Journal article
First-time mothers’ breast-feeding maintenance: role of experiences and changes in maternal perceptions
Public health nutrition, Vol.20(17), pp.3099-3108
12/2017
DOI: 10.1017/S136898001700221X
PMID: 28879823
Abstract
Objective: Breast-feeding initiation rates have increased in the USA; however, maintenance of breast-feeding for recommended durations is low. The objective of the present study was to identify factors that may facilitate breast-feeding for longer durations among first-time mothers, including physiological and social experiences and changes in maternal perceptions.
Design: Survival analysis and linear regression methods were used to explore the relationship between experiences and breast-feeding duration, and the possible mediating effect of changes in maternal perceptions.
Setting: Secondary data from the Infant Feeding Practices Study II, conducted in the USA between 2005 and 2007.
Subjects: Data from 762 first-time mothers who ever breast-fed were analysed.
Results: Experiencing trouble with baby's latch, problems with milk flow/supply and painful breast-feeding were significantly associated with breast-feeding duration (64, 26 and 36 % shorter duration, respectively). Meanwhile, positive changes in perception with respect to breast-feeding self-efficacy, opinion about infant feeding and belief about breast milk were associated with 16-27 % longer duration. Furthermore, changes in perception were observed to partially mediate the impact of physiological experiences on breast-feeding duration.
Conclusions: Perceptions of breast-feeding self-efficacy, beliefs and opinions can change over time and are influenced by breast-feeding experiences. The combined effect of experience and perception plays a key role in influencing breast-feeding duration. Future research should explore interventions to maintain or improve these perceptions while accounting for physiological experiences to support breast-feeding for recommended durations among first-time mothers.
Details
- Title: Subtitle
- First-time mothers’ breast-feeding maintenance: role of experiences and changes in maternal perceptions
- Creators
- Ellen J Schafer - Department of Community and Family Health, University of South Florida College of Public Health, 13201 Bruce B. Downs Blvd, MDC 56, Tampa, FL 33612, USAShelly Campo - Department of Community and Behavioral Health, University of Iowa College of Public Health, Iowa City, IA, USATarah T Colaizy - Department of Pediatrics and Neonatology, University of Iowa Carver College of Medicine, Iowa City, IA, USAPamela J Mulder - University of Iowa College of Nursing, Iowa City, IA, USAPatrick Breheny - Department of Biostatistics, University of Iowa College of Public Health, Iowa City, IA, USASato Ashida - Department of Community and Behavioral Health, University of Iowa College of Public Health, Iowa City, IA, USA
- Resource Type
- Journal article
- Publication Details
- Public health nutrition, Vol.20(17), pp.3099-3108
- DOI
- 10.1017/S136898001700221X
- PMID
- 28879823
- NLM abbreviation
- Public Health Nutr
- ISSN
- 1368-9800
- eISSN
- 1475-2727
- Publisher
- Cambridge University Press; Cambridge, UK
- Number of pages
- 10
- Language
- English
- Date published
- 12/2017
- Academic Unit
- Graduate College Admin and Gen; Stead Family Department of Pediatrics; Biostatistics; Nursing; Injury Prevention Research Center; Public Policy Center (Archive); Communication Studies; Neonatology; Community and Behavioral Health
- Record Identifier
- 9984063130202771
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