Nursing Department of Shanghai First Maternity and Infant hospital, Tongji University, School of Medicine, No. 2699, Gaoke West Road, Pudong New Area, Shanghai, 201204, China.
Women Birth. 2021 Mar;34(2):196-202. doi: 10.1016/j.wombi.2020.02.014. Epub 2020 Feb 26.
The relationship between birthing related factors and breastfeeding confidence remain unknown among Chinese mothers.
Breastfeeding confidence in the early postpartum period is an important predictor of breastfeeding duration. There are many postpartum and socio-demographic factors that have been linked to breastfeeding confidence. However, the relationship between birthing related factors and this confidence remain unknown.
To explore the relationship between birthing related factors and breastfeeding confidence among Chinese mothers.
This is a cross-sectional study of 450 mothers who were recruited after birth and before discharge from hospital. From November 2018 to March 2019, we collected data related to socio-demographics and obstetric characteristics, as well as the Chinese version of Breastfeeding Self-Efficacy Scale and the Chinese version of Labor Agentry Scale. Associations of birthing related factors with breastfeeding self-efficacy were investigated.
There was a significant correlation between perception of control during labor and breastfeeding confidence. Multiple linear regression showed that higher perception of control in labor scores were significantly associated with higher breastfeeding self-efficacy scores (B=0.282, P=<0.001), and lower breastfeeding self-efficacy scores were associated with women living in an extended family (B=-12.622, P=<0.001), perceived of insufficient milk supply (B=-5.514, P=0.038), mild fatigue (B=-8.021, P=0.03), moderate fatigue (B=-12.955, P=0.004).
There is a significant relationship between perception of control during labor and maternal breastfeeding confidence in the early postpartum period. Strengthening perception of control during labor can improve breastfeeding self-efficacy. Providing professional and emotional support for women during the intrapartum period should be strengthened.
中国母亲的分娩相关因素与母乳喂养信心之间的关系尚不清楚。
产后早期母乳喂养信心是母乳喂养持续时间的重要预测因素。有许多产后和社会人口因素与母乳喂养信心有关。然而，分娩相关因素与这种信心之间的关系尚不清楚。
探讨中国母亲分娩相关因素与母乳喂养信心之间的关系。
这是一项横断面研究，共纳入 450 名分娩后在出院前的母亲。我们于 2018 年 11 月至 2019 年 3 月收集了与社会人口学和产科特征相关的数据，以及中文版母乳喂养自我效能量表和中文版分娩自主权量表。调查了分娩相关因素与母乳喂养自我效能之间的关联。
分娩时的控制感与母乳喂养信心之间存在显著相关性。多元线性回归显示，分娩时控制感评分越高，母乳喂养自我效能评分越高（B=0.282，P<0.001），母乳喂养自我效能评分越低，与以下因素有关：与生活在大家庭中的女性（B=-12.622，P<0.001）、感觉乳汁不足（B=-5.514，P=0.038）、轻度疲劳（B=-8.021，P=0.03）、中度疲劳（B=-12.955，P=0.004）。
分娩时的控制感与产妇产后早期母乳喂养信心之间存在显著关系。增强分娩时的控制感可以提高母乳喂养自我效能。应该加强在分娩期间为女性提供专业和情感支持。
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