Investigation the relationship between self-esteem and breastfeeding self-efficacy in primiparous breastfeeding mothers referring to Mashhad medical centers

Document Type : Original Article

Authors

1 Nursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

2 Social Determinants of Health Research center, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background and Objective: Breastfeeding is an effective way to protect and promote mothers and children's health. Two important factors that affecting breastfeeding success, are self-esteem and breastfeeding self-efficacy in women. The aim of this study was to investigate the relationship between self-esteem and breastfeeding self-efficacy in primiparous breastfeeding mothers.

Materials and Methods: Descriptive cross-sectional multi-stage random sampling study conducted in 2014 on 300 primiparous breastfeeding mothers referring to healthcare centers of Mashhad, Iran. Data collection was performed by demographic form, breastfeeding self-efficacy Scale and Rosenberg self-esteem scale. Data were analyzed using descriptive, inferential statistics and general linear model through SPSS version 16.

Results: About demographic characteristics of participants, mother age (p= 0.001) and husband age (p < 0.001) and family income (p= 0.024) had a significant relevancy with self-esteem but infant age, husband education, residency and method of delivery weren't like that. And about relation with breastfeeding self-efficacy only method of delivery (p= 0.040) was significant.
As well as, most mothers (79.3%) had high level of breastfeeding self-efficacy with a mean score of 131±13.60 and 78.7% of them had high level of self-esteem with a mean score of 27.85±3.54. Regression analysis confirmed the relationship between self-esteem and breastfeeding self-efficacy. According to the result by each score increasing of self-esteem score, breastfeeding self-efficacy score increased about 0.779.
 
Conclusion:  As the result indicated, maternal self-esteem is related to breastfeeding self-efficacy. These factors can help health care providers to predict length of breastfeeding, success rate of exclusive nutrition in mothers and can lead to the identification of mothers at the risk of the early breastfeeding cessation.

Keywords


 
1. Organization WH, UNICEF. Global strategy for infant and young child feeding: World Health Organization; 2003.
 
2. Kuruvilla S, Bustreo F, Kuo T, Mishra C, Taylor K, Fogstad H, et al. The Global strategy for women's, children's and adolescents' health (2016-2030): a roadmap based on evidence and country experience. Bulletin of the World Health Organization. 2016;94(5):398.
https://doi.org/10.2471/BLT.16.170431
PMid:27147772 PMCid:PMC4850541
 
 
3. Ladomenou F, Kafatos A, Galanakis E. Risk factors related to intention to breastfeed, early weaning and suboptimal duration of breastfeeding. Acta Paediatrica. 2007;96(10):1441-4.
https://doi.org/10.1111/j.1651-2227.2007.00472.x
PMid:17850395
 
 
4. Nasrabadi M, Vahedian-Shahroodi M, Esmaily H, Tehrani H, Gholian-Aval M. Factors affecting Exclusive breastfeeding in the first six months of birth: An Exploratory-Descriptive Study. Journal of Midwifery and Reproductive Health. 2019;7(3):1749-64.
 
 
5. O'Brien M, Buikstra E, Fallon T, Hegney D. Exploring the influence of psychological factors on breastfeeding duration, phase 1: perceptions of mothers and clinicians. Journal of Human Lactation. 2009;25(1):55-63.
https://doi.org/10.1177/0890334408326071
PMid:18971506
 
 
6. Mangasaryan N, Martin L, Brownlee A, Ogunlade A, Rudert C, Cai X. Breastfeeding promotion, support and protection: review of six country programmes. Nutrients. 2012;4(8):990-1014.
https://doi.org/10.3390/nu4080990
PMid:23016128 PMCid:PMC3448083
 
 
7. Blyth R, Creedy DK, Dennis CL, Moyle W, Pratt J, De Vries SM. Effect of maternal confidence on breastfeeding duration: An application of breastfeeding self‐efficacy theory. Birth. 2002;29(4):278-84.
https://doi.org/10.1046/j.1523-536X.2002.00202.x
PMid:12484390
 
 
8. Kingston D, Dennis C-L, Sword W. Exploring breast-feeding self-efficacy. The Journal of perinatal & neonatal nursing. 2007;21(3):207-15.
https://doi.org/10.1097/01.JPN.0000285810.13527.a7
PMid:17700097
 
 
9. Turner C, Papinczak T. An analysis of personal and social factors influencing initiation and duration of breastfeeding in a large Queensland maternity hospital. Breastfeeding Review. 2000;8(1):25-33.
 
 
10. Varaei S, Mehrdad N, Bahrani N. The Relationship between Self-efficacy and Breastfeeding, Tehran, Iran. Hayat. 2009;15(3):31-38.
 
 
11. Hasanpoor S, Bani S, Ansari S, Ebrahimi H. Measuring breastfeeding self-efficacy among pregnant women referred to health centers of Ahvaz. 2010;5(19):47-53.
 
 
12. Yasfard G, Abaspour Azar Z, Hosseini Almadani SA. Comparing the Effectiveness of group Dialectical Behavior Therapy and Solution-Focused Brief Therapy on Self-Esteem, Cognitive-Emotional Regulation and Non-Suicidal Self-Injury in daughters. Iranian Journal of Health Education and Health Promotion. 2019;7(4):343-58.
https://doi.org/10.29252/ijhehp.7.4.343
 
 
13. Mossman M, Heaman M, Dennis C-L, Morris M. The influence of adolescent mothers' breastfeeding confidence and attitudes on breastfeeding initiation and duration. Journal of Human Lactation. 2008;24(3):268-77.
https://doi.org/10.1177/0890334408316075
PMid:18689714
 
 
14. Asakereh A, Yousofi N. Reflective Thinking, Self-Efficacy, Self-Esteem and Academic Achievement of Iranian EFL Students in Higher Education: Is there a Relationship? International Journal of Educational Psychology. 2018;7(1):68-89
https://doi.org/10.17583/ijep.2018.2896
 
 
15. Schultz DP, Schultz SE. A history of modern psychology: Cengage Learning; 10th ed., 2015.
 
 
16. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychological review. 1977;84(2):191.
https://doi.org/10.1037/0033-295X.84.2.191
PMid:847061 PMCid:PMC4010856
 
 
17. Dennis CL. The breastfeeding self‐efficacy scale: Psychometric assessment of the short form. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2003;32(6):734-44.
https://doi.org/10.1177/0884217503258459
PMid:14649593
 
 
18. Barkhordary M, Jalalmanesh S, Mahmodi M. The relationship between critical thinking disposition and self esteem in third and forth year bachelor nursing students. Iranian journal of medical education. 2009;9(1):13-9.
 
 
19. Fontaine KR, Jones LC. Self‐esteem, optimism, and postpartum depression. Journal of clinical psychology. 1997;53(1):59-63.
https://doi.org/10.1002/(SICI)1097-4679(199701)53:13.0.CO;2-Q
 
 
20. Hall LA, Kotch JB, Browne D, Rayens MK. Self-esteem as a mediator of the effects of stressors and social resources on depressive symptoms in postpartum mothers. Nursing research. 1996;45(4):231-8.
https://doi.org/10.1097/00006199-199607000-00007
PMid:8700657
 
 
21. Neyestanak S, Heydari M, Hoseini AF, Ghodusi Borujeni M, Seyedfatemi N. Self esteem and its associated factors in patients with multiple sclerosis. Iran Journal of Nursing. 2012;25(78).14-22
 
 
22. Mohammadi N, Sajadinegad M. Psychometric evaluation of measures concerns about body image questionnaire and test the communication model, BMI, dissatisfaction with body image and self esteem in adolescent girls. Quarterly Journal of Psychological Studies. 2006;1(3):85-101.
 
 
23. Kamalifard M, Mirghafourvand M, Ranjbar F, Sharajabad FA, Gordani N. Relationship of Breastfeeding Self-Efficacy with Self-Esteem and General Health in Breastfeeding Mothers Referred to Health Centers of Falavarjan City-Iran, 2015. Community mental health journal. 2019;55(6):1057-63.
https://doi.org/10.1007/s10597-019-00408-6
PMid:31124007
 
 
24. Dehghan M, Kashaninia Z, Sajedi F, REZA SP. Effect of Kangaroo Mother Care on the self-esteem of mothers of preterm infants hospitalized in the neonatal intensive Care Unit. Journal of client-centered nursing care. 2015;1(4):177-182.
https://doi.org/10.15412/J.JCCNC.04010402
 
 
25. Fabian HM, Rådestad IJ, Waldenström U. Childbirth and parenthood education classes in Sweden. Women's opinion and possible outcomes. Acta obstetricia et gynecologica Scandinavica. 2005;84(5):436-43.
https://doi.org/10.1111/j.0001-6349.2005.00732.x
PMid:15842207
 
 
26. Robinson KM, VandeVusse L. African American women's infant feeding choices: prenatal breast-feeding self-efficacy and narratives from a black feminist perspective. The Journal of perinatal & neonatal nursing. 2011;25(4):320-8.
https://doi.org/10.1097/JPN.0b013e31821072fb
PMid:22071615
 
 
27. Liu CC, Chen YC, Yeh YP, Hsieh YS. Effects of maternal confidence and competence on maternal parenting stress in newborn care. Journal of advanced nursing. 2012;68(4):908-18.
https://doi.org/10.1111/j.1365-2648.2011.05796.x
PMid:21790741
 
 
28. Rahmatnejad L, Bastani F. An investigation of Breast Feeding Self Efficacy and its Relationship with exclusive breast feeding. Alborz University Medical Journal. 2012;1(1):31-6.
https://doi.org/10.18869/acadpub.aums.1.1.31
 
 
29. PARSA P, BOOJAR A, ROSHANAEI G, BAKHT R. The Effect breastfeeding counseling on self-efficacy and continuation breastfeeding among primiparous mothers: a randomised clinical trial. Avicenna Journal of Nursing and Midwifery Care. 2016;24(2):98-104.
 
 
30. Godarzi Z, Saeidi M, Shamshiri A, Sadeghi T. Impact of peer education on breastfeeding self-efficacy in primiparous women: a cluster randomized controlled trial. Hakim Research Journal. 2015;18(2):105-13
 
 
31. Falah-Hassani K, Shiri R, Dennis C-L. Prevalence and risk factors for comorbid postpartum depressive symptomatology and anxiety. Journal of Affective Disorders. 2016;198:142-7
https://doi.org/10.1016/j.jad.2016.03.010
PMid:27016657
 
 
32. Furman LM, Banks EC, North AB. Breastfeeding Among High-Risk Inner-City African-American Mothers: A Risky Choice? Breastfeed Med. 2013;8(1):58-67.
https://doi.org/10.1089/bfm.2012.0012
https://doi.org/10.1089/bfm.2012.0027
 
 
33. Azhari S, Baghani R, Akhlaghi F, Ebrahimzadeh S, Salehi J. Comparing the effects of hands-on and hands-off breastfeeding methods on self-efficacy in primiparous mothers. Journal of sabzevar university of medical sciences. 2011;17(4):248-255
 
 
34. Blyth RJ, Creedy DK, Dennis C-L, Moyle W, Pratt J, De Vries SM, et al. Breastfeeding duration in an Australian population: the influence of modifiable antenatal factors. Journal of Human Lactation. 2004;20(1):30-8.
https://doi.org/10.1177/0890334403261109
PMid:14974698
 
 
35. Bastani F, Rahmatnejad L, Jahdi F, Haghani H. Breastfeeding self efficacy and perceived stress in primiparous mothers. Iran Journal of Nursing. 2008;21(54):9-24.
 
 
ennis CLE. Identifying predictors of breastfeeding self‐efficacy in the immediate postpartum period. Research in nursing & health. 2006;29(4):256-68.
https://doi.org/10.1002/nur.20140
PMid:16847899
 
 
37. Thulier D, Mercer J. Variables Associated With Breastfeeding Duration. Journal of Obstetric, Gynecologic & Neonatal Nursing. 2009;38(3):259-68.
https://doi.org/10.1111/j.1552-6909.2009.01021.x
PMid:19538614
 
 
38. Yngve A, Sjöström M. Breastfeeding determinants and a suggested framework for action in Europe. Public health nutrition. 2001;4(2b):729-39.
https://doi.org/10.1079/PHN2001164
PMid:11683569
 
 
39. Maleki-Saghooni N, Amel Barez M, Moeindarbari S, Karimi FZ. Investigating the Breastfeeding Self-Efficacy and its Related Factors in Primiparous Breastfeeding Mothers. International Journal of Pediatrics. 2017;5(12):6275-83.
 
 
40. Amel Barez M, Maleki N. Self Esteem and its Associated Factors in Primiparous mothers Referred to health centers in the city of Mashhad. Journal of Clinical Nursing and Midwifery. 2016;5(2):19-28
 
 
41. Sharifi N, Sharifi F, Jamali J, khajeh Z. The impact of Education on Modification of Lifestyle Personality Dimensions Associated with Osteoporosis in Female Students. Journal of Midwifery and Reproductive Health. 2019;7(4):1888-95.