Current self-efficacy and its influencing factors analysis of breastfeeding among puerperas after delivering

Abstract

Objective To investigate current self-efficacy and its influencing factors of breastfeeding among puerperas after delivering, so as to provide scientific evidence for formulating interventions. Methods The general information questionnaire, self-rating depressive scale (SDS), social support revalued scale (SSRS), breast feeding knowledge scale, breastfeeding self-efficacy scale-short form were used to survey 815 delivered puerperas in Shanghai First Maternity and Infant Hospital from May to September 2014, and the influencing factors of breastfeeding self efficacy had been carried out single factor analysis and multiple regression analysis. Results The scores of SDS for 815 puerperas were from 25 to 71 with average score (44.14±8.865); the scores of SSRS were from 23 to 63 with average score (43.03±6.428); the scores of breastfeed knowledge scale were from 51 to 125 with average score (99.40±12.299); the scores of breastfeeding self-efficacy scale-short form were from 14 to 70 with average score (49.73±10.713). The correlation analysis represented that the breastfeeding self-efficacy for delivered pureperas was negatively correlated with postpartum depression (P<0.01), but it was positively correlated with SSRS and breastfeeding knowledge (P<0.01); multiple regression analysis obtained that predictive factors of breastfeeding self-efficacy included delivery method, using feeding bottle during hospitalization, sucking frequency everyday during hospitalization, planned feeding method, planned length of breastfeeding, postpartum depression, and social support level. Conclusions The level of breastfeeding self-efficacy of this group is in medium level, so medical department can focus on these influencing factors to take targeted actions to improve the breastfeeding self-efficacy, then enhance breastfeeding rate to protect the health of mothers and infants. Key words: Breastfeeding; Self-efficacy; Depression; Social support; Influencing factors; Puerpera