Knowledge, Intention, and Self-Efficacy Associated with Breastfeeding: Impact of These Factors on Breastfeeding during Postpartum Hospital Stays in Taiwanese Women

Shu-Fang Vivienne Wu, Shu-Ching Chen, Hsiao-Yun Liu, Hsiu-Lan Lee and Yueh-E Lin
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Shu-Fang Vivienne Wu: School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112, Taiwan
Shu-Ching Chen: School of Nursing and Geriatric and Long-Term Care Research Center, College of Nursing, Chang Gung University of Science and Technology, Taoyuan 333, Taiwan
Hsiao-Yun Liu: Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan
Hsiu-Lan Lee: Department of Nursing, Chang Gung Memorial Hospital at Linkou, Taoyuan 333, Taiwan
Yueh-E Lin: School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112, Taiwan

IJERPH, 2021, vol. 18, issue 9, 1-11

Abstract: Breastfeeding knowledge, intention, and self-efficacy affect breastfeeding rates during the postpartum period. Insufficient knowledge, lack of intention, and poor breastfeeding self-efficacy reduce the likelihood of breastfeeding postpartum. The purposes of this study were to (1) assess women’s intention to breastfeed and knowledge and self-efficacy regarding breastfeeding following childbirth, and to (2) identify the factors associated with postpartum breastfeeding during women’s hospital stays. This longitudinal study with a pretest and posttest design study recruited pregnant women from the gynecology and obstetrics outpatient departments and inpatient wards at a medical center in northern Taiwan. Demographic and obstetric characteristics were recorded, and participants were assessed using the Numeric Rating Scale, the Breastfeeding Knowledge Questionnaire, the Breastfeeding Self-Efficacy Scale—Short Form, and breastfeeding status postpartum. Of the 120 participants, 25% reported breastfeeding during the postpartum hospital stay. Postpartum breastfeeding was associated with lower levels of education and higher prenatal levels of breastfeeding intention. Establishing a breastfeeding-friendly environment in the family and workplace may effectively increase continued breastfeeding.

Keywords: breastfeeding; early postpartum; hospital stay; intention; knowledge; self-efficacy (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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