Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia.
King Saud University Medical City, King Saud University, Riyadh 11451, Saudi Arabia.
Int J Environ Res Public Health. 2022 Mar 30;19(7):4115. doi: 10.3390/ijerph19074115.
Breastfeeding is beneficial for mothers with gestational diabetes mellitus (GDM). Saudi Arabia is considered one of the countries with the highest prevalence of GDM. Mothers with GDM have a low intention to breastfeed and are less likely to continue breastfeeding. This study aimed to measure breastfeeding self-efficacy among expectant mothers with GDM and quantify its determinants. This cross-sectional study recruited expectant mothers with GDM from an antenatal care clinic and queried them on breastfeeding knowledge and attitudes using the Arabic validated prenatal breastfeeding self-efficacy scale (PBSES). The study took place at the Medical City of King Saud University, during January-April 2021. The average PBSES score among 145 GDM Saudi participants was 64.07 ± 16.3. Higher academic level, previous satisfactory breastfeeding experiences, breastfeeding intention, six months or more breastfeeding experience, and health education were significantly positively correlated with PBSES score. A higher knowledge score was also correlated with a higher PBSES score ( = 0.002). Longer breastfeeding duration (β.197, = 0.036), satisfactory previous breastfeeding experience (β.218, = 0.020), and higher knowledge score (β.259, = 0.004) were significant predictors of a high PBSES score. Breastfeeding self-efficacy is low among expectant Saudi mothers with GDM, especially those with unsatisfactory previous experience or low knowledge scores. Establishing systematic education about breastfeeding during antenatal care is recommended to improve breastfeeding experience and improve GDM outcomes.
母乳喂养对患有妊娠期糖尿病（GDM）的母亲有益。沙特阿拉伯被认为是 GDM 发病率最高的国家之一。患有 GDM 的母亲母乳喂养意愿低，且不太可能继续母乳喂养。本研究旨在测量患有 GDM 的孕妇的母乳喂养自我效能，并量化其决定因素。这是一项横断面研究，在 2021 年 1 月至 4 月期间，从一家产前护理诊所招募了患有 GDM 的孕妇，并使用阿拉伯语验证的产前母乳喂养自我效能量表（PBSES）询问她们关于母乳喂养知识和态度的问题。在 145 名沙特 GDM 参与者中，平均 PBSES 得分为 64.07 ± 16.3。更高的学术水平、以前满意的母乳喂养经验、母乳喂养意愿、六个月或更长时间的母乳喂养经验和健康教育与 PBSES 评分呈显著正相关。更高的知识得分也与更高的 PBSES 评分相关（ = 0.002）。更长的母乳喂养时间（β.197， = 0.036）、以前满意的母乳喂养经验（β.218， = 0.020）和更高的知识得分（β.259， = 0.004）是 PBSES 高分的显著预测因素。患有 GDM 的沙特孕妇的母乳喂养自我效能较低，尤其是那些以前的经验不满意或知识得分较低的孕妇。建议在产前护理期间建立有关母乳喂养的系统教育，以改善母乳喂养体验并改善 GDM 结局。
