Direct Breastfeeding Self-Efficacy of Mothers with Premature Infants

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doi:2015.19.1.23

J Korean Soc Matern Child Health > Volume 19(1); 2015 > Article

Journal of The Korean Society of Maternal and Child Health 2015;19(1):23-36.
DOI: https://doi.org/10.21896/jksmch.2015.19.1.23 Published online January 31, 2015.

Direct Breastfeeding Self-Efficacy of Mothers with Premature Infants

라진숙¹, 채선미²

¹충남대학교 간호대학
²서울대학교

미숙아 어머니의 직접 모유수유 자기효능감

라진숙¹, 채선미²

¹충남대학교 간호대학
²서울대학교

Abstract

Purpose
The purpose of this study was to explore direct breastfeeding self-efficacy (DBSE) ofmothers with premature infants and its relations with their knowledge, attitude and family perceptionon direct breastfeeding.
Methods
A cross-sectional descriptive study was employed. A total of 76 mothers with prematureinfants participated in the study from 3 neonatal intensive care units (NICU). Data were collectedusing self-report questionnaires.
Results
The mothers of premature infants showed 51% of correct answers on direct breastfeedingknowledge. No one breastfed their premature infants in NICU while about a half of the mothersused bottle feeding with breast milk and formula. Almost all of the mothers with premature infants(96.1%) expressed intention to begin and continue direct breastfeeding. Their DBSE was at amoderate level, 3.09±0.65. The DBSE of the mothers with premature infants was significantlycorrelated with their knowledge, attitude, and family perception on breastfeeding. Also DBSE wassignificantly higher in those with direct breastfeeding experiences than their counterparts. Maternalprevious direct breastfeeding experience, direct breastfeeding experience in NICU, and family perceptionon direct breastfeeding significantly explained 38.8% of the variance in DBSE of motherswith premature infants.
Conclusion
Our findings suggest mother of premature infants with experience of direct breastfeedingin NICU and positive family perception on direct breastfeeding seems to increase DBSE. Therefore, NICU discharge program should include education on direct breastfeeding to thosemothers. Also family-centered approach should be developed to improve DBSE of the motherswith premature infants.

Key Words: breast feeding, self efficacy, premature infant, mothers, knowledge, attitude