Predictors of breastfeeding self‐efficacy among women attending an urban postnatal clinic, Uganda

Abstract

Aim The aim of this study was to determine the factors associated with breastfeeding self‐efficacy among postnatal women in Kampala, Uganda. Methods This was a descriptive cross‐sectional study that was conducted among women attending a postnatal clinic at a teaching hospital in Kampala. Three hundred and eighty‐four postnatal women were randomly selected to respond to an interviewer‐administered questionnaire. We used the Breastfeeding Self‐Efficacy scale (BFSES) to assesses breastfeeding self‐efficacy (BFSE). Descriptive statistics and percentages were used to summarize the findings. Bivariate and multivariate logistic regressions were used to determine predictors of BFSE. Results Participants had a mean BFSE score of 48.65. The 14 item BFSES consistently measured breastfeeding confidence with a Cronbach's alpha of 0.89. About six in 10 women (60.2%) had high BFSE, the rest (39.8%) had low BFSE. Having a partner (adjusted odds ratio (aOR): 13, 95% CI 3.46–15) and receiving breastfeeding support from health workers (aOR: 4.45, 95% CI: 1.95–6.12) were significantly associated with BFSE. Conclusion A notable number of mothers had a low BFSE. Health workers should support breastfeeding mothers to achieve the desired exclusive breastfeeding levels. Relevance to clinical practice The findings of the study provide a direction for midwives in maternity care in educating and supporting women about breastfeeding for the improvement of exclusive breastfeeding rates thus realization of benefits of exclusive breastfeeding.

Breastfeeding and Child Oral Health Promotion: Perspectives of Nursing Mothers and Dentists

“…Multidisciplinary actions developed during the prenatal and postpartum periods strengthen bonds between teams and users, facilitate the care line's implementation, and promote integrality 33 . In keeping with previous studies 26,35 , most of the interviewees reported not having received information about BF during the prenatal period. It is common to have not received any teaching or demonstration of BF by any health team professional, although most dentists have stated that they frequently carry out health education activities with the theme of BF during the prenatal period.…”

“…Self-e cacy expresses how much effort mothers dedicate to BF, how they respond to any challenges, and how long they persevere in BF in the face of obstacles 26 . Self-e cacy is a dominant factor in satisfaction with BF.…”

“…Intent can be understood as the factor that most in uences future behavior, and self-e cacy is constituted by beliefs and ability to deal with new situations 25 . When there is no adequate support, self-e cacy tends to be reduced, the mother is less likely to breastfeed her baby for the recommended period, and the bene ts are no longer maximized 26,28,29 . Thus, professionals should not only encourage BF but have the practical skills to assist women in the initiation and continuation of BF as part of the routine of maternal and child care 24 .…”

Determinants of low breastfeeding self-efficacy amongst mothers of children aged less than six months old: Results from the BADUTA Study in East Java, Indonesia

“…As in other studies, we based the classification of breastfeeding self-efficacy on the median of the total score [23,24]. The use of median was supported by previous studies using either mean and or median as the cut-off point to categorise low and high breastfeeding self-efficacy [24][25][26]. We classified mothers who scored less than the median as having a low self-efficacy on breastfeeding, mothers who scored equal to or above the median as having a high self-efficacy.…”

Determinants of low breastfeeding self-efficacy amongst mothers of children aged less than six months old: Results from the BADUTA Study in East Java, Indonesia

“…As in other studies, we based the classi cation of breastfeeding self-e cacy on the median of the total score [25,26]. Previous studies supported using either the mean and or the median as the cut-off point to categorize low and high breastfeeding self-e cacy [26][27][28]. We classi ed mothers scoring less than the median as having a low self-e cacy on breastfeeding, and those scoring equal to or above the median as having a high self-e cacy.…”