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J Adv Nurs. 2014 Aug;70(8):1867-79. doi: 10.1111/jan.12349. Epub 2014 Jan 8.

The effects of a breastfeeding self-efficacy intervention on short-term breastfeeding outcomes among primiparous mothers in Wuhan, China.

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1
Wuhan University, HOPE School of Nursing & Infection Control Nurse, Fujian Provincial Hospital, China.

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Abstract

AIMS:

To evaluate the effects of a breastfeeding intervention on primiparous mothers' breastfeeding self-efficacy, breastfeeding duration and exclusivity at 4 and 8 weeks postpartum.

BACKGROUND:

Few studies have examined the effects of breastfeeding self-efficacy on improved breastfeeding outcomes among primiparous mothers in China.

DESIGN:

An experimental pre-test and posttest, two-group design was used in the study.

METHODS:

A total of 74 participants were recruited to the study from a tertiary hospital in central China, from June-October 2012. An individualized, standardized nursing intervention based on the Self-Efficacy Theory was delivered to enhance mothers' breastfeeding self-efficacy, breastfeeding duration and exclusivity at 4 and 8 weeks postpartum. Participants were randomly assigned to an intervention or referent group. Participants in the intervention group received three individualized, self-efficacy-enhancing sessions. Participants in the referent group received standard care.

RESULTS:

Participants in the intervention group showed significantly greater increases in breastfeeding self-efficacy, exclusivity and duration than participants in the control group at 4 and 8 weeks postpartum (except for duration at 4 weeks). High baseline breastfeeding self-efficacy predicted higher breastfeeding self-efficacy later and more exclusive breast-feeding.

CONCLUSION:

The findings in this study suggest that intervention aimed at increasing self-efficacy has a significant impact on maternal breastfeeding self-efficacy and short-term breastfeeding outcomes.

KEYWORDS:

China; breastfeeding duration; breastfeeding exclusivity; breastfeeding self-efficacy; primiparous mothers; self-efficacy; self-efficacy intervention; self-efficacy theory; short-term breastfeeding outcomes

PMID:
24400967
DOI:
10.1111/jan.12349
[Indexed for MEDLINE]
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