Saavedra Sanchez Steven, Rodríguez-Gallego Isabel, Leon-Larios Fatima, Andina-Diaz Elena, Perez-Contreras Rosa, Gonzalez-Sanz Juan D
Interdisciplinary Gender Studies PhD Program, University of Huelva, 21071 Huelva, Spain.
Virgen del Rocío University Hospital, 41013 Seville, Spain.
Healthcare (Basel). 2024 Nov 24;12(23):2347. doi: 10.3390/healthcare12232347.
BACKGROUND/OBJECTIVES: Different international organizations recommend exclusive breastfeeding during the neonate's first six months of life; however, figures of around 38% are reported at the global level. One of the reasons for early abandonment is the mothers' perception of supplying insufficient milk to their newborns. The objective of this research is to assess how mothers' perceived level of self-efficacy during breastfeeding affects their ability to breastfeed and the rates of exclusive breastfeeding up to six months postpartum.
A systematic review for the 2000-2023 period was conducted in the following databases: Cochrane, Web of Science, Scopus, PubMed, Science Direct, and CINAHL. Original articles, clinical trials, and observational studies in English and Spanish were included.
The results comprised 18 articles in the review (2006-2023), with an overall sample of 2004 participants. All studies were conducted with women who wanted to breastfeed, used the Breastfeeding Self-Efficacy Scale or its short version to measure postpartum self-efficacy levels, and breastfeeding rates were assessed up to 6 months postpartum.
The present review draws on evidence suggesting that mothers' perceived level of self-efficacy about their ability to breastfeed affects rates of exclusive breastfeeding up to 6 months postpartum. High levels of self-efficacy are positively related to the establishment and maintenance of exclusive breastfeeding; however, these rates decline markedly at 6 months postpartum.
背景/目的：不同国际组织建议在新生儿出生后的前六个月进行纯母乳喂养；然而，全球母乳喂养率仅约为38%。过早放弃母乳喂养的原因之一是母亲认为自己分泌的乳汁不足以喂养新生儿。本研究的目的是评估母亲在母乳喂养期间自我效能感的认知水平如何影响其母乳喂养能力以及产后六个月内的纯母乳喂养率。
对2000年至2023年期间的相关研究进行系统综述，检索了以下数据库：Cochrane、科学网、Scopus、PubMed、Science Direct和CINAHL。纳入英文和西班牙文的原创文章、临床试验和观察性研究。
该综述结果包含18篇文章（2006年至2023年），总样本量为2004名参与者。所有研究均针对有母乳喂养意愿的女性开展，使用母乳喂养自我效能量表或其简版来测量产后自我效能水平，并评估产后6个月内的母乳喂养率。
本综述依据现有证据表明，母亲对自身母乳喂养能力的自我效能感认知水平会影响产后6个月内的纯母乳喂养率。自我效能感水平较高与纯母乳喂养的建立和维持呈正相关；然而，产后6个月时这些比率会显著下降。
