Abstract：Objective To explore the current status and influencing factors of maternal breastfeeding self-efficacy among postpartum women in Huangshi and Jingmen regions, and to provide more theoretical evidence for improving the maternal breastfeeding rate. Methods A questionnaire survey was conducted among postpartum women who delivered their babies in three hospitals in Huangshi city and Jingmen city, Hubei province from December 2017 to March 2018, and their social demographical features, information about pregnancy and delivery, and breastfeeding status were obtained. Multivariable linear regression analysis was performed to identify factors influencing maternal breastfeeding self-efficacy. Results A total of 1,023 postpartum women were enrolled in the study, with an average age of (29.0±5.7) years. The married, primiparity and having a educational background of junior college and above accounted for 98.3%, 54.0% and 53.9%, respectively. The average score of breastfeeding self-efficacy in the postpartum women was (45.3±12.3). The results of multivariable linear regression analysis revealed that the score of maternal breastfeeding self-efficacy was higher in postpartum women without current breast disease (B=2.08, P=0.036), with previous experience of breastfeeding (B=3.62,P<0.001), obtaining breastfeeding guidance or experience from family members (B=3.20, P=0.001), acquiring breastfeeding support from husband (B=5.87, P=0.001) and gaining first breastfeeding assistance from medical professionals within 30 minutes after delivery (B=3.02, P=0.003). Conclusions Maternal breastfeeding self-efficacy of the postpartum women may be associated with their health status, breastfeeding experience, social support and maternal breastfeeding health services. It is necessary to provide extensive social support for the postpartum women and enhance the supply of maternal breastfeeding health services so as to improve maternal breastfeeding self-efficacy and promote breastfeeding.
[1] 王立新. 母乳喂养的益处及方法[J]. 中华护理杂志, 2006, 41(3):287-288. [2] Cattaneo A, Yngve A, Koletzko B, et al. Protection, promotion and support of breast-feeding in Europe:current situation[J]. Public Health Nutr, 2005, 8(1):39-46. [3] 孙思, 万宏伟, 朱毓,等. 母乳喂养现状及影响因素研究进展[J]. 中华现代护理杂志, 2015, 21(3):361-364. [4] World Health Organization. Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services[R]. Geneva: WHO,2017:1-25. [5] 中华医学会儿科学分会儿童保健学组,中华医学会围产医学分会,中国营养学会妇幼营养分会,等.母乳喂养促进策略指南(2018版)[J].中华儿科杂志,2018,56(4):261-266. [6] 马冠生.中国居民营养与健康状况监测报告(2010-2013)[C].中国营养学研究发展报告研讨会,2014:6-13. [7] Cai X,Wardlaw T,Brown DW. Global trends in exclusive breastfeeding [J]. Int Breastfeed J,2012,7(1):12. [8] 刘爱珍, 王建宁, 鲍梦婕,等. 母乳喂养自我效能及其影响因素研究进展[J]. 中国护理管理, 2014, 14(6):665-667. [9] Dennis CL, Faux S. Development and psychometric testing of the Breastfeeding Self-Efficacy Scale[J]. Res Nurs Health, 1999, 22(5):399-409. [10] 盛夕曼,洪静芳,王维利,等.社区初产妇母乳喂养自我效能调查及影响因素研究[J].中国全科医学, 2015, 36(2):191-195. [11] Avery A, Zimmermann K, Underwood PW, et al. Confident commitment is a key factor for sustained breastfeeding[J]. Birth, 2009, 36(2):141-148. [12] Dennis CL. The Breastfeeding Self-Efficacy Scale: Psychometric Assessment of the Short Form[J]. J Obstet Gynecol Neonatal Nurs, 2003, 32(6):734-744. [13] 赵旻.北京地区初产妇母乳喂养自我效能及其影响因素的研究[D].北京:中国协和医科大学,2008. [14] Petrozzi A, Gagliardi L. Breastfeeding Self-Efficacy Scale: validation of the Italian version and correlation with breastfeeding at 3 months[J]. J Pediatr Gastroenterol Nutr, 2016, 62(1):137-139. [15] Huang P, Zhou J, Yin Y, et al. Effects of breast-feeding compared with formula-feeding on preterm infant body composition:a systematic review and meta-analysis[J]. Br J Nutr,2016,116(1):132-141. [16] 韩瑛婷,谭梅芳.基于自我效能理论的伴侣参与式护理干预对母乳喂养的影响[J].护理学杂志,2018,33(10):27-30. [17] 陈娟慧,尹心红.初产妇母乳喂养自我效能现状及其影响因素的研究[J].中国护理管理,2013,13(2):35-37. [18] 朱杰敏,李伟丽,沈曲,等.孕妇对母乳喂养自信心及其影响因素的研究[J].护理管理杂志,2010,10(7):464-467. [19] 刘雅静,路俊梅,武维锋,等.爱婴社区创建工作对促进母乳喂养的作用及影响[J].实用预防医学,2017,24(2):208-209. [20] 刘姿,伍娟英,唐万秋.乳旁加奶诱导婴儿吸吮促进母乳分泌的效果研究[J].中国妇幼保健,2017,32(19):4871-4873. [21] 毕景芹.早接触早吸吮早开奶配合乳房穴位按摩对母乳喂养的影响[J].河北医学,2015,21(8):1536-1538. [22] Chezem J, Friesen C, Boettcher J. Breastfeeding knowledge, breastfeeding confidence, and infant feeding plans:effects on actual feeding practices[J]. J Obstet Gynecol Neonatal Nurs, 2003, 32(1):40-47. [23] 戴晓娜,Cindy-Lee Dennis,陈叙,等.母乳喂养自信心量表在护理实践中的应用[J].中华护理杂志,2004,39(6):407-409. [24] 张利娟,张广清,杨明,等.181例住院初产妇母乳喂养方式的影响因素分析[J].护理学报,2014,21(19):6-10. [25] 周红女,旷洋,侯达,等.长沙市母乳喂养现状及主要影响因素研究[J].实用预防医学,2017,24(2):210-212.
2020, Vol. 27 
