Factors Predicting Successfulness in Exclusive Breastfeeding among Working Mothers
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Published:
Dec 20, 2018
Keywords:
exclusive breastfeeding self-efficacy social support working mothers
Main Article Content
Abstract
This predictive study aimed to examine predicting factors of successfulness in exclusive breastfeeding for the first six months among working mothers. The participants included three hundred and thirty-two working mothers who brought their babies to the well-baby clinic for a follow-up at a public hospital in Bangkok, Thailand. Data were collected using the survey forms for demographic information, breastfeeding self-efficacy, family support, nurse support, workplace support, and successfulness in exclusive breastfeeding form, with content validity index yields .97, .95, .96, .96, and 1.00, respectively and reliability yields .85, .89, .84, .86, and 0.88, respectively. The data were analyzed using descriptive statistics: percentage, mean, standard deviation, and logistic regression.
The results revealed that exclusive breastfeeding rate decreased from 66.6% before discharge from hospital to 18.4% within 6-month period. Logistic regression revealed that breastfeeding self-efficacy, family support, nurse support, and workplace support could explain 36% of variance (R2= .36, p< .05) in 6-month-exclusive breastfeeding of the working mothers. However, only breastfeeding self-efficacy and workplace support were significant predictors (OR=4.81; 95% CI: 2.76-8.39) and (OR=3.85; 95% CI: 1.45-10.23), respectively. Therefore, breastfeeding self-efficacy and workplace support should be considered as necessary and beneficial to achieve 6-month-exclusive breastfeeding among working mothers.
Article Details
How to Cite
Rattasumpun, S., & Keawma, B. (2018). Factors Predicting Successfulness in Exclusive Breastfeeding among Working Mothers. Journal of Research in Nursing-Midwifery and Health Sciences, 38(4), 14–24. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/161300
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Research Articles
References
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11. Tangsuksan P, Ratinthorn A. Experiences and contextual factors related to exclusive breastfeeding in full-time working mothers. J Nurs Sci. 2011; 29(3): 52-63. Thai.
12. Balogun OO, Dagvadorj A, Anigo KM, et al. Factors influencing breastfeeding exclusivity during the first 6 months of life in developing countries: A quantitative and qualitative systematic review. Matern Child Nutr. 2015; 11(4): 433-51.
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17. Jintrawet U, Tongsawas T, Somboon L. Factors associated with the duration of exclusive breastfeeding among postpartum mothers. Nurs J. 2014; 41(1): 133-44. Thai.
18. Sinsuksai N, Nuampa S, Chanprapapah P. Factors predicting 6-month-exclusive breastfeeding in mothers with cesarean section. J Nurs Sci. 2017; 35(1): 14-22.
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23. Senghore T, Omotosho TA, Ceesay O, et al. Predictors of exclusive breastfeeding knowledge and intention to or practice of exclusive breastfeeding among antenatal and postnatal women receiving routine care: A cross-sectional study. Int Breastfeed J. 2018; 13(9): 1-8. doi.org/10.1186/s13006-018-0154-0
24. Ahmad MO, Sughra U, Kalsoom U, et al. Effect of antenatal counseling on exclusive breastfeeding. J Ayub Med Coll Abbottabad. 2012; 24(2):116-9.
25. Yimyam S, Hanpa W. Developing a workplace breastfeeding support model for employed lactating mothers. Midwifery. 2014; 30(6): 720-4. doi: 10.1016/j.midw.2014.01.007. Epub 2014 Feb 6
26. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977; 84: 191-215.
27. House JS. Work stress and social support. MA: Addison-Wesley; 1981.
28. Thepha T, Marais D, Bell J, et al. Perceptions of Northeast Thai breastfeeding mothers regarding facilitators and barriers to six-month exclusive breastfeeding: Focus group discussions. Int Breastfeed J. 2018; 13(14): 1-10. doi: 10.1186/s13006-018-0148-y
29. Desmond D, Meaney S. A qualitative study investigating the barriers to returning to work for breastfeeding mothers in Ireland. Int Breastfeed J. 2016; 11(16):1-9. doi: 10.1186/s13006-016-0075-8
30. Redshaw M, Henderson J. Learning the hard way: Expectations and experiences of infant feeding support. Birth. 2012; 39(1): 21–9.
31. Prasopkittikun T, Sangperm P. Self-efficacy promoting interventions for breastfeeding outcomes: An integrative review of research conducted in Thailand. Pacific Rim Int J Nurs Res. 2017; 21(1) 44-58.
32. 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.
33. DeJager E, Broadbent J, Fuller-Tyszkiewicz M, et al. The role of psychosocial factors in exclusive breastfeeding to six months postpartum. Midwifery. 2014; 30(6): 657-66.
34.Chisuwan C, Prasopkittikun T, Sangperm P, et al. Predictive power of support from husbands, grandmothers, and nurses on duration of exclusive breastfeeding. J Nurs Sci. 2012; 30(1): 70-80. Thai.
35. Imdad A, Yakoob MY, Bhutta ZA. Effect of breastfeeding promotion interventions on breastfeeding rates, with special focus on developing countries. BMC Public Health. 2011; 11(Suppl 3): 1-8. doi: 10.1186/1471-2458-11-S3-S24
2. Anatolitou F. Human milk benefits and breastfeeding. J Pediatr Neonat Individual Med. 2012; 1(1): 11-8.
3. Brahma P, Valdes V. Benefits of breastfeeding and risks associated with not breastfeeding. Rev Chil Pediatr. 2017; 88(1): 15-21.
4. Victora CG, Aluisio JD, Barros AJD, Franca GVA, et al. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. Lancet. 2016; 387: 475-90. doi: 10.1016/S0140-6736(15)01024-7
5. World Health Organization (WHO) and United Nation Children’s Fund (UNICEF). Global breastfeeding scorecard, 2018 enabling women to breastfeed through better policies and programmes. [Internet]. (2018). Available from: https://www.who.int/nutrition/publications/infantfeeding/global-bf-scorecard-2018.pdf?ua=1
6. Rollins NC, Bhandari N, Hajeebhoy N, et al. Why invest, and what it will take to improve breastfeeding practices? Lancet. 2016; 387: 491-504. doi: 10.1016/S0140-6736(15)01044-2
7. World Health Organization (WHO). WHO recommendations on postnatal care of the mother and newborn. Maternal, newborn, child and adolescent health. [Internet]. (2013). Available from: https://www.who.int/maternal_child_adolescent/documents/postnatal-care-recommendations/en/
8. National Statistical Office, National Health Security Office, United Nations Children’s Fund. Thailand multiple indicator cluster survey 2015-2016: Key findings. [Internet]. (2016). Available from:
https://www.unicef.org/thailand/sites/unicef.org.thailand/files/2018-06/Thailand_MICS_Key_Findings_EN_0.pdf
9. National Statistical Office, National Health Security Office, United Nations Children’s Fund. Bangkok small community multiple indicator cluster survey 2016: Final report. [Internet]. (2017). Available from:
https://www.unicef.org/thailand/sites/unicef.org.thailand/files/2018-07/unicef-bangkok-small-community-mics-en-for-web.pdf
10. Srliaranai S. 12th National Economic and Social Development Plan of Thailand 2017-2021: Framework Thailand. [Internet]. (2016). Available from: https://www.nesdb.go.th/nesdb_en/ewt_w3c/ewt_dl_link.php?nid=4345
11. Tangsuksan P, Ratinthorn A. Experiences and contextual factors related to exclusive breastfeeding in full-time working mothers. J Nurs Sci. 2011; 29(3): 52-63. Thai.
12. Balogun OO, Dagvadorj A, Anigo KM, et al. Factors influencing breastfeeding exclusivity during the first 6 months of life in developing countries: A quantitative and qualitative systematic review. Matern Child Nutr. 2015; 11(4): 433-51.
13. Wan H, Tiansawad S, Yimyam S, et al. Factors predicting exclusive breastfeeding among the first time Chinese mothers. Pacific Rim Int J Nur Res. 2015; 19(1): 32-44.
14. Sinsuksai N, Yusamran C, Phupaibul R. Breastfeeding behavior in a suburban community. TJNC. 2014; 29(3): 69-79. Thai.
15. Karmaus W, Soto-Ramirez N, Zhang H. Infant feeding pattern in the first six months of age in USA: A follow-up study. Int Breastfeed J. 2017; 12(48): 1-11. doi 10.1186/s13006-017-0139-4
16. Yimyam S, Thapphansan P, Chumphan S. Development of ways of promoting breastfeeding in workplaces. TJNC. 2012; 27(2): 122-33.
17. Jintrawet U, Tongsawas T, Somboon L. Factors associated with the duration of exclusive breastfeeding among postpartum mothers. Nurs J. 2014; 41(1): 133-44. Thai.
18. Sinsuksai N, Nuampa S, Chanprapapah P. Factors predicting 6-month-exclusive breastfeeding in mothers with cesarean section. J Nurs Sci. 2017; 35(1): 14-22.
19. Chanapai S, Sinsuksai N, Thananowan N, et al. Knowledge, attitude, self-efficacy, spousal and nurse support predicting 6-weeks exclusive breastfeeding. J Nurs Sci. 2014; 32(1): 51-60. Thai.
20. Babakazo P, Donnen P, Akilimali P, et al. Predictors of discontinuing exclusive breastfeeding before six months among mothers in Kinshasa: A prospective study. Int Breastfeed J. 2015; 10(19): 1-9. doi: 10.1186/s13006-015-0044-7
21. Buttham S, Kongwattanakul K, Jaturat N, et al. Rate and factors affecting non-exclusive breastfeeding among Thai women under the breastfeeding promotion program. Int. J. Women's Health. 2017; 9: 689–94
22. Bai Y, Middlestadt SE, Peng CY, et al. Predictors of continuation of exclusive breastfeeding for the first six months of life. J Hum Lact. 2010; 26(1):26-34.
23. Senghore T, Omotosho TA, Ceesay O, et al. Predictors of exclusive breastfeeding knowledge and intention to or practice of exclusive breastfeeding among antenatal and postnatal women receiving routine care: A cross-sectional study. Int Breastfeed J. 2018; 13(9): 1-8. doi.org/10.1186/s13006-018-0154-0
24. Ahmad MO, Sughra U, Kalsoom U, et al. Effect of antenatal counseling on exclusive breastfeeding. J Ayub Med Coll Abbottabad. 2012; 24(2):116-9.
25. Yimyam S, Hanpa W. Developing a workplace breastfeeding support model for employed lactating mothers. Midwifery. 2014; 30(6): 720-4. doi: 10.1016/j.midw.2014.01.007. Epub 2014 Feb 6
26. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977; 84: 191-215.
27. House JS. Work stress and social support. MA: Addison-Wesley; 1981.
28. Thepha T, Marais D, Bell J, et al. Perceptions of Northeast Thai breastfeeding mothers regarding facilitators and barriers to six-month exclusive breastfeeding: Focus group discussions. Int Breastfeed J. 2018; 13(14): 1-10. doi: 10.1186/s13006-018-0148-y
29. Desmond D, Meaney S. A qualitative study investigating the barriers to returning to work for breastfeeding mothers in Ireland. Int Breastfeed J. 2016; 11(16):1-9. doi: 10.1186/s13006-016-0075-8
30. Redshaw M, Henderson J. Learning the hard way: Expectations and experiences of infant feeding support. Birth. 2012; 39(1): 21–9.
31. Prasopkittikun T, Sangperm P. Self-efficacy promoting interventions for breastfeeding outcomes: An integrative review of research conducted in Thailand. Pacific Rim Int J Nurs Res. 2017; 21(1) 44-58.
32. 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.
33. DeJager E, Broadbent J, Fuller-Tyszkiewicz M, et al. The role of psychosocial factors in exclusive breastfeeding to six months postpartum. Midwifery. 2014; 30(6): 657-66.
34.Chisuwan C, Prasopkittikun T, Sangperm P, et al. Predictive power of support from husbands, grandmothers, and nurses on duration of exclusive breastfeeding. J Nurs Sci. 2012; 30(1): 70-80. Thai.
35. Imdad A, Yakoob MY, Bhutta ZA. Effect of breastfeeding promotion interventions on breastfeeding rates, with special focus on developing countries. BMC Public Health. 2011; 11(Suppl 3): 1-8. doi: 10.1186/1471-2458-11-S3-S24