Breastfeeding self-efficacy in Asia and Pacific: Scoping review

  • Artemio Morado Gonzales Mail Department of Midwifery, College of Arts, Sciences and Technology, Occidental Mindoro State College, Philippines
Keywords:
breastfeeding; breastfeeding interventions; breastmilk feeding; exclusive expression; scoping review

Abstract

Background & Aim: Breastfeeding self-efficacy refers to a mother’s perceived ability to breastfeed her new infant and is a salient variable in breastfeeding duration. This study aimed to review the current state of knowledge, including the predictors and interventions, and discuss relevant findings and gaps in the breastfeeding self-efficiency theory.

Methods & Materials: Scoping review of peer-reviewed articles between the years of 2009-2019. Using the keyword breastfeeding, self-efficacy, and breastfeeding confidence, an extensive search of the PubMed, Scopus, and ProQuest databases was performed. A total of 1,200 publications were found, from which, after excluding duplication and non-related papers, only 34 publications were considered relevant to the subject and examined in-depth. This study utilized the data extraction form developed by the Joanna Briggs Institute.

Results: There were various predictors of breastfeeding self-efficacy, such as fetal attachment, social support, and positive prenatal experience. Studies have claimed that educational programs through educational sessions, information packages, and peer education have a positive effect on breastfeeding self-efficacy and the duration of exclusive breastfeeding.

Conclusion: To facilitate successful breastfeeding, health care institutions could promote interventions regarding positive breastfeeding experiences. The data suggest that breastfeeding self-efficacy moves beyond our current understanding of motherhood. However, this evidence is limited to the study conducted in western and developed countries, and results are coming from studies with limited sample size. To provide an assessment and information on Asian mothers in developing countries, data are needed to describe their experiences and to examine factors associated with breastfeeding self-efficacy in this population.

References

1. Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, Murch S, Sankar MJ, Walker N, Rollins NC, Group TL. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. The Lancet. 2016 30 January;387(10017):475-90.
2. World Health Organization. Global strategy for infant and young child feeding. World Health Organization; 2003.
3. Mahmood H, Suleman Y, Hazir T, Akram DS, Uddin S, Dibley MJ, Abassi S, Shakeel A, Kazmi N, Thow AM. Overview of the infant and young child feeding policy environment in Pakistan: Federal, Sindh and Punjab context. BMC public health. 2017 Jun;17(2):474.
4. Yılmaz E, Öcal FD, Yılmaz ZV, Ceyhan M, Kara OF, Küçüközkan T. Early initiation and exclusive breastfeeding: Factors influencing the attitudes of mothers who gave birth in a baby-friendly hospital. Turkish journal of obstetrics and gynecology. 2017 Mar;14(1):1.
5. Zakarija-Grković I, Šegvić O, Vučković Vukušić A, Lozančić T, Božinović T, Ćuže A, Burmaz T. Predictors of suboptimal breastfeeding: an opportunity for public health interventions. The European Journal of Public Health. 2016 Apr 1;26(2):282-9.
6. Lau CY, Lok KY, Tarrant M. Breastfeeding duration and the theory of planned behavior and breastfeeding self-efficacy framework: A systematic review of observational studies. Maternal and child health journal. 2018 1 March;22(3):327-42.
7. Avery A, Zimmermann K, Underwood PW, Magnus JH. Confident commitment is a key factor for sustained breastfeeding. Birth. 2009 Jun;36(2):141-8.
8. Dennis CL. Theoretical underpinnings of breastfeeding confidence: a self-efficacy framework. Journal of human lactation. 1999 Sep;15(3):195-201.
9. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychological review. 1977 Mar;84(2):191.
10. Bandura A, Adams NE, Beyer J. Cognitive processes mediating behavioral change. Journal of personality and social psychology. 1977 Mar;35(3):125.
11. Smith J, Cattaneo A, Iellamo A, Javanparast S, Atchan M, Gribble K et al. Review of effective strategies to promote breastfeeding. The Sax Institute, 2018. 204
12. M, Benzies K, Hayden KA. Interventions to improve breastfeeding self-efficacy and resultant breastfeeding rates: A systematic review and meta-analysis. Journal of Human Lactation. 2017 Aug;33(3):486-99.
13. Haroon S, Das JK, Salam RA, Imdad A, Bhutta ZA. Breastfeeding promotion interventions and breastfeeding practices: a systematic review. BMC public health. 2013 1 September;13(S3):S20.
14. Benedict RK, Craig HC, Torlesse H, Stoltzfus RJ. Effectiveness of programmes and interventions to support optimal breastfeeding among children 0–23 months, South Asia: A scoping review. Maternal & child nutrition. 2018 Nov;14:e12697.
15. Tuthill EL, McGrath JM, Graber M, Cusson RM, Young SL. Breastfeeding self-efficacy: a critical review of available instruments. Journal of Human Lactation. 2016 Feb;32(1):35-45.
16. Lee MK, Binns C. Breastfeeding and the risk of infant illness in Asia: A Review. International Journal of Environmental Research and Public Health. 2020 Jan;17(1):186.
17. Carroll G, Safon C, Buccini G, Vilar-Compte M, Teruel G, Pérez-Escamilla R. A systematic review of costing studies for implementing and scaling-up breastfeeding interventions: what do we know and what are the gaps?. Health Policy and Planning. 2020 May;35(4):461-501.
18. Joanna Briggs Institute. Joanna Briggs Institute reviewers’ manual: 2015 edition/supplement. Adelaide: The Joanna Briggs Institute. 2015 2 July.
19. Cinar N, Köse D, Altinkaynak S. The relationship between maternal attachment, perceived social support and breastfeeding sufficiency. Journal of the College of Physicians and Surgeons Pakistan. 2015 1 April;25(4):271-5.
20. Liu L, Zhu J, Yang J, Wu M, Ye B. The effect of a perinatal breastfeeding support program on breastfeeding outcomes in primiparous mothers. Western journal of nursing research. 2017 Jul;39(7):906-23.
21. Ngo LT, Chou HF, Gau ML, Liu CY. Breastfeeding self-efficacy and related factors in postpartum Vietnamese women. Midwifery. 2019 Mar 1;70:84-91.
22. Yang X, Gao LL, Ip WY, Chan WC. Predictors of breast feeding self-efficacy in the immediate postpartum period: A cross-sectional study. Midwifery. 2016 1 October;41:1-8.
23. Zhu J, Chan WC, Zhou X, Ye B, He HG. Predictors of breast feeding self-efficacy among Chinese mothers: A cross-sectional questionnaire survey. Midwifery. 2014 1 June;30(6):705-11.
24. Burcu K, Remziye S, Seda ST, Buket D. The relation between breastfeeding self-efficacy and starting times of supplementary food. International Journal of Caring Sciences. 2018;11(1):231-8.
25. Hadjiona V, Middleton N, Kouta C, Hadjigeorgiou E, Lambrinou E, Kolokotroni O. Cyprus mothers׳ breast feeding self-efficacy and their perceptions about the implementation of the ‘10 steps’ in the first 48 hours after birth. Midwifery. 2016 May 1;36:43-52.
26. Ku CM, Chow SK. Factors influencing the practice of exclusive breastfeeding among Hong Kong Chinese women: a questionnaire survey. Journal of clinical nursing. 2010 Sep;19(17‐18):2434-45.
27. De Jager E, Broadbent J, Fuller-Tyszkiewicz M, Skouteris H. The role of psychosocial factors in exclusive breastfeeding to six months postpartum. Midwifery. 2014 1 June;30(6):657-66.
28. Kılcı H, Çoban A. The correlation between breastfeeding success in the early postpartum period and the perception of self-efficacy in breastfeeding and breast problems in the late postpartum. Breastfeeding Medicine. 2016 1 May;11(4):188-95.
29. Gökçeoğlu E, Küçükoğlu S. The relationship between insufficient milk perception and breastfeeding self-efficacy among Turkish mothers. Global health promotion. 2017 Dec;24(4):53-61.
30. Kent JC, Hepworth AR, Langton DB, Hartmann PE. Impact of measuring milk production by test weighing on breastfeeding confidence in mothers of term infants. Breastfeeding Medicine. 2015 1 July;10(6):318-25.
31. Fata S, Atan ŞÜ. The relationship between fatigue and breastfeeding self-efficacy. Nigerian journal of clinical practice. 2018;21(11):1408-14.
32. Alus Tokat M, Serçekuş P, Yenal K, Okumuş H. Early postpartum breast‐feeding outcomes and breastfeeding self‐efficacy in Turkish mothers undergoing vaginal birth or cesarean birth with different types of anesthesia. International journal of nursing knowledge. 2015 Apr;26(2):73-9.
33. Keemer F. Breastfeeding self-efficacy of women using second-line strategies for healthy term infants in the first week postpartum: an Australian observational study. International breastfeeding journal. 2013 Dec;8(1):18.
34. Lee YH, Chang GL, Chang HY. Effects of education and support groups organized by IBCLCs in early postpartum on breastfeeding. Midwifery. 2019 1 August;75:5-11.
35. Ip WY, Gao LL, Choi KC, Chau JP, Xiao Y. The short form of the breastfeeding self-efficacy scale as a prognostic factor of exclusive breastfeeding among mandarin-speaking Chinese mothers. Journal of Human Lactation. 2016 Nov;32(4):711-20.
36. de Jager E, Broadbent J, Fuller-Tyszkiewicz M, Nagle C, McPhie S, Skouteris H. A longitudinal study of the effect of psychosocial factors on exclusive breastfeeding duration. Midwifery. 2015 1 January;31(1):103-11.
37. Loke AY, Chan LK. Maternal breastfeeding self‐efficacy and the breastfeeding behaviors of newborns in the practice of exclusive breastfeeding. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2013 Nov 1;42(6):672-84.
38. Faridvand F, Mirghafourvand M, Mohammad‐Alizadeh‐Charandabi S, Malakouti J. Breastfeeding performance in Iranian women. International journal of nursing practice. 2018 Aug;24(4):e12659.
39. Gerçek E, Sarıkaya Karabudak S, Ardıç Çelik N, Saruhan A. The relationship between breastfeeding self‐efficacy and LATCH scores and affecting factors. Journal of clinical nursing. 2017 Apr;26(7-8):994-1004.
40. Mirghafourvand M, Kamalifard M, Ranjbar F, Gordani N. Relationship of breastfeeding self-efficacy with quality of life in Iranian breastfeeding mothers. The Journal of Maternal-Fetal & Neonatal Medicine. 2018 18 October;31(20):2721-8.
41. Khresheh RM, Ahmed NM. Breastfeeding self efficacy among pregnant women in Saudi Arabia. Saudi medical journal. 2018;39(11):1116.
42. Araban M, Karimian Z, Kakolaki ZK, McQueen KA, Dennis CL. Randomized controlled trial of a prenatal breastfeeding self-efficacy intervention in primiparous women in Iran. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2018 Mar 1;47(2):173-83.
43. Chan MY, Ip WY, Choi KC. The effect of a self-efficacy-based educational programme on maternal breast feeding self-efficacy, breast feeding duration and exclusive breast feeding rates: A longitudinal study. Midwifery. 2016 1 May;36:92-8.
44. Ansari S, Abedi P, Hasanpoor S, Bani S. The effect of interventional program on breastfeeding self-efficacy and duration of exclusive breastfeeding in pregnant women in Ahvaz, Iran. International scholarly research notices. 2014;2014. http://dx.doi.org/10.1155/2014/510793
45. Nichols J, Schutte NS, Brown RF, Dennis CL, Price I. The impact of a self-efficacy intervention on short-term breastfeeding outcomes. Health Education & Behavior. 2009 Apr;36(2):250-8.
46. Wu DS, Hu J, McCoy TP, Efird JT. The effects of a breastfeeding self‐efficacy intervention on short‐term breastfeeding outcomes among primiparous mothers in Wuhan, China. Journal of Advanced Nursing. 2014 Aug;70(8):1867-79.
47. Thorpe K, Jansen E, Cromack C, Gallegos D. Can a call make a difference? Measured change in women’s breastfeeding self-efficacy across call interactions on a telephone helpline. Maternal and child health journal. 2018 Dec 1;22(12):1761-70.
48. Abuidhail J, Mrayan L, Jaradat D. Evaluating effects of prenatal web-based breastfeeding education for pregnant mothers in their third trimester of pregnancy: prospective randomized control trial. Midwifery. 2019 Feb 1;69:143-9.
49. Mizrak B, Ozerdogan N, Colak E. The effect of antenatal education on breastfeeding self-efficacy: Primiparous women in Turkey. International Journal of Caring Sciences. 2017 1 January;10(1):503.
50. Awano M, Shimada K. Development and evaluation of a self care program on breastfeeding in Japan: A quasi-experimental study. International breastfeeding journal. 2010 Aug 1;5(1):9.
51. Karbandi S, Hosseini SM, Hosseini SA, Sadeghi F, Hesari M, Masoudi R. Evaluating the effectiveness of using a progressive muscle relaxation technique on the self-efficacy of breastfeeding in mothers with preterm infants. journal of nursing research. 2017 1 August;25(4):283-8.
52. Aghdas K, Talat K, Sepideh B. Effect of immediate and continuous mother–infant skin-to-skin contact on breastfeeding self-efficacy of primiparous women: A randomised control trial. Women and birth. 2014 Mar 1;27(1):37-40.
53. İlhan G, Atmaca FV, Çümen A, Zebitay AG, Güngör ES, Karasu AF. Effects of daytime versus night‐time cesarean deliveries on Stage II lactogenesis. Journal of Obstetrics and Gynaecology Research. 2018 Apr;44(4):717-22.
54. İsik Y, Dag ZO, Tulmac OB, Pek E. Early postpartum lactation effects of cesarean and vaginal birth. Ginekologia polska. 2016;87(6):426-30
55. Zia MT, Golombek S, Lemon L, Nitkowski Keever S, Paudel U. The influence of time of birth and seasonal variations on weight loss in breastfeeding neonates. Journal of neonatal-perinatal medicine. 2019 1 January;12(2):189-94.
56. Amir LH, Bearzatto A. Overcoming challenges faced by breastfeeding mothers. Australian family physician. 2016 Aug;45(8):552.
57. Ali M, Jaghbir M, Salam M, Al-Kadamany G, Damsees R, Al-Rawashdeh N. Testing baby bottles for the presence of residual and migrated bisphenol A. Environmental monitoring and assessment. 2019 1 January;191(1):7.
58. Chen XX, Xia B, Ge LH, Yuan JW. Effects of breastfeeding duration, bottle-feeding duration and oral habits on the occlusal characteristics of primary dentition. Beijing da xue xue bao. Yi xue ban= Journal of Peking University. Health sciences. 2016 Dec;48(6):1060-6.
Published
2020-07-22
How to Cite
1.
Gonzales A. Breastfeeding self-efficacy in Asia and Pacific: Scoping review. NPT. 8(1):25-39.
Section
Review Article(s)