Predictors of Prenatal Breastfeeding Self-Efficacy in Malaysian Women: a Cross-Sectional Study

  • Syahrul Bariah Abdul Hamid Centre f Nutrition of Dietetics, Faculty of Health Science, Universiti Teknologi MARA (UiTM) Cawangan Selangor,Kampus Puncak Alam, Selangor, 42300 Puncak Alam, Selangor, Malaysia
  • Nurshazlyana Mohamad Zaidi Centre f Nutrition of Dietetics, Faculty of Health Science, Universiti Teknologi MARA (UiTM) Cawangan Selangor,Kampus Puncak Alam, Selangor, 42300 Puncak Alam, Selangor, Malaysia
Keywords: breastfeeding knowledge, breastfeeding self-efficacy, Theory Planned Behaviour

Abstract

Mothers with better self-efficacy are tend to have intent to breastfeed, initiate early and have lengthier of exclusive breastfeeding. This study aimed to evaluate the level of breastfeeding self-efficacy and to investigate the determinants of breastfeeding self-efficacy among pregnant mothers. A total of 180 expecting mothers were recruited in this cross sectional study from chosen Maternal and Child Health Clinics in Selangor. Self-administered questionnaires of Iowa Infant Feeding Attitude Score (IIFAS) and Breastfeeding Self-Efficacy (BSES-SF) were used to attain information on maternal attitudes and knowledge of breastfeeding and breastfeeding self-efficacy. Findings showed subjects had high level of breastfeeding self-efficacy (mean 51.79±11.94) and majority of them had fair knowledge in breastfeeding. Breastfeeding self-efficacy is found associated with number of children, while, residential area, occupation and household income were associated with breastfeeding knowledge (p<0.05). The best-fit regression analysis revealed three variables that explained 41.0% of the variance in breast feeding self-efficacy among expectant mothers. They were being housewife, multiparous and had positive breastfeeding attitudes (p<0.05). For that reason, healthcare providers can tactically identify women vulnerable to low breastfeeding self-efficacy by providing early intervention through increasing the awareness and knowledge in breastfeeding during prenatal and antenatal.

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References

1. A.H Syahrul Bariah & Y., Nabilah. 2018. Breastfeeding Knowledge, Attitude, Prior Exposure, and Intention to Breastfeed among Undergraduate University Students. Journal of Clinical & Health Sciences 3(2), pp: 26-35
2. AA Rashid, NH Shamsuddin, RDARM Ridhuan, NA Sallahuddin & NK Devaraj. 2018. Breastfeeding Practice, Support, and Self-Efficacy Among working Mothers in a Rural Health Clinic in Selangor. Malaysian Journal of Medicine and Health Sciences 14: 39-49.
3. AP Utari, K Roosita & MRM Damanik. 2013. Nutritional Knowledge, Health Complaints, Psychological Condition, and Breastfeeding Patterns on Postpartum Mothers. Journal of Nutrition & Food 8(3): 187-192
4. Abdul Hamid, S. B., Hui Chih, J., & Colin W, B. 2017. Predictors of Breastfeeding Intention in Malaysia. Environment-Behaviour Proceedings Journal, 2(5): 161.
https://doi.org/10.21834/e-bpj.v2i5.693
5. Alus-Tokat, M., Okumus¸ H., Dennis, C.L. 2010. Translation and psychometric assessment of the Breast-feeding Self Efficacy Scale-Short Form among pregnant and posnatal women in Turkey. Midwifery 26: 101–108.
6. Alzaheb, R. 2017. Factors Influencing Exclusive Breastfeeding in Tabuk, Saudi
Arabia. Clinical Medicine Insights: Pediatrics 11.
https://doi.org/10.1177/1179556517698136
7. Bandura, A. 1977. Self-efficacy: toward a unifying theory of behavioral change. Psychological Review (84): 191–215
8. Bartle, N. C. and Harvey, K. 2017. Explaining infant feeding: The role of previous personal and vicarious experience on attitudes, subjective norms, self‐efficacy, and breastfeeding outcomes. Br J Health Psychol, 22: 763-785. doi:10.1111/bjhp.12254
9. Binns, C., Lee, M., & Low, W. Y. 2016. The Long-Term Public Health Benefits of Breastfeeding. Asia Pacific Journal of Public Health, 28(1): 7–14. https://doi.org/10.1177/1010539515624964
10. Cesar G Victora, Rajiv Bahl, Aluísio J D Barros, Giovanny V A França, Susan Horton, Julia Krasevec, Simon Murch, Mari Jeeva Sankar, Neff Walker & Nigel C Rollins. 2016. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet 387(10017): 475-490, ISSN 0140-6736, https://doi.org/10.1016/S0140-6736(15)01024-7.
11. de la Mora A, Russell DW, Dungy CI, Losch M,
Dusdieker L. 1999. The Iowa Infant Feeding Attitude Scale:
Analysis of Reliability and Validity. J Appl Soc Psychol.
29(11):2362-2380.
12. Dennis, C. 1999. Theoretical underpinnings of breastfeeding confidence: A self-efficacy framework. Journal of Human Lactation 15(3): 195-201.
13. Dennis, C.-L. 2003. The Breastfeeding Self-Efficacy Scale: Psychometric
Assessment of the Short Form. Journal of Obstetric, Gynecologic, & Neonatal Nursing 32(6): 734–744. https://doi.org/10.1177/0884217503258459
14. Eidelman AI, Schanler RJ, Johnston M, et al. 2012. Breastfeeding and the use of human milk. Pediatrics 129:e827–e841.
15. Husin H, Isa ZM, Ariffin R, Rahman SA, & Ghazi HF. 2017. The Malay version of antenatal and postnatal breastfeeding self-efficacy scale-short form: Reliability and validity assessment. Malaysian J Public Heal Med. 17(2):62–9
16. Institute for Public Health (IPH). The National Health and Morbidity Survey (NHMS) 2016: Maternal and Child Health volume II. Kuala Lumpur: Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia; 2016. http://www.infosihat.gov.my/infosihat/ media/lain_lain/pdf/ 46_nham.pdf
17. J.A Scott, C.W. Binns, W.H. Oddy & K.I Graham. 2006. Predictors of breastfeeding duration: evidence from a cohort study. Pediatrics 117(4): 646-655
18. Joy Noel‐Weiss, André Rupp, Betty Cragg, Vicki Bassett and A. Kirsten Woodend. 2006. Randomized Controlled Trial to Determine Effects of Prenatal Breastfeeding Workshop on Maternal Breastfeeding Self‐Efficacy and Breastfeeding Duration. Journal of Obstetric, Gynecologic, & Neonatal Nursing 35(5): 616-624.
19. Karande S, Parkar S. 2012. Do fathers’ attitudes support breastfeeding? A cross-sectional questionnaire-based study in Mumbai, India. Indian Journal of Medical Sciences 66(1):30.
20. Koskinen, K.S., Aho, A.L., Hannula, L., Kaunonen, M. 2014. Maternity hospital practices and breast feeding self-efficacy in Finnish primiparous and multiparous women during the immediate postpartum period. Midwifery 30: 464–470
21. Kronborg, H., & Væth, M. 2004. The influence of psychosocial factors on the duration of breastfeeding. Scandinavian Journal of Public Health 32(3): 210–216. https://doi.org/10.1080/14034940310019218
22. Leahy-Warren P, Mulcahy H, Phelan A, Corcoran P. 2014. Factors influencing initiation and duration of breast feeding in Ireland. Midwifery 30(3): 345–52.
23. Mannion, C.A., Hobbs, A.J., McDonald, S.W., Tough, S.C., 2013. Maternal perceptions of partner support during breastfeeding. International Breastfeeding Journal (8):4. http://dx.doi.org/10.1186/1746-4358-8-4.
24. Meedya S, Fahy K & Kable A. 2010. Factors that positively influence breastfeeding duration to 6 months: A literature review. Women and Birth 23: 135–45.
25. Mirghafourvand, Mojgan & Malakouti, Jamileh & Mohammad-Alizadeh, Sakineh & Faridvand, Fatemeh. 2018. Predictors of Breastfeeding Self-efficacy in Iranian Women: A Cross-Sectional Study. International Journal of Women's Health and Reproduction Sciences 6: 380-385. 10.15296/ijwhr.2018.62.
26. N Draman, N Mohamad, HM Yusoff & R Muhamad. 2017. The decision of breastfeeding practices among parents attending primary health care facilities in suburban Malaysia. Journal of Taibah University Medical Sciences 12(5): 412-417. ISSN 1658-3612. https://doi.org/10.1016/j.jtumed.2017.05.005
27. Rita T. Amiel Castro, Vivette Glover, Ulrike Ehlert & Thomas G. O'Connor. 2017. Antenatal psychological and socioeconomic predictors of breastfeeding in a large community sample. Early Human Development 110: 50-56, ISSN 0378-3782, https://doi.org/10.1016/j.earlhumdev.2017.04.010.
28. Shukri NHM, Wells J, Mukhtar F, Lee MHS, Fewtrell M. 2017. Study protocol : An investigation Mal J Med Health Sci 15(SP3): 15-21, Nov 2019 21 of mother-infant signalling during breastfeeding using a randomised trial to test the effectiveness of breastfeeding relaxation therapy on maternal psychological state , breast milk production and infant behaviour and growth. International Breastfeeding Journal 12(33)1–14.
29. The Global Economy. 2018. Malaysia: Female labor force participation. [Internet]. Available from https://www.theglobaleconomy.com/Malaysia/Female_labor_force_participation/ [Accessed 2019, June 29].
30. World Health Organization. Global targets 2025: to improve maternal, infant and young child nutrition. 2019. Available from http://www.who.int/ nutrition/global-target-2025/en/ [Accessed 2019, June 25].
31. Wutke, K., & Dennis, C-L. 2007. The reliability and validity of the Polish version of the Breastfeeding Self-Efficacy Scale-Short Form: Translation and psychometric assessment. International Journal of Nursing Studies 44: 1439- 1444.
32. Yang, Xiao et al. 2016. Predictors of breast feeding self-efficacy in the immediate postpartum period: A cross-sectional study. Midwifery 41: 1 – 8
33. Zhu, Y., Zhang, Z., Ling, Y., & Wan, H. 2016. Impact of intervention on
breastfeeding outcomes and determinants based on theory of planned behavior. Women and Birth 1–7. https://doi.org/10.1016/j.wombi.2016.09.011
Published
2020-03-28
How to Cite
Hamid, S. B. A., & Zaidi, N. M. (2020). Predictors of Prenatal Breastfeeding Self-Efficacy in Malaysian Women: a Cross-Sectional Study. Jurnal Gizi Dan Pangan, 15(1), 53-62. https://doi.org/10.25182/jgp.2020.15.1.53-62
Section
Articles