Document Detail

The relationship between breastfeeding self-efficacy and perceived insufficient milk among Japanese mothers.
MedLine Citation:
PMID:  18811774     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To examine the relationship between maternal perceptions of insufficient milk and breastfeeding confidence using the Breastfeeding Self-Efficacy Scale. DESIGN: Cross-sectional study. PARTICIPANTS: Two hundred and sixty-two in-hospital breastfeeding mothers in Japan. MAIN OUTCOME MEASURE: Breastfeeding self-efficacy was measured in-hospital and perception of insufficient milk was measured at 4 weeks postpartum. RESULTS: Although most mothers intended to exclusively breastfeed, less than 40% were doing so at 4 weeks postpartum. Among the mothers using formula, 73% cited perceived insufficient milk as the primary reason for supplementation or completely discontinuing breastfeeding. Mothers' perception of insufficient milk at 4 weeks postpartum were significantly related to breastfeeding self-efficacy in hospital in the immediate postpartum period (r=.45, p<.001). Hierarchical multiple regression revealed that breastfeeding self-efficacy explained 21% of the variance in maternal perceptions of insufficient milk, and the contribution was independent of sociodemographic variables. CONCLUSIONS: Enhancing breastfeeding self-efficacy in the immediate postpartum period may reduce maternal perceptions of insufficient milk and the premature discontinuation or supplementation of breastfeeding. Additional research is warranted.
Keiko Otsuka; Cindy-Lee Dennis; Hisae Tatsuoka; Masamine Jimba
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  37     ISSN:  1552-6909     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2008 Sep-Oct
Date Detail:
Created Date:  2008-09-24     Completed Date:  2008-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  546-55     Citation Subset:  IM; N    
Department of International Community Health, The University of Tokyo, Tokyo, Japan.
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MeSH Terms
Analysis of Variance
Attitude to Health / ethnology*
Breast Feeding / ethnology*,  statistics & numerical data
Chi-Square Distribution
Cross-Sectional Studies
Factor Analysis, Statistical
Follow-Up Studies
Hospitals, Maternity
Lactation Disorders / ethnology*,  etiology
Mothers / education,  psychology*,  statistics & numerical data
Nursing Methodology Research
Postpartum Period / ethnology
Principal Component Analysis
Regression Analysis
Self Efficacy*
Socioeconomic Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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