First-time mothers' breast-feeding maintenance: role of experiences and changes in maternal perceptions
Ellen J Schafer, Shelly Campo, Tarah T Colaizy, Pamela J Mulder, Patrick Breheny, Sato Ashida, Ellen J Schafer, Shelly Campo, Tarah T Colaizy, Pamela J Mulder, Patrick Breheny, Sato Ashida
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.
Keywords: Beliefs; Breast-feeding; Breast-feeding duration; Breast-feeding experience; Infant feeding.
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References
- American Academy of Pediatrics (2012) Breastfeeding and the use of human milk. Pediatrics 129, 3, e827–e841.
- Centers for Disease Control and Prevention (2016) Breastfeeding Report Card: United States 2016. Atlanta, GA: CDC.
- Bartick M & Reinhold A (2010) The burden of suboptimal breastfeeding in the United States: a pediatric cost analysis. Pediatrics 125, e1048–e1056.
- Rothman AJ (2000) Toward a theory-based analysis of behavioral maintenance. Health Psychol 19, Suppl., 64–69.
- DiGirolamo A, Thompson N, Martorell R et al.. (2005) Intention or experience? Predictors of continued breastfeeding. Health Educ Behav 32, 208–226.
- Augustin AL, Donovan K, Lozano EA et al.. (2014) Still nursing at 6 months: a survey of breastfeeding mothers. Matern Child Nurs 39, 50–55.
- Cottrell BH & Detman LA (2013) Breastfeeding concerns and experiences of African American mothers. Matern Child Nurs 38, 297–304.
- Academy of Breastfeeding Medicine Protocol Committee (2009) ABM clinical protocol #3: Hospital guidelines for the use of supplementary feedings in the healthy term breastfed neonate, revised 2009. Breastfeed Med 4, 175–182.
- Tawia S & McGuire L (2014) Early weight loss and weight gain in healthy, full-term, exclusively-breastfed infants. Breastfeed Rev 22, 31–42.
- Labarere J, Gelbert-Baudino N, Laborde L et al.. (2012) Determinants of 6-month maternal satisfaction with breastfeeding experience in a multicenter prospective cohort study. J Hum Lact 28, 203–210.
- McInnes RJ, Hoddinott P, Britten J et al.. (2013) Significant others, situations and infant feeding behaviour change processes: a serial qualitative interview study. BMC Pregnancy Childbirth 13, 114.
- Langellier BA, Chaparro MP & Whaley SE (2012) Social and institutional factors that affect breastfeeding duration among WIC participants in Los Angeles County, California. Matern Child Health J 16, 1887–1895.
- Ajzen I (1991) The theory of planned behavior. Organ Behav Hum Decis Process 50, 179–211.
- Witte K (1992) Putting the fear back into fear appeals: the extended parallel process model. Commun Monogr 59, 329–349.
- Kaufman L, Deenadayalan S & Karpati A (2010) Breastfeeding ambivalence among low-income African American and Puerto Rican women in north and central Brooklyn. Matern Child Health J 14, 696–704.
- Cricco-Lizza R (2004) Infant-feeding beliefs and experiences of black women enrolled in WIC in the New York metropolitan area. Qual Health Res 14, 1197–1210.
- Avery M, Duckett L, Dodgson J et al.. (1998) Factors associated with very early weaning among primiparas intending to breastfeed. Matern Child Health J 2, 167–179.
- Kornides M & Kitsantas P (2013) Evaluation of breastfeeding promotion, support, and knowledge of benefits on breastfeeding outcomes. J Child Health Care 17, 264–273.
- McCarter-Spaulding D & Gore R (2009) Breastfeeding self-efficacy in women of African descent. J Obstet Gynecol Neonatal Nurs 38, 230–243.
- Dennis CL & Faux S (1999) Development and psychometric testing of the breastfeeding self-efficacy scale. Res Nurs Health 22, 399–409.
- Fein SB, Labiner-Wolfe J, Shealy KR et al.. (2008) Infant feeding practices study II: study methods. Pediatrics 122, Suppl. 2, S28–S35.
- Centers for Disease Control and Prevention (2014) Infant Feeding Practices Study II and Its Year Six Follow-up. (accessed October 2015).
- Manstead AS, Profitt C & Smart JL (1983) Predicting and understanding mothers’ infant-feeding intentions and behavior: testing the theory of reasoned action. J Pers Soc Psychol 44, 657–671.
- Aday LA & Cornelius LJ (2006) Designing and Conducting Health Surveys, 3rd ed. San Francisco, CA: Jossey-Bass.
- Meedya S, Fahy K & Kable A (2010) Factors that positively influence breastfeeding duration to 6 months: a literature review. Women Birth 23, 135–145.
- Patel K, Kay R & Rowell L (2006) Comparing proportional hazards and accelerated failure time models: an application in influenza. Pharm Stat 5, 213–224.
- Baron RM & Kenny DA (1986) The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J Pers Soc Psychol 51, 1173–1182.
- American Dental Association (2016) Teething. (accessed June 2016).
- Lin-Lin S, Yap-Seng C, Yiong-Huak C et al.. (2007) Antenatal education and postnatal support strategies for improving rates of exclusive breast feeding: randomised controlled trial. BMJ 335, 596.
- Abdulwadud OA & Snow ME (2012) Interventions in the workplace to support breastfeeding for women in employment. Cochrane Database Syst Rev 10, CD006177.
- Berens PD (2015) Breast pain: engorgement, nipple pain, and mastitis. Clin Obstet Gynecol 58, 902–914.
- Kelleher CM (2006) The physical challenges of early breastfeeding. Soc Sci Med 63, 2727–2738.
- Ingram J & Johnson D (2004) A feasibility study of an intervention to enhance family support for breast feeding in a deprived area in Bristol, UK. Midwifery 20, 367–379.
- Arlotti JP, Cottrell BH, Lee SH et al.. (1998) Breastfeeding among low-income women with and without peer support. J Community Health Nurs 15, 163–178.
- Renfrew MJ, McCormick FM, Wade A et al.. (2012) Support for healthy breastfeeing mothers with healthy term babies. Cochrane Database Syst Rev issue 5, CD001141.
- Taveras EM, Capra AM, Braveman PA et al.. (2003) Clinician support and psychosocial risk factors associated with breastfeeding discontinuation. Pediatrics 112, 108–115.
- Labarere J, Gelbert-Baudino N, Ayral A et al.. (2005) Efficacy of breastfeeding support provided by trained clinicians during an early, routine, preventive visit: a prospective, randomized, open trial of 226 mother–infant pairs. Pediatrics 115, e139–e146.
- Tedder J (2015) The roadmap to breastfeeding success: teaching child development to extend breastfeeding duration. J Perinatal Educ 24, 239–248.
- Chin AC, Myers L & Magnus JH (2008) Race, education, and breastfeeding initiation in Louisiana, 2000–2004. J Hum Lact 24, 175–185.
Source: PubMed