Background: Health Canada recommends exclusive breastfeeding for the first 6 months postpartum with continued breastfeeding up to 2 years and beyond. While 88% of Canadian mothers initiate breastfeeding, only 70% of mothers continue to do so at 4 weeks postpartum and only 14% are exclusively breastfeeding at 6 months. Breastfeeding self-efficacy is a potentially modifiable variable that has been associated with mothers’ breastfeeding practices. The Breastfeeding Self-Efficacy Scale (Short-Form) is an instrument that could potentially identify women with low breastfeeding self-efficacy during the in hospital period.
Purpose: To describe the breastfeeding practices of new mothers in the Kingston, Frontenac and Lennox & Addington area and to assess the association between in-hospital scores on the Breastfeeding Self-Efficacy Scale (Short-Form) and duration of breastfeeding.
Methods: This study was a secondary analysis of a dataset from the 2008 Infant Feeding Survey, a prospective study of 463 mothers with 12-month longitudinal follow-up. Data were weighted according to the maternal age distribution of the general population of new mothers. Breastfeeding practices were described using Kaplan-Meier survival distributions. Four outcomes were described: ‘exclusive breastfeeding from birth’, ‘exclusive breastfeeding from discharge’, ‘high breastfeeding’, and ‘any breastfeeding’. Using logistic regression, scores from the Breastfeeding Self-Efficacy Scale (Short-Form) were assessed for association with duration of ‘exclusive breastfeeding from birth’ and duration of ‘any breastfeeding’ (dichotomized as ‘less than 6 weeks’ and ‘6 weeks or beyond’).
Results: The sample was highly educated (75% had post-secondary education) and reported high levels of household income (37% reported >$80,000/year). Six percent of mothers exclusively breastfed to 6 months. Close to one quarter (24%) of women sustained some extent of breastfeeding for 12 months. The relationship between scores on the Breastfeeding Self-Efficacy Scale (Short-Form) and duration of ‘exclusive breastfeeding from birth’ and the relationship between self-efficacy scores and duration of ‘any breastfeeding’ were identical (OR = 1.05) and non-significant (95% CI 1.0-1.1).
Conclusion: This study did not show a significant relationship between in-hospital scores on the Breastfeeding Self-Efficacy Scale (Short-Form) and duration of breastfeeding. Given the high socioeconomic status of women in this study, further studies are warranted to confirm these results. / Thesis (Master, Community Health & Epidemiology) -- Queen's University, 2011-12-06 14:46:41.103
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:OKQ.1974/6899 |
| Date | 06 December 2011 |
| Creators | POON, KAREN KIT YING |
| Contributors | Queen's University (Kingston, Ont.). Theses (Queen's University (Kingston, Ont.)) |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English, English |
| Detected Language | English |
| Type | Thesis |
| Rights | This publication is made available by the authority of the copyright owner solely for the purpose of private study and research and may not be copied or reproduced except as permitted by the copyright laws without written authority from the copyright owner. |
| Relation | Canadian theses |
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