Breastfeeding self-efficacy in terms of sleep quality, perceived social support, depression and certain variables: a cross-sectional study of postpartum women in Turkey.
Breastfeeding self-efficacy
Depression
Postpartum women
Sleep quality
Social support
Journal
BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799
Informations de publication
Date de publication:
02 Apr 2024
02 Apr 2024
Historique:
received:
02
01
2024
accepted:
27
03
2024
medline:
3
4
2024
pubmed:
3
4
2024
entrez:
2
4
2024
Statut:
epublish
Résumé
Breastfeeding self-efficacy is one of the key factors that affect a healthy and successful breastfeeding process. A mother's belief regarding her ability to breastfeed is influenced by social and psychological factors. This study aimed to investigate the breastfeeding self-efficacy levels of postpartum women, the factors affecting this, and its relationship with sleep quality, social support and depression. This descriptive cross-sectional study was conducted in the pediatric department of a tertiary hospital in Ankara, Turkey. Data were collected from 200 postpartum women using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), the Pittsburgh Sleep Quality Index (PSQI), the Multidimensional Scale of Perceived Social Support (MSPSS) and the Edinburgh Postnatal Depression Scale (EPDS). The mean scores of the BSES-SF, PSQI, MSPSS and EPDS were 59.05 ± 8.28, 9.18 ± 3.67, 57.82 ± 18.81, and 8.98 ± 5.89, respectively. A statistically significant negative correlation was found among the BSES-SF, EPDS (r = -0.445, p = 0.001) and PSQI (r = -0.612, p = 0.004), while a positive correlation was found among the BSES-SF, total MSPSS (r = 0.341, p = 0.036), and family support (r = 0.373, p = 0.014) (p < 0.05). In addition, a statistically significant difference was found between the number of births and breastfeeding self-efficacy (F = 3.68; p = 0.001). The linear regression analysis revealed that sleep quality (β = -0.491, p = 0.001), perceived social support (β = 0.146, p = 0.015), family support (β = 0.153, p = 0.013), and depression (β = -0.228, p = 0.001) emerged as the predictors of breastfeeding self-efficacy. In this study, the increase in sleep quality and perceived social support positively affected the breastfeeding self-efficacy of postpartum women, while giving birth for the first time and an increase in the risk of depression were negatively affected.
Sections du résumé
BACKGROUND
BACKGROUND
Breastfeeding self-efficacy is one of the key factors that affect a healthy and successful breastfeeding process. A mother's belief regarding her ability to breastfeed is influenced by social and psychological factors. This study aimed to investigate the breastfeeding self-efficacy levels of postpartum women, the factors affecting this, and its relationship with sleep quality, social support and depression.
METHODS
METHODS
This descriptive cross-sectional study was conducted in the pediatric department of a tertiary hospital in Ankara, Turkey. Data were collected from 200 postpartum women using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), the Pittsburgh Sleep Quality Index (PSQI), the Multidimensional Scale of Perceived Social Support (MSPSS) and the Edinburgh Postnatal Depression Scale (EPDS).
RESULTS
RESULTS
The mean scores of the BSES-SF, PSQI, MSPSS and EPDS were 59.05 ± 8.28, 9.18 ± 3.67, 57.82 ± 18.81, and 8.98 ± 5.89, respectively. A statistically significant negative correlation was found among the BSES-SF, EPDS (r = -0.445, p = 0.001) and PSQI (r = -0.612, p = 0.004), while a positive correlation was found among the BSES-SF, total MSPSS (r = 0.341, p = 0.036), and family support (r = 0.373, p = 0.014) (p < 0.05). In addition, a statistically significant difference was found between the number of births and breastfeeding self-efficacy (F = 3.68; p = 0.001). The linear regression analysis revealed that sleep quality (β = -0.491, p = 0.001), perceived social support (β = 0.146, p = 0.015), family support (β = 0.153, p = 0.013), and depression (β = -0.228, p = 0.001) emerged as the predictors of breastfeeding self-efficacy.
CONCLUSIONS
CONCLUSIONS
In this study, the increase in sleep quality and perceived social support positively affected the breastfeeding self-efficacy of postpartum women, while giving birth for the first time and an increase in the risk of depression were negatively affected.
Identifiants
pubmed: 38566031
doi: 10.1186/s12884-024-06456-5
pii: 10.1186/s12884-024-06456-5
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
231Informations de copyright
© 2024. The Author(s).
Références
World Health Organization. 2022. How the marketing of formula milk influences our decisions on infant feeding. https://www.who.int/publications/i/item/9789240044609 Accessed 10 Mar 2022.
Abou-Dakn M. Health effects of breastfeeding on the mother. Bundesgesundheitsblatt –Gesundheitsforschung–Gesundheitsschutz. 2018;61(8):986–9.
doi: 10.1007/s00103-018-2776-1
pubmed: 29978234
Karaçam Z, Sağlık M. Breastfeeding problems and interventions performed on problems: systematic review based on studies made in Turkey. Turk Pediatri Ars. 2018;53(3):134–48.
doi: 10.5152/TurkPediatriArs.2018.6350
pubmed: 30459512
pmcid: 6239069
United Nations Children’s Fund (UNICEF). Breastfeeding https://data.unicef.org/topic/nutrition/breastfeeding/ . Accessed 12 Oct 2021.
Hacettepe University: Institute of Population Studies. 2018. Turkey Demographic and Health Survey. http://www.hips.hacettepe.edu.tr/en/2018_turkey _ demographic_ and_ health_survey-198. Accessed 28 July 2021.
Awaliyah SN, Rachmawati IN, Rahmah H. Breastfeeding self-efficacy as a dominant factor affecting maternal breastfeeding satisfaction. BMC Nurs. 2019;18(Suppl 1):30.
doi: 10.1186/s12912-019-0359-6
pubmed: 31427892
pmcid: 6696667
Mercan Y, Selcuk TK. Association between postpartum depression level, social support level and breastfeeding attitude and breastfeeding self-efficacy in early postpartum women. PLoS ONE. 2021;16(4):e0249538.
doi: 10.1371/journal.pone.0249538
pubmed: 33798229
pmcid: 8018654
Ngo LTH, Chou HF, Gau ML, Liu CY. Breastfeeding self-efficacy and related factors in postpartum Vietnamese women. Midwifery. 2019;70:84–91.
doi: 10.1016/j.midw.2018.12.014
pubmed: 30594613
Aksu A, Yılmaz VD. The relationship of postpartum sleep quality and breastfeeding self-efficacy of Turkish mothers. Scand J Caring Sci. 2019;33(4):833–9.
doi: 10.1111/scs.12679
pubmed: 30866100
Kummer L, Duke N, Davis L, Borowsky I. Association of social and community factors with U.S. breastfeeding outcomes. Breastfeed Med. 2020;15(10):646–54.
doi: 10.1089/bfm.2020.0083
pubmed: 32856942
Dennis CL. The breastfeeding self-efficacy scale: psycometric assessment of the short form. J Obstet Gynecol Neonatal Nurs. 2003;32(6):734–44.
doi: 10.1177/0884217503258459
pubmed: 14649593
Gerçek E, Sarıkaya KS, Ardıç ÇN, Saruhan A. The relationship between breastfeeding self-efficacy and LATCH scores and affecting factors. J Clin Nurs. 2017;26(7–8):994–1004.
doi: 10.1111/jocn.13423
pubmed: 27272098
Shafaei FS, Mirghafourvand M, Havizari S. The effect of prenatal counseling on breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding: a randomized controlled clinical trial. BMC Womens Health. 2020;20(1):94.
doi: 10.1186/s12905-020-00947-1
pubmed: 32370804
pmcid: 7201717
Wen SY, Ko YL, Jou HJ, Chien LY. Sleep quality at 3 months postpartum considering maternal age: a comparative study. Women Birth. 2018;31(6):e367–73.
doi: 10.1016/j.wombi.2018.02.004
pubmed: 29503219
Okun ML, Mancuso RA, Hobel CJ, Schetter CD, Coussons-Read M. Poor sleep quality increases symptoms of depression and anxiety in postpartum women. J Behav Med. 2018;41(5):703–10.
doi: 10.1007/s10865-018-9950-7
pubmed: 30030650
pmcid: 6192841
Matenchuk BA, Davenport MH. The influence of sleep quality on weight retention in the postpartum period. Appl Physiol Nutr Metab. 2021;46(1):77–85.
doi: 10.1139/apnm-2019-0896
pubmed: 32697924
Carrega J, Lee SY, Clark P, Cranford J, Lloyd S. Impact of the quality of postpartum sleep and its health determinants on human milk volume. MCN Am J Matern Child Nurs. 2020;45(5):289–95.
doi: 10.1097/NMC.0000000000000645
pubmed: 33095543
Faridvand F, Mirghafourvand M, Mohammad-Alizadeh-Charandabi S, Malakouti J. Breastfeeding performance in Iranian women. Int J Nurs Pract. 2018;24(4):e12659.
doi: 10.1111/ijn.12659
pubmed: 29676039
Khadka R, Hong SA, Chang YS. Prevalence and determinants of poor sleep quality and depression among postpartum women: a community-based study in Ramechhap district, Nepal. Int Health. 2020;12(2):125–31.
doi: 10.1093/inthealth/ihz032
pubmed: 31294785
Terada S, Kinjo K, Fukuda Y. The relationship between postpartum depression and social support during the COVID-19 pandemic: a cross-sectional study. J Obstet Gynaecol Res. 2021;47(10):3524–31.
doi: 10.1111/jog.14929
pubmed: 34237800
Gümüşsoy S, Çelik NA, Güner Ö, Kıratlı D, Atan ŞÜ, Kavlak O. Investigation of the relationship between maternal attachment and breastfeeding self-efficacy and affecting factors in Turkish sample. J Pediatr Nurs. 2020;54:e53–60.
doi: 10.1016/j.pedn.2020.04.022
pubmed: 32446666
Karakoç H, Mucuk Ö, Özkan H. The relationship of emotional intelligence and breastfeeding self-efficacy in mothers in the early postpartum period. Breastfeed Med. 2020;15(2):103–8.
doi: 10.1089/bfm.2019.0234
pubmed: 31855462
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale NJ: Lawrence Erlbaum Associates; 1988.
Tokat MA, Okumus H, Dennis CL. Translation and psychometric assessment of the breast-feeding self efficacy scale short form among pregnant and postnatal women in Turkey. Midwifery. 2010;26(1):101–8.
doi: 10.1016/j.midw.2008.04.002
Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193–213.
doi: 10.1016/0165-1781(89)90047-4
pubmed: 2748771
Agargün MY, Kara H, Anlar O. The validity and reliability of the Pittsburgh Sleep Quality Index. Turk J Psychiatry. 1996;7(2):107–15.
Zimet GD, Powell SS, Farley GK, Werkman S, Berkoff KA. Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. J Pers Assess. 1990;55(3–4):610–7.
doi: 10.1207/s15327752jpa5503&4_17
pubmed: 2280326
Eker D, Arkar H. Perceived social support: psychometric properties of the MSPSS in normal and pathological groups in a developing country. Soc Psychiatry Psychiatr Epidemiol. 1995;30:121–6.
doi: 10.1007/BF00802040
pubmed: 7624805
Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry. 1987;150(6):782–6.
doi: 10.1192/bjp.150.6.782
pubmed: 3651732
Engindeniz AN, Küey L, Kültür S. Turkish form validity and reliability study of Edinburgh postpartum depression scale. Spring Symposiums No. 1. Ankara: Psychiatric Organization of Turkey; 1997.pp. 51–52.
Aydin N, Inandi T, Yigit A, Hodoglugil NN. Validation of the Turkish version of the Edinburgh postnatal depression scale among women within their first postpartum year. Soc Psychiatry Psychiatr Epidemiol. 2004;39:483–6.
doi: 10.1007/s00127-004-0770-4
pubmed: 15205733
Wang G, Deng Y, Jiang Y, Lin Q, Dong S, Song Y, et al. Trajectories of sleep quality from late pregnancy to 36 months postpartum and association with maternal mood disturbances: a longitudinal and prospective cohort study. Sleep. 2018;41(12):1.
doi: 10.1093/sleep/zsy179
Christian LM, Carroll JE, Porter K, Hall MH. Sleep quality across pregnancy and postpartum: effects of parity and race. Sleep Health. 2019;5(4):327–34.
doi: 10.1016/j.sleh.2019.03.005
pubmed: 31122875
pmcid: 6689436
Wu J, Einerson B, Shaw JM, Nygaard IE, Sheng X, Wolpern A, et al. Association between sleep quality and physical activity in postpartum women. Sleep Health. 2019;5(6):598–605.
doi: 10.1016/j.sleh.2019.07.008
pubmed: 31521562
pmcid: 6917838
Chrzan-Dętkoś M, Walczak-Kozłowska T, Pietkiewicz A, Żołnowska J. Improvement of the breastfeeding self-efficacy and postpartum mental health after lactation consultations–observational study. Midwifery. 2021;94:102905.
doi: 10.1016/j.midw.2020.102905
pubmed: 33360178
Li L, Wu Y, Wang Q, Du Y, Friesen D, Guo Y, et al. Determinants of breastfeeding self-efficacy among postpartum women in rural China: a cross-sectional study. PLoS ONE. 2022;17(4):e0266273.
doi: 10.1371/journal.pone.0266273
pubmed: 35390044
pmcid: 8989199
Maleki-Saghooni N, Amel Barez M, Karimi FZ. Investigation of the relationship between social support and breastfeeding self-efficacy in primiparous breastfeeding mothers. J Matern Fetal Neonatal Med. 2020;33(18):3097–102.
doi: 10.1080/14767058.2019.1568986
pubmed: 30632820
Karaçam Z, Çoban A, Akbaş B, Karabulut E. Status of postpartum depression in Turkey: a meta-analysis. Health Care Women Int. 2018;39(7):821–41.
doi: 10.1080/07399332.2018.1466144
pubmed: 29693507
Guvenc G, Yesilcinar İ, Ozkececi F, Öksüz E, Ozkececi CF, Konukbay D, et al. Anxiety, depression, and knowledge level in postpartum women during the COVID-19 pandemic. Perspect Psychiatr Care. 2021;57(3):1449–58.
doi: 10.1111/ppc.12711
pubmed: 33336416
Heck JL. Postpartum depression in American Indian/Alaska native women: a scoping review. MCN Am J Matern Child Nurs. 2021;6(1):6–13.
doi: 10.1097/NMC.0000000000000671