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Objective:To investigate the current situation of paternal self-efficacy of support breastfeeding of late prematurity and analyze the factors affectingpaternal self-efficacy of support breastfeeding.Methods:This study was a cross-sectional survey. From July to October 2021, the fathers of 210 late prematurity in Neonatology and NICU wards of Shanxi Children′s Hospital, were selected by convenience sampling method for the research object. The survey was carried out using the General Information Questionnaire, Iowa Infant Feeding Attitude Scale and Father Support Breastfeeding Self-Efficacy Scale-Short Form, multiple linear regression was used to analyze the influencing factors of paternal self-efficacy of support breastfeeding of late prematurity.Results:The total score of Father Support Breastfeeding Self-Efficacy Scale-Short Form was 46.22 ± 10.03, and the total score of Iowa Infant Feeding Attitude Scale was 59.31 ± 5.65, which were positively correlated ( r = 0.224, P<0.01). In the multiple linear regression analysis, whether or not to receive breastfeeding education, feeding methods, family opinions, and fathers′ attitudes towards breastfeeding were the main factors affecting fathers′ self-efficacy in supporting breastfeeding ( t values were - 3.07 to 2.35, all P<0.05). Conclusions:The paternal support breastfeeding of late prematurity level was at a lower level. It is suggested that medical staff should not only pay attention to puerpera and baby, but also pay attentionto father and family, and construct personalized health education based on co-parenting theory.
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Abstract Background: Kangaroo mother care (KMC) offers several benefits for neonates and mothers. Although many studies have evaluated the effectiveness of KMC on infants, only few studies have examined the effects on mothers. This study aimed to evaluate the effectiveness of KMC on maternal resilience and breastfeeding self-efficacy via the role-play method in a neonatal intensive care unit. Methods: We conducted a randomized controlled trial. Mothers were randomized into two groups. Mothers in the intervention group were trained using the role-play method. Questionnaires were administered before and after the intervention. Data were analyzed with SPSS version 22. Results: The training demonstrated a statistically significant difference in resilience score and breastfeeding self-efficacy in each group after the intervention. In addition, a statistically significant difference was revealed between both groups in resilience scores and breastfeeding self-efficacy after the intervention. Conclusions: KMC training with the role-play method was most effective. Role-play and routine methods are recommended as methods of therapeutic care in clinical settings to improve maternal resilience and breastfeeding self-efficacy.
Resumen Introducción: El cuidado madre canguro ofrece una gran cantidad de beneficios para el neonato y la madre. Aunque muchos estudios han evaluado la eficacia del cuidado madre canguro en los bebés, solo pocos estudios han examinado los efectos en las madres. El propósito del presente estudio fue evaluar la efectividad del cuidado madre canguro sobre la resiliencia de la madre y la autoeficacia de la lactancia mediante el método de juego de roles en la unidad de cuidados intensivos neonatales. Métodos: Se llevó a cabo un ensayo controlado aleatorio. Las madres se asignaron en dos grupos al azar. Las madres del grupo de intervención fueron capacitadas mediante el método de juego de roles. Se aplicaron cuestionarios antes y después de la intervención. Los datos se analizaron utilizando SPSS versión 22. Resultados: El entrenamiento demostró una diferencia estadísticamente significativa en la puntuación de la resiliencia y la autoeficacia de la lactancia en cada grupo después de la intervención. Además, se reveló una diferencia estadísticamente significativa entre ambos grupos en la puntuación de resiliencia y la autoeficacia de la lactancia después de la intervención. Conclusiones: La capacitación del cuidado madre canguro mediante el método de juego de roles fue más efectiva. Se recomienda el juego de roles y los métodos de rutina como métodos de atención terapéutica en entornos clínicos para mejorar la resiliencia de la madre y la autoeficacia de la lactancia.
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Resumo A amamentação é uma prática diretamente relacionada com a saúde da mãe e, principalmente, do bebê. Apesar de ser um processo natural, muitas mães relatam dificuldades. Este estudo objetivou buscar evidências científicas sobre a questão: "Mãe com mais confiança consegue amamentar exclusivamente por 6 meses?". Foi realizada uma revisão sistemática com busca em 5 bancos de dados eletrônicos, que resultou na inclusão de 4 estudos de coorte para avaliação. Realizou-se uma análise qualitativa dos resultados, porém não foi possível fazer a meta-análise. Autoconfiança em amamentar foi avaliada pela escala "Breastfeeding Self-Efficacy Scale". Os estudos analisados mostraram que há associação estatística significante entre aleitamento materno exclusivo e autoconfiança em amamentar. A utilização da escala parece ser uma ferramenta confiável para identificar mães em risco para desmame precoce, facilitando o planejamento de ações pelos profissionais em saúde. As evidências obtidas mostraram a associação entre mães com maior confiança em amamentar e a amamentação exclusiva por 6 meses, porém estes resultados não podem ser generalizados devido à heterogeneidade das populações.
Abstract Breastfeeding is a practice directly related to the health of the mother and especially the baby. Despite being a natural process, many mothers report difficulties with breastfeeding. This study aimed to seek scientific evidence on the issue: "Can a mother with more confidence in breastfeeding exclusively breastfeed her baby for 06 months?". We conducted a systematic review with a search in five electronic databases, and included four cohort studies for evaluation. We conducted a qualitative analysis of the results, considering the methodological differences and lack of data, and were unable to perform meta-analysis. Confidence in breastfeeding was evaluated by using the Breastfeeding Self-Efficacy Scale. The studies analyzed showed statistically significant association between the practice of breastfeed and confidence in breastfeeding. The application of a scale to evaluate trust and identify mothers at risk for early weaning appeared to be a reliable measurement tool, capable of facilitating action planning by health professionals. The evidence showed association between mothers with higher levels of confidence in breastfeeding and exclusive breastfeeding for 6 months, but these results could not be generalized because of the heterogeneity of the population.
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Humans , Female , Infant, Newborn , Infant , Self Concept , Breast Feeding/psychology , Mothers/psychology , Time Factors , Self EfficacyABSTRACT
@#Maternal self-efficacy in breastfeeding is one of the potential modifiable factors which is consistently linked with positive breastfeeding outcomes. This study aimed to develop a Malay translation of the original English BSES-SF and to conduct a validity and reliability assessment on both antenatal and postnatal questionnaires among 101 pregnant women in their third trimester and 104 women on their first week postpartum. The Malay translation of the English BSES-SF was conducted by using back-to-back translation processes, followed by validity and reliability evaluation. The validated Malay version of the questionnaire BSES-SF was then administered on the respondents. The questionnaire comprised of socio-demographic, antenatal, and breastfeeding information. Furthermore, data on infant feeding method were collected via telephone call made to the respondents at four weeks postpartum. The Cronbach’s Alpha value for antenatal BSES-SF questionnaire was0.94, while the value for postnatal BSES-SF questionnaire was 0.95. The factor analysis identified a one-dimensional structure which able to explain 59.02% of the variance for antenatal questionnaire and 60.43% of the variance for postnatal questionnaire. In addition, high antenatal and postnatal breastfeeding self-efficacy scores were significantly associated with the practice of exclusive breastfeeding at four weeks postpartum. As a conclusion, Both Malay versions of the antenatal and postnatal BSES-SF questionnaires are valid and reliable tools to assess breastfeeding self-efficacy among Malaysian mothers.