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Purpose: This study explored the influence of personal factors, body mass index, attitude, and social support on four-week exclusive breastfeeding in postpartum mothers.
Design: Predictive research design.
Methods: The sample group consisted of 107 mothers who received postpartum examinations at two university hospitals. Data were collected by using a demographic data questionnaire, a breastfeeding attitude questionnaire, a family support in breastfeeding questionnaire, and an interview form on the duration of exclusive breastfeeding. Data were analyzed using percentages, means, standard deviations, and logistic regression.
Main findings: age, parity, body mass index, attitude, and family support could together to predict the likelihood on four-week exclusive breastfeeding by 14% (Nagelkerke R2 = .14) and two factors were able to predict four weeks of exclusive breastfeeding in postpartum mothers with statistical significance, namely age (OR = .88, 95%CI = .80, .97, p < .05) and breastfeeding attitude (OR = 1.15, 95%CI = 1.02, 1.29, p < .05).
Conclusion and recommendations: Age and breastfeeding attitude were able to increase the likelihood on four-week exclusive breastfeeding in postpartum mothers. Based on the findings of this study, the researcher recommends that nurses provide attentive nursing care and give time to postpartum mothers, particularly in the case of older mothers, and promote positive attitudes about breastfeeding in postpartum mothers.
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Spatz DL, Lessen R. Risks of not breastfeeding-position statement. Morrisville, NC: International Lactation Consultant Association; 2011. 11 p.
World Health Organization. Promoting and protecting breastfeeding for a better start in life [Internet]. Geneva: WHO; 2020 [cited 2020 Dec 8]. Available from: http://www.afro.who.int/news/promoting-and-protecting-breastfeeding-better-start-life-1.
Piejko E. The postpartum visit--why wait 6 weeks? Aust Fam Physician. 2006;35(9):674-8.
Lauwers J. Maternal breastfeeding anatomy. In: Mannel R, Martens PJ, Walker M, editors. Core curriculum for lactation consultant practice. 3rd ed. Burlington, MA: Jones & Bartlett Learning; 2013. p.261-73.
Zanardo V, Cavallin F, Guerrini P, Bertin M, Straface G. Prepregnancy body mass index shift across gestation: an association with breastfeeding practices? Breastfeed Med. 2017;12(10):615-20. doi: 10.1089/bfm.2017.0037.
Nommsen-Rivers LA, Chantry CJ, Peerson JM, Cohen RJ, Dewey KG. Delayed onset of lactogenesis among first-time mothers is related to maternal obesity and factors associated with ineffective breastfeeding. Am J Clin Nutr. 2010;92(3):574-84. doi: 10.3945/ajcn.2010.29192.
Wambach K, Genna CW. Anatomy and physiology of lactation. In: Wambach K, Riordan J, editors. Breastfeeding and human lactation 5th ed. Burlington, MA: Jones & Bartlett Learning; 2016. p.79-115.
Mosquera PS, Lourenc BH, Gimeno SGA, Malta MB, Castro MC, Cardoso MA, et al. Factors affecting exclusive breastfeeding in the first month of life among Amazonian children. PLoS ONE. 2019;14(7):e0219801. doi: 10.1371/journal.pone.0219801.
Tehranian A, Hosseini L, Nariman S, Eslami B, Rastad H, Aghajani F. The association between prepregnancy body mass index and breastfeeding duration in iranian women. J Compr Pediatr. 2017;8(3):e12361. doi: 10.5812/compreped.12361.
Ernst B, Thurnheer M, Schultes B. Basal serum prolactin levels in obesity—unrelated to parameters of the metabolic syndrome and unchanged after massive weight loss. Obes Surg. 2009;19(8):1159-62. doi: 10.1007/s11695-009-9856-0.
O'Sullivan EJ, Perrine CG, Rasmussen KM. Early breastfeeding problems mediate the negative association between maternal obesity and exclusive breastfeeding at 1 and 2 months postpartum. J Nutr. 2015;145(10):2369-78. doi: 10.3945/jn.115.214619.
Boudet-Berquier J, Salanave B, Desenclos J-C, Castetbon K. Association between maternal prepregnancy obesity and breastfeeding duration: data from a nationwide prospective birth cohort. Matern Child Nutr. 2018;14(2):e12507. doi: 10.1111/mcn.12507.
Katz KA, Nilsson I, Rasmussen KM. Danish health care providers' perception of breastfeeding difficulty experienced by women who are obese, have large breasts, or both. J Hum Lact. 2010;26(2):138-47. doi: 10.1177/0890334409349805.
Hauff LE, Leonard SA, Rasmussen KM. Associations of maternal obesity and psychosocial factors with breastfeeding intention, initiation, and duration. Am J Clin Nutr. 2014;99(3):524-34. doi: 10.3945/ajcn.113.071191.
Holbrook KE, White MC, Heyman MB, Wojcicki JM. Maternal sociodemographic characteristics and the use of the Iowa infant attitude feeding scale to describe breastfeeding initiation and duration in a population of urban, Latina mothers: a prospective cohort study. Int Breastfeed J. 2013;8(1):7. doi: 10.1186/1746-4358-8-7.
House JS. Work stress and social support. Reading, MA: Adison-Wesley; 1981. 156 p.
Chanapai S, Sinsuksai N, Thananowan N, Phahuwatanakorn W. Knowledge, attitude, self-efficacy, spousal and nurse support predicting 6-weeks exclusive breastfeeding. Nursing Science Journal of Thailand. 2014;32(1):51-60. (in Thai).
Ertem IO, Votto N, Leventhal JM. The timing and predictors of the early termination of breastfeeding. Pediatrics. 2001;107(3):543-8. doi: 10.1542/peds.107.3.543.
Rahman N, Dewi NU, Fitrasyah SI, Bohari B, Oktaviani V, Rifai M. Factors related to exclusive breastfeeding among mothers in the city of Palu, Central Sulawesi, Indonesia. Malaysian Journal of Nutrition. 2017;23(2):175-89.
de la Mora AM, Russell DW, Dungy CI, Losch ME, Dusdieker L. The Iowa infant feeding attitude scale: analysis of reliability and validity1. J Appl Soc Psychol. 1999;29(11):2362-80. doi: 10.1111/j.1559-1816.1999.tb00115.x.
Chaisuwan 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).
Kitano N, Nomura K, Kido M, Murakami K, Ohkubo T, Ueno M, et al. Combined effects of maternal age and parity on successful initiation of exclusive breastfeeding. Prev Med Rep. 2016;3:121-6. doi: 10.1016/j.pmedr.2015.12.010.
Milligan RA, Pugh LC, Bronner YL, Spatz DL, Brown LP. Breastfeeding duration among low income women. J Midwifery Womens Health. 2000;45(3):246-52. doi: 10.1016/s1526-9523(00)00018-0.
Claesson IM, Larsson L, Steen L, Alehagen S. "You just need to leave the room when you breastfeed" Breastfeeding experiences among obese women in Sweden - a qualitative study. BMC Pregnancy Childbirth. 2018;18(1):39. doi: 10.1186/s12884-017-1656-2.
Ho Y-J, McGrath JM. A Chinese version of Iowa infant feeding attitude scale: reliability and validity assessment. Int J Nurs Stud. 2011;48(4):475-8. doi: 10.1016/j.ijnurstu.2010.09.001.
Hill P, Humenick SS, Argubright TM, Aldag JC. Effects of parity and weaning practices on breastfeeding duration. Public Health Nurs. 2007;14(4):227-34. doi: 10.1111/j.1525-1446.1997.tb00295.x.
Gussler J, Arensberg MB. Impact of maternal obesity on pregnancy and lactation: the health care challenge. Nutr Today. 2011;46(1):6-11. doi: 10.1097/NT.0b013e3181e988ea.