Main Article Content
Purpose: To investigate the predictive power of income, education, attitude, breastfeeding support, length of maternity leave, and work hours on the 6-month exclusive breastfeeding in the working mothers.
Design: Predictive research design.
Methods: The sample consisted of 182 working mothers having an infant aged between 6 months to 1 year who visited the well-baby clinics at Saraburi Hospital, Phraphutthabat Hospital, and King Narai Hospital. Data were collected using the demographic characteristics interview, the Iowa Infant Feeding Attitude Scale (IIFAS), the Perceived Breastfeeding Support Assessment Tool (PBSAT), and the infant feeding interview form. Data were analyzed using descriptive statistics and logistic regression.
Main finding: It is revealed that income, education, attitude, breastfeeding support, length of maternity leave, and work hours altogether could explain 43.9% of the variance in the success of 6-month exclusive breastfeeding in the working mothers (R2 = .439, p < .05). Only two factors that could predict the 6-month exclusive breastfeeding in the working mothers with the statistical significance were attitude (OR = 1.149, 95%CI = 1.075, 1.228, p < .001) and length of maternity leave (OR = 2.903, 95%CI = 1.327, 6.350, p = .008).
Conclusion and recommendations: Attitude and length of maternity leave have influence on success of exclusive breastfeeding for 6 months in the working mothers. It is suggested that the healthcare providers especially nurses should promote the positive attitude towards breastfeeding to the mothers and their families. Policies should be enforced to encourage breastfeeding in the working postpartum mothers and to increase a maternity leave for more than 90 days.
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Aikawa T, Pavadhgul P, Chongsuwat R, Sawasdivorn S, Boonshuyar C. Maternal return to paid work and breastfeeding practices in Bangkok, Thailand. Asia Pac J Public Health. 2015;27(2):NP1253-62. doi: 10.1177/1010539511419647.
Fernandez-Canadas Morillo A, Duran Duque M, Hernandez Lopez AB, Muriel Miguel C, Martinez Rodriguez B, Oscoz Prim A, et al. A comparison of factors associated with cessation of exclusive breastfeeding at 3 and 6 months. Breastfeed Med. 2017;12(7):430-5 doi: 10.1089/bfm.2017.0045.
National Statistical Office. Labor statistics [Internet]. Bangkok: National Statistical Office; 2018 [cited 2018 Nov 12]. Available from: https://statbbi.nso.go.th/staticreport/page/sector/th/02.aspx. (in Thai).
Office of the Council of State. The labor protection act of 1998 [Internet]. Bangkok: Office of the Council of State; 2019 [cited 2019 Oct 25]. Available from: https://web.krisdika.go.th/data/law/law2/%A477/%A477-20-9999-update.pdf. (in Thai).
World Health Organization. Breastfeeding [Internet]. Geneva, Switzerland: WHO; 2012 [cited 2018 Nov 12]. Available from: www.who.int/nutrition/topics/exclusive_breastfeeding/en/
Thai Breastfeeding Center Foundation. Breastfeeding in workplace manual. Bangkok: Thai Breastfeeding Center Foundation; 2018. 59 p. (in Thai).
Alianmoghaddam N, Phibbs S, Benn C. Reasons for stopping exclusive breastfeeding between three and six months: a qualitative study. J Pediatr Nurs. 2018;39:37-43. doi: 10.1016/j.pedn.2018.01.007.
Sulaiman Z, Liamputtong P, Amir HL. The enablers and barriers to continue breast milk feeding in women returning to work. J Adv Nurs. 2016;72(4):825-35. doi: 10.1111/jan.12884.
McLeroy KR, Bibeau D, Stecker A, Glant K. An ecological perspective on health promotion programs. Health Educ Q. 1988;15(4):351-77. doi: 10.1177/109019818801500401.
Sangkla J. Factors associated with exclusive breastfeeding: a case study in a semiurban area, Kanchanaburi [master’s thesis]. Bangkok: Mahidol University; 2014. 104 p. (in Thai).
Sabin A, Manzur F, Adil S. Exclusive breastfeeding practices in working women of Pakistan: a cross sectional study. Pak J Med Sci. 2017;33(5):1148-55. doi: 10.12669/pjms.335.12827.
Bai DL, Fong DY, Tarrant M. Factors associated with breastfeeding duration and exclusivity in mothers returning to paid employment postpartum. Matern Child Health J. 2015;19(5):990-9. doi: 10.1007/s10995-014-1596-7.
Chuprapan P, Thiangthum W, Pichayapinyo P. Exclusive breastfeeding within a 6 months’ period among mothers in south central region of Thailand. In: Graduate Research Conference 15th; 2014 March 28; the College of Local Administration Khon Kaen University. Khon Kaen: Khon Kaen University; . p.1723-32. (in Thai).
Ratnayake HE, Rowel D. Prevalence of exclusive breastfeeding and barriers for its continuation up to six months in Kandy district, Sri Lanka. Int Breastfeed J. 2018;13:36. doi: 10.1186/s13006-018-0180-y.
Chanapai S, Sinsuksai N, Thananowan N, Phahuwatanakorn W. Knowledge, attitude, self-efficacy, spousal and nurse support predicting 6-weeks exclusive breastfeeding. Journal of Nursing Science. 2014;32(1):51-60. (in Thai).
Jintrawet U, Tongsawas T, Somboon L. Factors associated with the duration of exclusive breastfeeding among postpartum mothers. Nursing Journal. 2014;41(1):133-44. (in Thai).
Ratnasari D, Paramashanti BA, Hadi H, Yugistyowati A, Astiti D, Nurhayati E. Family support and exclusive breastfeeding among Yogyakarta mothers in employment. Asia Pac J Clin Nutr. 2017;26 Suppl 1:S31-S5. doi: 10.6133/apjcn.062017.s8.
Tsai SY. Employee perception of breastfeeding-friendly support and benefits of breastfeeding as a predictor of intention to use breast-pumping breaks after returning to work among employed mothers. Breastfeed Med. 2014;9(1):16-23. doi: 10.1089/bfm.2013.0082.
Tsai SY. Impact of a breastfeeding-friendly workplace on an employed mother's intention to continue breastfeeding after returning to work. Breastfeed Med. 2013;8:210-6. doi: 10.1089/bfm.2012.0119.
Tangsuksan P, Ratinthorn A. Experiences and contextual factors related to exclusive breastfeeding in full-time working mothers. Journal of Nursing Science. 2011;29(3):52-63. (in Thai).
Abou-ElWafa HS, El-Gilany AH. Maternal work and exclusive breastfeeding in Mansoura, Egypt. Fam Pract. 2019;36(5):568–72. doi: 10.1093/fampra/cmy120.
De La Mora AM, Russell DW, Dungy CI, Losch ME, Dusdieker L. The Iowa infant feeding attitude scale: analysis of reliability and validity. J Appl Soc Psychol. 1999;29(11):2362-80. doi: 10.1111/j.1559-1816.1999.tb00115.x.
Hirani SA, Karmaliani R, Christie T, Parpio Y, Rafique G. Perceived Breastfeeding Support Assessment Tool (PBSAT): development and testing of psychometric properties with Pakistani urban working mothers. Midwifery. 2013;29(6):599-607. doi: 10.1016/j.midw.2012.05.003.
Wongphinit U, Sinsuksai N, Yusamran C. Personal factors, social support and effective suckling at discharge in predicting exclusive breastfeeding at one month among first-time mothers. Journal of The Royal Thai Army Nurses. 2016;17(1):88-95. (in Thai).
Wansri U, Sakulnitiwat N. Nursing care during the postpartum. Ubon Ratchathani: Boromarajonani College of Nursing, Sanpasithiprasong; 2019. 127 p. (in Thai).
Dagher RK, McGovern PM, Schold JD, Randall XJ. Determinants of breastfeeding initiation and cessation among employed mothers: a prospective cohort study. BMC Pregnancy Childbirth. 2016;16(1):194. doi: 10.1186/s12884-016-0965-1.
Amin RM, Said ZM, Sutan R, Shah SA, Darus A, Shamsuddin K. Work related determinants of breastfeeding discontinuation among employed mothers in Malaysia. Int Breastfeed J. 2011;6(1):4. doi: 10.1186/1746-4358-6-4.