Effectiveness of a Breastfeeding Self-efficacy Intervention

Do Hospital Practices Make a Difference

Bibliographic Data

ID15340772
AuthorsKeiko Otsuka (corresponding author), Masataka Taguri (0000-0001-8902-0056, Yokohama City University), Cindy-Lee Dennis (0000-0002-0135-7242, Women's College Hospital), Kiriko Wakutani, Masayo Awano (Kanazawa University), Takuhiro Yamaguchi (0000-0002-7961-9417, Tohoku University), Masamine Jimba (0000-0001-5659-3237, The University of Tokyo)
Year2013
Volume18
Issue1
Pages296-306
Publication date2013-04-17
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueMaternal and Child Health Journal (JOURNAL)
Journal identifiersISSN: 1092-7875 • E-ISSN: 1573-6628
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s10995-013-1265-2
PMID23592322
PMCIDPMC3880483
OpenAlexW2049947007
LanguageEN
Citations received11
References cited28

Breastfeeding self-efficacy interventions are important for improving breastfeeding outcomes. However, the circumstances that may influence the effectiveness of the interventions are unclear, especially in the context of hospitals with suboptimal infant feeding practices. Thus, we aimed to evaluate the effect of a self-efficacy intervention on breastfeeding self-efficacy and exclusive breastfeeding, and further assessed the difference in its effect by hospital-routine type. In this intervention study with a control group, 781 pregnant women were recruited from 2 "Baby-Friendly"-certified hospitals (BFH) and 2 non-Baby-Friendly Hospitals (nBFH) in Japan, and were allocated to an intervention or control group. Participants in the intervention group were provided with a breastfeeding self-efficacy workbook in their third trimester. The primary outcome was breastfeeding self-efficacy and the secondary outcome was infant feeding status. All analyses were stratified by the type of hospital, BFH or nBFH. In BFHs, the intervention improved both breastfeeding self-efficacy through 4 weeks postpartum (p = 0.037) and the exclusive breastfeeding rate at 4 weeks postpartum (AOR 2.32, 95 % CI 1.01-5.33). In nBFHs, however, no positive effect was observed on breastfeeding self-efficacy (p = 0.982) or on the exclusive breastfeeding rate at 4 weeks postpartum (AOR 0.97, 95 % CI 0.52-1.81); in nBFHs, supplementation was provided for breastfed infants and the mother and infant were separated in the vast majority of cases. Infant feeding status at 12 weeks was not improved in either hospital type. The intervention improved breastfeeding self-efficacy and exclusive breastfeeding at 4 weeks postpartum only in BFHs. When breastfeeding self-efficacy interventions are implemented, hospital infant feeding practices may need to be optimized beforehand

Breastfeeding · Family medicine · Intervention (counseling · Public health · Public hospital · Self-efficacy · Breastfeeding Practices and Influences · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Medicine · Nursing · Social Psychology · Pediatrics

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