürülmesinin öğrenim düzeyi, emzirme tecrübesi, eş ve iş yerindeki arkadaş desteği, ücretli izin kullanımıyla ilişkili olduğu görülmüştür.

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Workplace support and breastfeeding duration: The mediating effect of breastfeeding intention and self‐efficacy

Abstract: Self-efficacy is an important predictor for breastfeeding duration. Workplaces may help bolster women's self-efficacy by providing environments that are supportive to breastfeeding working mothers. Future research is needed to identify breastfeeding policies that boost self-efficacy.

Cited by 48 publications

References 32 publications

Determinants of Full Breastfeeding at 6 Months and Any Breastfeeding at 12 and 24 Months among Women in Sydney: Findings from the HSHK Birth Cohort Study

Determinants of Full Breastfeeding at 6 Months and Any Breastfeeding at 12 and 24 Months among Women in Sydney: Findings from the HSHK Birth Cohort Study

An evaluation of a prenatal individualised mixed management intervention addressing breastfeeding outcomes and postpartum depression: A randomised controlled trial

Çalışan Kadınlarda Emzirmenin Başlatılma ve Sürdürülme Zamanıyla İlişkili Faktörler

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