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  • Title: The relationship between breastfeeding self-efficacy and perceived insufficient milk among Japanese mothers.
    Author: Otsuka K, Dennis CL, Tatsuoka H, Jimba M.
    Journal: J Obstet Gynecol Neonatal Nurs; 2008; 37(5):546-55. PubMed ID: 18811774.
    Abstract:
    OBJECTIVE: To examine the relationship between maternal perceptions of insufficient milk and breastfeeding confidence using the Breastfeeding Self-Efficacy Scale. DESIGN: Cross-sectional study. PARTICIPANTS: Two hundred and sixty-two in-hospital breastfeeding mothers in Japan. MAIN OUTCOME MEASURE: Breastfeeding self-efficacy was measured in-hospital and perception of insufficient milk was measured at 4 weeks postpartum. RESULTS: Although most mothers intended to exclusively breastfeed, less than 40% were doing so at 4 weeks postpartum. Among the mothers using formula, 73% cited perceived insufficient milk as the primary reason for supplementation or completely discontinuing breastfeeding. Mothers' perception of insufficient milk at 4 weeks postpartum were significantly related to breastfeeding self-efficacy in hospital in the immediate postpartum period (r=.45, p<.001). Hierarchical multiple regression revealed that breastfeeding self-efficacy explained 21% of the variance in maternal perceptions of insufficient milk, and the contribution was independent of sociodemographic variables. CONCLUSIONS: Enhancing breastfeeding self-efficacy in the immediate postpartum period may reduce maternal perceptions of insufficient milk and the premature discontinuation or supplementation of breastfeeding. Additional research is warranted.
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