Breastfeeding Self-Efficacy Scale Scores Research Articles

The effect of virtual reality on the breastfeeding process: a randomized controlled study.

The aim of this study was to determine the effect of breastfeeding training given with virtual reality (VR) to postpartum mothers after cesarean section delivery on breastfeeding success and breastfeeding self-efficacy. The research was designed as a prospective randomized controlled study. In total, 66 women were included in the study, with 31 in the control group and 35 in the intervention group. The study included mothers who had no vision or hearing impairments and no neurological disorder, who had received breastfeeding counseling during pregnancy, and who had given birth by cesarean delivery to a healthy baby. The control group received standard breastfeeding training while the intervention group watched a breastfeeding video with VR in the 4th and 24th hours after cesarean delivery. Research data were collected with the sociodemographic information form, LATCH Breastfeeding Charting System and Documentation Tool and the Breastfeeding Self-Efficacy Scale. As a result of the research, the women in the intervention group were found to have higher mean scores for the Breastfeeding Self-Efficacy Scale in the 4th and 24th hours compared to the control group. Mean LATCH scores were also higher in the intervention group compared to the control group. There were linear correlations between the Breastfeeding Self-Efficacy Scale scores and LATCH Scale scores. Breastfeeding self-efficacy and breastfeeding success of mothers who received breastfeeding training with VR at 4th and 24th hours after cesarean delivery were higher than mothers who received standard breastfeeding training. NCT06256822.

Vulnerable Baby Perception of Mothers with Infants in the Neonatal Intensive Care Unit: Relationship with Breastfeeding Self-Efficacy and Bonding.

Aim: This study was performed with the aim of investigating the correlation between vulnerable baby perception with breastfeeding self-efficacy and bonding of mothers with infants in the neonatal intensive care unit. Material and Method: The sample for this descriptive and relational search study comprised mothers of 80 healthy infants admitted to the neonatal intensive care unit (NICU) of Ordu University Education and Research Hospital for at least 3 days and at least 1 week past discharge. Collection of data used the Mother and Infant Descriptive Information Form, Vulnerable Baby Scale (VBS), Breastfeeding Self-Efficacy Scale (BSES), and Mother-Infant Bonding Scale (MIBS). Results: The VBS scores for employed mothers were significantly higher than those who were not employed, whereas the VBS scores for mothers with planned pregnancy were significantly higher than those with unplanned pregnancy (p < 0.05). According to the total number of pregnancies, the BSES scores were identified to be statistically significantly different (p < 0.05). The MIBS scores for mothers without mental change related to admission of the infant to NICU were significantly lower than those who were sad/scared (p = 0.015). There was a statistically insignificant correlation between VBS score and BSES score (p > 0.05). There was a positive and very weak statistically significant correlation between VBS score and MIBS score (p = 0.034). As VBS scores increase, MIBS scores increase (higher MIBS = lower bonding). In addition, the effect of VBS score on MIBS score was identified to be statistically significant (p = 0.042). Conclusion: The results of the study found a significant correlation between vulnerable baby perceptions of mothers and mother-infant bonding. As vulnerable baby perceptions increased, mother-infant bonding was identified to decrease. We speculate the breastfeeding self-efficacy and bonding levels of mothers with infants in the NICU should be assessed along with vulnerability perception levels, and necessary support should be provided to reduce vulnerability perceptions by informing mothers about the neonate's status.

Impact of Kangaroo Mother Care Intervention on Immunological and Pulmonary Functions of Preterm Infants during Breastfeeding.

Objective Preterm infants (PTIs) are prone to respiratory failure or other diseases due to immature organ development and poor immunological function. Herein, the effects of Kangaroo Mother Care (KMC) on the immunological and pulmonary functions of PTIs during breastfeeding were investigated in this study. Methods The study recruited 86 delivery women and their PTIs with preterm pregnancy outcomes, consisting of 46 cases receiving breastfeeding plus KMC intervention (KMC group) and 40 cases receiving breastfeeding plus routine care (control group). The time of first lactation, time of first breastfeeding, and duration of first breastfeeding were observed in both cohorts. The breastfeeding status was assessed using the LATCH system. Maternal psychological status was evaluated by the breastfeeding self-efficacy scale (BSES) and self-rating anxiety/depression scale (SAS/SDS). The growth and development of PTIs were recorded, and the levels of postalbumin (PA), transferrin (TRF), plasma albumin (ALB), immunoglobulin (Ig) A, IgG, IgM, and complement C3 and C4 were measured. The tidal volume (VT), tidal volume per kilogram (VT/kg), minute volume (MV), and minute volume per kilogram (MV/kg) were detected using a pulmonary function tester. Results The KMC group presented shorter time of first lactation and first breastfeeding than the control group, with longer duration of first breastfeeding (P < 0.05). After intervention, the BSES scores of delivery women were increased, while the SAS and SDS scores were decreased, with more notable improvements in the KMC group (P < 0.05). The levels of PA, TRF, ALB, IgA, IgG, VT, and MV were elevated in PTIs in both groups, with more evident increase in the KMC group than in the control group (P < 0.05). A better growth of PTIs was found in the KMC group than the control group (P < 0.05). Conclusions The study demonstrated that KMC intervention during breastfeeding could benefit PTIs specifically regarding their immunological and pulmonary functions.

Postpartum Anxiety, Breastfeeding Self-Efficacy &amp; Breastfeeding Outcomes

Abstract Objectives Postpartum anxiety is associated with failure to meet breastfeeding (BF) goals. While BF self-efficacy is a potential moderator of this relationship, the relationship between postpartum anxiety, BF self-efficacy, and exclusive breastfeeding (EBF) has not yet been assessed. The objective was to assess relationships between EBF, anxiety, depression, and BF self-efficacy scores. Methods An online survey using the State-Trait Anxiety Inventory (STAI), Edinburgh Postnatal Depression Scale (EPDS), and Breastfeeding Self-Efficacy Scale (BSES) was conducted. Eligible mothers were ³ 18 years old, had infants 4–24 weeks old, and had provided breastmilk in the prior 2 weeks. Screening stratified by anxiety across 4 groups (no, low, moderate, high) using the Generalized Anxiety Disorder-7 (GAD) tool to ensure sample variability. Possible score ranges for each scale were: GAD (0–21), STAI (20–80), EPDS (0–30), and BSES (14–70). Full sample correlations assessed relationships between STAI, EPDS, and BSES scores. Independent t-tests assessed for differences in scale scores by EBF status. Results Participants (n = 129) were primarily white (92.2%), non-Hispanic (90.7%), married (74.4%), and primiparous (62%). About half were low income and 56.6% reported EBF. Mean scale scores were as follows: GAD = 8.2 (+5.7); STAI = 24.6 (+12.9); EPDS = 9.7 (+4.6); and BSES = 56.8 (+11.4). STAI and EPDS scores were positively correlated (P &amp;lt; .001). BSES scores negatively correlated with STAI (P = .027) and EPDS (P &amp;lt; .001) scores. BSES scores were higher among those reporting EBF (60.0 vs. 53.3; P &amp;lt; .001). Conclusions In this sample of mostly white, non-Hispanic, married women, preliminary findings indicate potentially important relationships between BF self-efficacy and anxiety and depression, and suggest these relationships may impact EBF. Future work, increasing our understanding of the relationship between postpartum anxiety and EBF, may provide important intervention pathways. Funding Sources There was no funding source for this project.

Fatores associados ao aleitamento materno segundo os tipos de mamilos

Objetivo: analisar os fatores associados ao aleitamento materno segundo os tipos de mamilo. Método: estudo transversal quantitativo realizado com 60 puérperas internadas em alojamento conjunto. Para coleta foi utilizado um questionário semi-estruturado, além da aplicação da Escala de Ansiedade Traço-Estado e da Escala de Autoeficácia na Amamentação. Resultados: a proporção de mamilos protusos e não protusos foi de 51,6% (n= 31) e 48,3% (n=29), consecutivamente. A ansiedade avaliada foi maior nas mulheres com mamilos não protusos. Enquanto a autoeficácia na amamentação foi maior nas mulheres com mamilos protusos (p 0,027). Os fatores que se associaram a amamentação segundo os tipos de mamilos foram: dificuldade na pega (p 0,019), auxílio durante a amamentação (p 0,003) e satisfação ao amamentar (p 0,043). Conclusão: a prevalência anatômica da protusão mamilar demonstra um fator facilitador durante a amamentação o que pode resultar no sucesso da prática exclusiva por um período mais duradouro.

Les mères confiantes en elles allaitent-elles plus longtemps leur nouveau-né ?

Maternal self-confidence and self-efficacy in breastfeeding are recognized as factors positively associated with the initiation and duration of breastfeeding. To evaluate the importance of this association using the Breast Feeding Self-Efficacy Scale (BSES). This prospective study was conducted in 2012 in the Jeanne-de-Flandre maternity department in the Lille University Hospital (France). During their time in the maternity department, breastfeeding mothers who participated in the study completed the BSES, a brief self-assessment of their feelings of self-efficacy relating to breastfeeding. They then received follow-up telephone interviews at 1 and 3 months postpartum. One hundred and forty-nine mothers were included in the study. Breastfeeding rates were 86.5% at 1 month and 60% at 3 months. The BSES score of mothers who continued to breastfeed at 1 and 3 months was significantly higher than the score of mothers who had already weaned their children, with an AUROC of 0.72 at 3 months. This confirmed the reliability of the BSES for predicting adherence to breastfeeding. The BSES score of mothers who had previously breastfed was significantly higher than for those breastfeeding for the first time. The threshold score for the BSES was determined as 116/165. It is important that mothers who lack confidence in their ability to breastfeed be identified early, whether on the maternity ward or even before this point. The value of BSES-based breastfeeding support intervention needs to be evaluated through randomized trials.

Correlation between breastfeeding and maternal health status

ABSTRACTObjective:To examine the relation between breastfeeding efficacy and health status in a sample of 88 mothers from Southern Brazil.Methods:Research participants completed the Portuguese version of the General Health Questionnaire and the Personal Health Scale. Breastfeeding efficacy was evaluated using the Breastfeeding Self-Efficacy Scale. Correlations between breastfeeding and health status scores were examined using Pearson's correlation coefficient.Results:The results of this study revealed significant correlations between the scores of the two general health and well-being questionnaires and the Breastfeeding Self-Efficacy Scale. Bivariate regression analyses revealed that both health status instruments significantly predicted Breastfeeding Self-Efficacy Scale scores.Conclusion:Breastfeeding efficacy is significantly related to maternal health status in Southern Brazil.

Psychometric Assessment of the Brazilian Version of the Breastfeeding Self‐Efficacy Scale

The purpose of this study was to translate and psychometrically assess the Breastfeeding Self-Efficacy Scale (BSES) among women living in Fortaleza, CE, Brazil, and examine the relationship between breastfeeding self-efficacy (BSE) and maternal demographic variables. This methodological study is the first translation of BSES conducted in South America. The psychometric assessment of the original study was replicated. This methodological study enrolled a group (sample of judgment) of 117 pregnant women. BSES and maternal sociodemographic variables were studied. The Cronbach's alpha coefficient for the translated BSES was .88. Significant differences in BSES scores were found among mothers with a previous satisfactory breastfeeding experience (M = 145.81; SD = + or - 6.82, p = .0001). Significant relationships were found among prenatal BSE and maternal age (r = .228; p = .01), educational level (r = .234; p = .01), and marital status (r = .183; p = .04). No relationship was found among BSE and maternal occupation, family income, or number of pregnancies. Altogether, our findings suggest that BSES translated into Portuguese may be a reliable and valid measure to assess maternal BSE in Brazilian culture. Minor changes may be needed to use it in other Portuguese-speaking countries, such as Portugal and Mozambique.

Duration of breastfeeding in young women: psychological influences

Breastfeeding rates for young mothers are lower than for older mothers and are poorer at four months than at initiation. Therefore the aim of this study was to discover which psychosocial factors influence breastfeeding duration and which factors are different between age groups. Fifty-seven participants aged 16–24 and 25–40 completed the following measures antenatally and postnatally: a self-esteem-scale, a parent expectations survey, a general self-efficacy scale (GSES), an attitudes to breastfeeding scale, a breastfeeding support scale and a breastfeeding self-efficacy scale (BSES). Duration of breastfeeding varied from 0 days to 4 months. There was a significant difference in attitudes between the age groups with the older women having more positive attitudes. Multiple hierarchical regression analysis showed that the GSES scores and the BSES scores significantly predicted duration independently of age. Breastfeeding self-efficacy decreased overall after giving birth and to a greater extent in younger mothers who had significantly lower scores on postnatal breastfeeding self-efficacy, which perhaps accounts for younger mothers giving up breastfeeding sooner.

Translation and validation of the breastfeeding Self-Efficacy scale into chinese

The purpose of this methodological study was to translate the Breastfeeding Self-Efficacy Scale (BSES) into Mandarin and determine the psychometric characteristics among a sample of 186 Chinese women. The BSES was translated and pilot-tested with 21 breastfeeding women. Following minor revisions to ensure content and semantic equivalence, the instrument was administered to 186 hospitalized breastfeeding women, who were then contacted again at 4 and 8 weeks postpartum to determine their infant feeding method and readminister the Edinburgh Postnatal Depression Scale. The psychometric assessment method used to validate the original BSES (English version) was replicated with the translated Chinese version. The Cronbach's alpha coefficient for the Chinese version BSES was 0.93, suggesting good reliability. Consistent with the English version, the factor analysis procedures resulted in the theorized two-factor solution and as hypothesized, the BSES was significantly correlated with the Edinburgh Postnatal Depression Scale, a theoretically related construct. Support for predictive validity was demonstrated through significant mean differences in BSES scores between breastfeeding and bottle-feeding mothers at 4 and 8 weeks postpartum. The results from this study are the first to examine the psychometric characteristics of the Chinese version BSES administered in a hospital postnatally and provide further evidence of the reliability and validity of the instrument.

Psychometric characteristics of the breastfeeding self‐efficacy scale: Data from an Australian sample

Many new mothers discontinue breastfeeding prematurely because of difficulties encountered rather than maternal choice. Research has shown that a significant predictor of breastfeeding duration is a mother's confidence in her ability to breastfeed. To measure breastfeeding confidence, the Breastfeeding Self-Efficacy Scale (BSES) was developed and psychometrically tested at 1 week postpartum. The purpose of this methodological study was to psychometrically test the BSES antenatally and at 1 week and 4 months postpartum in a sample of Australian women and to determine predictive validity. The psychometric assessment of the original BSES study was replicated, including internal consistency, principal components factor analysis, comparison of contrasted groups, and correlations with a similar construct. Support for predictive validity was demonstrated through positive correlations and significant mean differences between antenatal BSES scores and infant-feeding method at 1 week and 4 months postpartum. The BSES is now considered ready for both research and clinical use (a) to identify new mothers with low breastfeeding confidence who require additional assistance, (b) to assess breastfeeding behaviors and cognitions in order to have individualized confidence-building strategies, and (c) to assist in the evaluation of various nursing interventions.

Development and psychometric testing of the Breastfeeding Self-Efficacy Scale.

Many new mothers discontinue breastfeeding prematurely. Researchers have shown that maternal confidence is an important factor in the continuation of breastfeeding. The purpose of this methodological study was to develop and conduct preliminary psychometric assessment of an instrument to measure confidence in new breastfeeding mothers. Using self-efficacy theory as a conceptual framework, the Breastfeeding Self-Efficacy Scale (BSES) was developed and content validity was judged by a panel of experts and through interviews with experienced breastfeeding mothers. Following a pilot test, the revised BSES was assessed with 130 in-hospital breastfeeding mothers for reliability and validity, including internal consistency, principal components factor analysis, comparison of contrasted groups, and correlations with measures of similar constructs. Support for predictive validity was demonstrated with positive correlations between BSES scores and infant feeding patterns at 6 weeks postpartum. Following further testing, this instrument may be used to identify new mothers with low breastfeeding confidence who are at high risk to prematurely discontinue breastfeeding.