The role of positive family relationships and spousal support in breastfeeding self-efficacy and breastfeeding success of mothers in the early postpartum period Breastfeeding success of mothers

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Ayla Acikgoz
Selda Yoruk


Breastfeeding, breastfeeding success, self-efficacy


Summary. Aim: This study aimed to determine the relationship between mothers’ positive family relationships, spousal support, stress, and other factors with breastfeeding success and breastfeeding self-efficacy in the early postpartum period. Methods: This cross-sectional study was conducted in the largest maternity hospital in a city in the western part of Turkey. The sample consisted of 532 women and their babies who met the sampling criteria. As data collection tools, descriptive data form, Breastfeeding Self-Efficacy Scale-Short Form (BSES), and LATCH Breastfeeding Assessment Tool were used. Results: BSES and LATCH mean scores of primiparous mothers were found to be lower, while the mean BSES and LATCH scores of mothers without postpartum health problems were higher. The LATCH mean score of the mothers who received prenatal care during pregnancy was higher. The mean BSES scores of mothers who had a positive relationship with their spouse, their own family, and their spouse's family, who received sufficient support from their spouse regarding baby care, and who were not stressed higher. However, these variables did not affect the LATCH score. It was found that as the BSES scores of the mothers increased, their breastfeeding success also increased. Conclusion: The results of this study may be a guide for healthcare professionals who provide breastfeeding counseling to mothers during the perinatal period. To increase the breastfeeding success of mothers, it may be useful to evaluate the self-efficacy level of mothers and problems such as breastfeeding experience, lack of prenatal care service, and presence of postnatal health problems.


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1.World Health Organization. Breastfeeding. (accessed 14 Mar 2021).
2.The United Nations Children’s Fund (UNICEF). Improving breastfeeding, complementary foods and feeding practices. (accessed 14 Mar 2021).
3. Schafer R, Genna CW. Physiologic breastfeeding: A Contemporary approach to breastfeeding initiation. J Midwifery Womens Health 2015; 60: 546-53.
4. Bellù R, Condò M. Breastfeeding promotion: evidence and problems. Pediatr Med Chir 2017; 39:156.
5. Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet 2016; 387: 475-90.
6. World Health Organization & The United Nations Children’s Fund. Implementation guidance: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services – the revised Baby-friendly Hospital Initiative. (accessed 14 Mar 2021).
7. Hacettepe University Institute of Population Studies. 2018 Turkey Demographic and Health Survey. Ankara: Hacettepe University Institute of Population Studies, T.R. Presidency of Turkey Directorate of Strategy and Budget and TÜBİTAK; 2019. (accessed 14 Mar 2021).
8. Brockway M, Benzies K, Hayden KA. Interventions to improve breastfeeding self-efficacy and resultant breastfeeding rates: a systematic review and meta-analysis. J Hum Lact 2017; 33: 486-99.
9. Galipeau R, Baillot A, Trottier A, Lemire L. Effectiveness of interventions on breastfeeding self‐efficacy and perceived insufficient milk supply: a systematic review and meta‐analysis. Matern Child Nutr 2018; 14: e12607.
10. Tornese G, Ronfani L, Pavan C, Demarini S, Monasta L, Davanzo R. Does the LATCH score assessed in the first 24 hours after delivery predict non-exclusive breastfeeding at hospital discharge? Breastfeed Med 2012; 7: 423-30.
11. Kronborg H, Foverskov E, Væth M, Maimburg RD. The role of intention and self-efficacy on the association between breastfeeding of first and second child, a Danish cohort study. BMC Pregnancy Childbirth 2018; 18: 454.
12. O’Sullivan EJ, Alberdi G, Scully H, Kelly N, Kincaid R, Murtagh R, et al. Antenatal breastfeeding self-efficacy and breastfeeding outcomes among mothers participating in a feasibility breastfeeding-support intervention. Ir J Med Sci 2019;.188: 569-78.
13. Gerçek E, Sarıkaya Karabudak S, Ardıç Çelik N, Saruhan A. The relationship between breastfeeding self-efficacy and LATCH scores and affecting factors. J Clin Nurs. 2017; 26: 994-1004.
14. Yenal K, Aluş Tokat M, Durgun Ozan Y, Çeçe Ö, Bakılan Abalın F. The relation between breastfeeding self-efficacy and breastfeeding success in mothers. Journal of Research and Development in Nursing 2013; 10: 14-19.
15. Tuthill EL, McGrath JM, Graber M, Cusson RM, Young SL. Breastfeeding self-efficacy: a critical review of available instruments. J Hum Lact 2016; 32: 35-45.
16. Altuntas N, Turkyilmaz C, Yildiz H, Kulali F, Hirfanoglu I, Onal E, et al. Validity and reliability of the infant breastfeeding assessment tool, the mother-baby assessment tool, and the LATCH scoring system. Breastfeed Med 2014; 4: 191-95.
17. Dennis CL, Faux S. Development and psychometric testing of the Breastfeeding Self-Efficacy Scale. Res Nurs Health 1999; 22: 399-409.
18. Ogbo FA, Akombi BJ, Ahmed KY, Rwabilimbo AG, Ogbo AO, Uwaibi NE, et al. Breastfeeding in the community-how can partners/fathers help? A systematic review. Int J Environ Res Public Health 2020; 17: 413.
19. Aguiar C, Jennings L. Impact of male partner antenatal accompaniment on perinatal health outcomes in developing countries: a systematic literature review. Matern Child Health J 2015; 19: 2012–19.
20. Rempel LA, Rempel JK, Moore KCJ. Relationships between types of father breastfeeding support and breastfeeding outcomes. Matern Child Nutr 2017; 13: e12337.
21. Aydın Özkan S, Bozkurt AM, Korkmaz B, Yılmaz G, Şimşek Küçükkelepce D. The relationship between depression and breastfeeding self-efficacy in the first month of postpartum. Journal of Hacettepe University Faculty of Nursing 2019; 6: 28-35.
22. Cinar N, Köse D, Altinkaynak S. The relationship between maternal attachment, perceived social support and breast-feeding sufficiency. J Coll Physicians Surg Pak 2015; 25: 271-75.
23. Uludağ E, Öztürk S. The effect of partner support on self-efficiency in breastfeeding in the early postpartum period. Am J Fam Ther 2020; 48: 211-19.
24. Kılcı H, Çoban A. The correlation between breastfeeding success in the early postpartum period and the perception of self-efficacy in breastfeeding and breast problems in the late postpartum. Breastfeed Med 2016; 11: 188-95.
25. Göl İ. Antenatal Care and Breastfeeding. TJFMPC 2018; 12: 102-108.
26. Mızrak B. Ozerdogan N, Colak E, The Effect of Antenatal Education on Breastfeeding Self-Efficacy: Primiparous Women in Turkey. Int. J of Caring Sciences 2017; 10: 503-10.
27. Ngo LTH, Chou HF, Gau ML, Liu CY. Breastfeeding self-efficacy and related factors in postpartum Vietnamese women. Midwifery 2019; 70: 84-91.
28. Li T, Guo N, Jiang H, Eldadah M. Breastfeeding self-efficacy among parturient women in Shanghai: a cross-sectional study. J Hum Lact 2019; 35: 583-91.
29. Robinson BA, Hartrick Doane G. Beyond the latch: A new approach to breastfeeding. Nurse Educ Pract 2017; 26: 115-17.
30. Dennis CL. The breastfeeding self-efficacy scale: psychometric assessment of the short form. J Obstet Gynecol Neonatal Nurs 2003; 32: 734-44.
31. Aluş Tokat M, Okumuş H, Dennis CL. Translation and psychometric assessment of the Breast-feeding Self-Efficacy Scale-Short Form among pregnant and postnatal women in Turkey. Midwifery 2010; 26: 101-108.
32. Yenal K, Okumuş H. Reliability of LATCH breastfeeding assessment tool. Journal of Research and Development in Nursing 2003; 5: 38-44.
33. Jensen D, Wallace S, Kelsay P. LATCH: a breastfeeding charting system and documentation tool. J Obstet Gynecol Neonatal Nurs 1994; 23: 27-32.
34. Adams D, Hewell S. Maternal and professional assessment of breastfeeding. J Hum Lact 1997; 13: 279-83.
35. Hankel MA, Kunseler FC, Oosterman M. Early breastfeeding experiences predict maternal self-efficacy during the transition to parenthood. Breastfeed Med 2019; 14: 568-74.
36. Lau CYK, Lok KYW, Tarrant M. Breastfeeding duration and the theory of planned behavior and breastfeeding self-efficacy framework: a systematic review of observational studies. Matern Child Health J 2018; 22: 327-42.
37. Karakoyunlu Ö, Ejder Alpay S, Gürol A. The effect of pain, stress, and cortisol during labor on breastfeeding success. Dev Psychobiol. 2019; 61: 979-87.
38. Özkan H, Üst ZD, Gündoğdu G, Çapık A, Ağapınar Şahin S. The relationship between breast feeding and depression in the early postpartum period. Med Bull Sisli Etfal Hosp 2014; 48: 124-231.
39. Sowjanya SVNS, Venugopalan L. LATCH score as a predictor of exclusive breastfeeding at 6 weeks postpartum: a prospective cohort study. Breastfeed Med 2018; 13: 444-49.
40. Schafer R, Genna CW. Physiologic breastfeeding: a contemporary approach to breastfeeding initiation. J Midwifery Womens Health 2015; 60: 546-53.
41. Vieira ES, Caldeira NT, Eugênio DS, Lucca MMD, Silva IA. Breastfeeding self-efficacy and postpartum depression: a cohort study. Rev Lat Am Enfermagem 2018; 26: e3035.
42. Fata S, Atan SU. The relationship between fatigue and breastfeeding self-efficacy. Niger J Clin Pract 2018; 21: 1408-14.
43. Aslan Y, Ege E. Breastfeeding self-efficacy of mothers and relationship with depression risk. Journal of Human Sciences 2016; 13: 3160-72.

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