Emily de Jager1, Jaclyn Broadbent2, Matthew Fuller-Tyszkiewicz3, Cate Nagle4, Skye McPhie5, Helen Skouteris6. 1. Deakin University, School of Psychology, 221 Burwood Highway, Burwood, Vic. 3125, Australia. Electronic address: edejager@deakin.edu.au. 2. Deakin University, School of Psychology, 221 Burwood Highway, Burwood, Vic. 3125, Australia. Electronic address: Jaclyn.broadbent@deakin.edu.au. 3. Deakin University, School of Psychology, 221 Burwood Highway, Burwood, Vic. 3125, Australia. Electronic address: matthew.fuller-tyszkiewicz@deakin.edu.au. 4. Deakin University, School of Psychology, 221 Burwood Highway, Burwood, Vic. 3125, Australia. Electronic address: cate.nagle@deakin.edu.au. 5. Deakin University, School of Psychology, 221 Burwood Highway, Burwood, Vic. 3125, Australia. Electronic address: skye.mcphie@deakin.edu.au. 6. Deakin University, School of Psychology, 221 Burwood Highway, Burwood, Vic. 3125, Australia. Electronic address: Helen.skouteris@deakin.edu.au.
Abstract
OBJECTIVE: to examine the effect of psychosocial factors on exclusive breastfeeding duration to six months postpartum DESIGN: longitudinal, prospective questionnaire based study. SETTING: participants were recruited from a publically funded antenatal clinic located in the western metropolitan region of Melbourne, Victoria, Australia and asked to complete questionnaires at three time points; 32 weeks pregnancy, two months postpartum and six months postpartum. PARTICIPANTS: the participants were 125 pregnant women aged 22-44 years. MEASUREMENTS AND FINDINGS: psychosocial variables such as breastfeeding self-efficacy, body attitude, psychological adjustment, attitude towards pregnancy, intention, confidence and motivation to exclusively breastfeed and importance of exclusive breastfeeding were assessed using a range of psychometrically validated tools. Exclusive breastfeeding behaviour up to six months postpartum was also measured. At 32 weeks gestation a woman's confidence to achieve exclusive breastfeeding was a direct predictor of exclusive breastfeeding duration to six months postpartum. At two months postpartum, psychological adjustment and breastfeeding self-efficacy were predictive of exclusive breastfeeding duration. Finally, at six months postpartum, psychological adjustment, breastfeeding self-efficacy, confidence to maintain and feeling fat were directly predictive of exclusive breastfeeding duration. KEY CONCLUSIONS: psychosocial factors are significantly predictive of exclusive breastfeeding duration. Self-efficacy, psychological adjustment, body image, motivation and confidence are all important psychosocial factors implicated in a woman's ability to maintain exclusive breastfeeding over time. IMPLICATIONS FOR PRACTICE: Individualised antenatal breastfeeding education and support may be strengthened by strategies that build a woman's confidence to exclusive breastfeeding. Implementing psychosocial supports and methods providing positive feedback that increase a woman's self-efficacy to exclusively breastfeed to six months are also important two months postpartum.
OBJECTIVE: to examine the effect of psychosocial factors on exclusive breastfeeding duration to six months postpartum DESIGN: longitudinal, prospective questionnaire based study. SETTING:participants were recruited from a publically funded antenatal clinic located in the western metropolitan region of Melbourne, Victoria, Australia and asked to complete questionnaires at three time points; 32 weeks pregnancy, two months postpartum and six months postpartum. PARTICIPANTS: the participants were 125 pregnant women aged 22-44 years. MEASUREMENTS AND FINDINGS:psychosocial variables such as breastfeeding self-efficacy, body attitude, psychological adjustment, attitude towards pregnancy, intention, confidence and motivation to exclusively breastfeed and importance of exclusive breastfeeding were assessed using a range of psychometrically validated tools. Exclusive breastfeeding behaviour up to six months postpartum was also measured. At 32 weeks gestation a woman's confidence to achieve exclusive breastfeeding was a direct predictor of exclusive breastfeeding duration to six months postpartum. At two months postpartum, psychological adjustment and breastfeeding self-efficacy were predictive of exclusive breastfeeding duration. Finally, at six months postpartum, psychological adjustment, breastfeeding self-efficacy, confidence to maintain and feeling fat were directly predictive of exclusive breastfeeding duration. KEY CONCLUSIONS:psychosocial factors are significantly predictive of exclusive breastfeeding duration. Self-efficacy, psychological adjustment, body image, motivation and confidence are all important psychosocial factors implicated in a woman's ability to maintain exclusive breastfeeding over time. IMPLICATIONS FOR PRACTICE: Individualised antenatal breastfeeding education and support may be strengthened by strategies that build a woman's confidence to exclusive breastfeeding. Implementing psychosocial supports and methods providing positive feedback that increase a woman's self-efficacy to exclusively breastfeed to six months are also important two months postpartum.
Authors: Gayle M Shipp; Lorraine J Weatherspoon; Sarah S Comstock; Gwendolyn S Norman; Gwen L Alexander; Joseph C Gardiner; Jean M Kerver Journal: Breastfeed Med Date: 2022-02-15 Impact factor: 2.335
Authors: Christina X Korth; Sarah A Keim; Canice E Crerand; Jamie L Jackson Journal: MCN Am J Matern Child Nurs Date: 2022 May-Jun 01 Impact factor: 1.753
Authors: Sean Buck; Kevin Rolnick; Amanda A Nwaba; Jens Eickhoff; Kelechi Mezu-Nnabue; Emma Esenwah; Olachi J Mezu-Ndubuisi Journal: Int J Pediatr Date: 2019-06-10