Factors Predicting Six-month Exclusive Breastfeeding in Eastern Region of Thailand

Main Article Content

Siriwan Sangin
Nichagorn Chuenarrom
Rujira Cheidchim


Purpose: To determine the rate of six-month exclusive breastfeeding, related factors and factors predicting six-month exclusive breastfeeding among postpartum mothers at tertiary hospitals in eastern region of Thailand.

Design: Predictive research.

Methods: The sample were 265 mothers, who gave birth and brought their child to visit well baby clinics at two tertiary hospitals in eastern region of Thailand. Research instruments were composed of personal information interview form, breastfeeding and infant feeding interview form, breastfeeding intention questionnaire, perceived breastfeeding self-efficacy questionnaire and breastfeeding support questionnaire. Data were analyzed by using descriptive statistics and logistic regression analysis.

Main findings: The rate of six-month exclusive was 55.8. Occupation, breastfeeding experience, breastfeeding intention, perceived breastfeeding self-efficacy and breastfeeding support were significantly correlated with six-month exclusive breastfeeding (p < .05). Breastfeeding intention (OR = 2.489, 95%CI = 1.308, 4.736, p < .01) and perceived breastfeeding self-efficacy (OR = 5.736, 95%CI = 2.926, 11.219, p < .001) could significantly predict six-month exclusive breastfeeding accounting for 37.6 percent of the variance explained (Nagelkerke R2 = .376, p < .01).

Conclusion and recommendations: Factors that could predict the six-month exclusive breastfeeding included breastfeeding intention and perceived breastfeeding self-efficacy. The results suggested that nurses should assess breastfeeding intention and perceived breastfeeding self-efficacy, and develop nursing program to promote these factors.

Article Details

How to Cite
Sangin, S. ., Chuenarrom, N. ., & Cheidchim, R. . (2020). Factors Predicting Six-month Exclusive Breastfeeding in Eastern Region of Thailand. Nursing Science Journal of Thailand, 38(3), 22–34. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/241138
Research Papers


Anamai Media. Natural benefits from breast milk [Internet]. Nonthaburi: Department of Health, Ministry of Public Health; 2018 [cited 2020 Apr 5]. Available from: https://multimedia.anamai.moph.go.th/help-knowledgs/benefits-of-breastfeeding/ (in Thai).

Hakularb P, Thananowan N. Barriers of breastfeeding initiation in labor room. Thai Journal of Nursing Council. 2009;24(2):14-23. (in Thai).

Puapornpong P. Exclusive breastfeeding for 6 months in Thailand [Internet]. Bangkok: GURUOBGYN.com; 2015 [cited 2018 May 21]. Available from: http://guruobgyn.com/อัตราการเลี้ยงลูกด้วยน/ (in Thai).

Department of Health, Ministry of Public Health. Breastfeeding survey of Thai women around the country in 2016. Nonthaburi: Ministry of Public Health; 2017. 22 p. (in Thai).

UNICEF Thailand. The many benefits of breastfeeding [Internet]. Bangkok: UNICEF Thailand; 2016 [cited 2018 Jan 30]. Available from: https://thailandunicef.blogspot.com/2016/01/blog-post.html (in Thai).

Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 5th ed. Prentice Hall, NJ: Pearson Education; 2015. 384 p.

Chuprapan P, Thiangthum W, Pichayapinyo P. Factors influencing exclusive breastfeeding within a 6 months’ period among mothers in south central region of Thailand [Internet]. Khon Kaen: Khon Kaen University; 2014. [cited 2017 Jan 28]. Available from: https://gsbooks.gs.kku.ac.th/57/grc15/files/mmp73.pdf. (in Thai).

Perrine CG, Scanlon KS, Li R, Odom E, Grummer-Strawn LM. Baby-friendly hospital practices and meeting exclusive breastfeeding intention. Pediatrics. 2012;130(1):54-60. doi: 10.1542/peds.2011-3633.

Chongpanichkulthorn P, Teeratantikanon T, Thanakitcharoen T, Laowattana N. Factors affecting breastfeeding for 6 months of mothers in Sungnoen District [Internet]. Bangkok: Faculty of Medicine Ramathibodi Hospital, Mahidol University; 2011 [cited 2014 May 21]. Available from: https://med.mahidol.ac.th/commed/sites/default/files/public/pdf/pdf1/Ex_Soon_9_54.pdf. (in Thai).

McCarter-Spaulding D, Gore R. Breastfeeding self-efficacy in women of African descent. J Obstet Gynecol Neonatal Nurs. 2009;38(2):230-43. doi: 10.1111/j.1552-6909.2009.01011.x.

Meedya S, Fahy K, Kable A. Factors that positively influence breastfeeding duration to 6 months: a literature review. Women Birth. 2010;23(4):135-45. doi: 10.1016/j.wombi.2010.02.002.

Daniel WW. Biostatistics: a foundation for analysis in the health sciences. 7th ed. New York: John Wiley & Sons; 1999. 152 p.

Nommsen-Rivers LA, Dewey KG. Development and validation of the infant feeding intentions scale. Matern Child Health J. 2009;13(3):334-42. doi: 10.1007/s10995-008-0356-y.

Sangin S. The breastfeeding self-efficacy questionnaire [unpublished paper]. Chonburi: Faculty of Nursing, Burapha University; 2011. 10 p. (in Thai).

Denis C. The breastfeeding self-efficacy scale: psychometric assessment of the short form. J Obstet Gynecol Neonatal Nurs. 2003;32(6):734-44.

Phonkusol C, Sangin S, Suppasri, P. Factors affecting breastfeeding behavior among postpartum mothers in private hospitals Chonburi province. Chonburi Hospital Journal. 2016;41(1):31-8. (in Thai).

Moran VH, Edwards J, Dykes F, Downe S. A systematic review of the nature of support for breastfeeding adolescent mothers. Midwifery. 2007;23(2):157-71. doi: 10.1016/j.midw.2006.06.005.

Prapokklao Hospital, Chanthaburi. Strategies for promoting breastfeeding Prapokklao Hospital Chanthaburi [Internet]. Bangkok: GURUOBGYN.com; 2017 [cited 2018 Dec 6]. Available from: http://guruobgyn.com/กลยุทธ์ในการส่งเสริมกา/ (in Thai).

Wongsubthawi C. Factors influencing the breastfeeding in a family with a child aged 6 months In Chachoengsao Province [master’s thesis]. Chonburi: Burapha University; 2010. 83 p. (in Thai).

Phunpom C, Phahuwatanakorn W, Limruangrong P. Factors influencing a 6 – month exclusive breastfeeding period in working mothers. Nursing Science Journal of Thailand. 2020;38(1):47-59. (in Thai).

Balogun OO, Dagvadorj A, Anigo KM, Ota E, Sasaki S. Factors influencing breastfeeding exclusive during the first 6 months of life in developing countries: a quantitative and qualitative systematic review. Matern Child Nutr. 2015;11(4):433-51. doi: 10.1111/mcn.12180.

Weerakul C. Factors associated with success in promoting exclusive breastfeeding for 6 months in Naresuan University Hospital. Paper presented at: Naresuan 12th Research: Research and Innovation and National Development; 2016 Jul 21-22; Phitsanulok, Thailand. (in Thai).

Chaiopanont S. Factors associated with exclusive breastfeeding 6 months in Nonthaburi Province. Journal of Preventive Medicine Association of Thailand. 2016;6(2): 97-108. (in Thai).

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).

Chisuwan C, Prasopkittikun T, Sangperm P, Payakkaraung S. Predictive power of support from husbands, grandmothers and nurses on duration of exclusive breastfeeding. Nursing Science Journal of Thailand. 2012;30(1):70-80. (in Thai).