Breastfeeding self-efficacy and the duration of exclusive breastfeeding in HIV-infected and uninfected mothers.
Date
2016-12
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Stellenbosch : Stellenbosch University
Abstract
ENGLISH SUMMARY : Background: Breastfeeding self-efficacy, measured using the Breastfeeding Self-Efficacy Scale Short-Form (BSES-SF), is a modifiable risk factor for breastfeeding outcomes. The BSES-SF is a valid and reliable tool used to predict a decrease in exclusivity and duration of breastfeeding in a diverse population of mothers. Objectives: To determine if a relationship exists between breastfeeding self-efficacy (determined using the sum of the BSES-SF scores) and the duration of exclusive of breastfeeding in HIV-infected and HIV-uninfected mothers. In addition to this the difference in exclusive breastfeeding between HIV-infected and HIV-uninfected will be assessed together with additional factors that could affect a mother’s breastfeeding self-efficacy and thus BSES-SF scores.
Participants and methods: A descriptive analytical cohort study was conducted, with the primary outcome being the duration of exclusive breastfeeding up to six months postpartum. The study sample comprised 329 women who had given birth at the Rahima Moosa Mother and Child Hospital in Coronationville, during the period August 2014 to May 2015 who were interviewed during their hospital stay using self-formulated questionnaires including the BSES-SF. Post hospital follow-up was done telephonically.
Results: The BSES-SF scores were a positive predictor of the duration of exclusive breastfeeding in both HIV-infected and uninfected mothers. The BSES-SF scores were found to be an independent predictor of an increased duration of exclusive breastfeeding. Other independent predictors of breastfeeding included method of feeding in hospital, prenatal intention to breastfeed and race.
Conclusion: The BSES-SF has been confirmed by our study as a valuable instrument for identifying women at risk of early cessation of exclusive breastfeeding. Together with other demographic, medical and breastfeeding factors, this instrument could be useful to directing limited resources to those most in need of breastfeeding support.
AFRIKAANSE OPSOMMING : Background: Breastfeeding self-efficacy, measured using the Breastfeeding Self-Efficacy Scale Short-Form (BSES-SF), is a modifiable risk factor for breastfeeding outcomes. The BSES-SF is a valid and reliable tool used to predict a decrease in exclusivity and duration of breastfeeding in a diverse population of mothers. Objectives: To determine if a relationship exists between breastfeeding self-efficacy (determined using the sum of the BSES-SF scores) and the duration of exclusive of breastfeeding in HIV-infected and HIV-uninfected mothers. In addition to this the difference in exclusive breastfeeding between HIV-infected and HIV-uninfected will be assessed together with additional factors that could affect a mother’s breastfeeding self-efficacy and thus BSES-SF scores. Participants and methods: A descriptive analytical cohort study was conducted, with the primary outcome being the duration of exclusive breastfeeding up to six months postpartum. The study sample comprised 329 women who had given birth at the Rahima Moosa Mother and Child Hospital in Coronationville, during the period August 2014 to May 2015 who were interviewed during their hospital stay using self-formulated questionnaires including the BSES-SF. Post hospital follow-up was done telephonically. Results: The BSES-SF scores were a positive predictor of the duration of exclusive breastfeeding in both HIV-infected and uninfected mothers. The BSES-SF scores were found to be an independent predictor of an increased duration of exclusive breastfeeding. Other independent predictors of breastfeeding included method of feeding in hospital, prenatal intention to breastfeed and race. Conclusion: The BSES-SF has been confirmed by our study as a valuable instrument for identifying women at risk of early cessation of exclusive breastfeeding. Together with other demographic, medical and breastfeeding factors, this instrument could be useful to directing limited resources to those most in need of breastfeeding support.
AFRIKAANSE OPSOMMING : Background: Breastfeeding self-efficacy, measured using the Breastfeeding Self-Efficacy Scale Short-Form (BSES-SF), is a modifiable risk factor for breastfeeding outcomes. The BSES-SF is a valid and reliable tool used to predict a decrease in exclusivity and duration of breastfeeding in a diverse population of mothers. Objectives: To determine if a relationship exists between breastfeeding self-efficacy (determined using the sum of the BSES-SF scores) and the duration of exclusive of breastfeeding in HIV-infected and HIV-uninfected mothers. In addition to this the difference in exclusive breastfeeding between HIV-infected and HIV-uninfected will be assessed together with additional factors that could affect a mother’s breastfeeding self-efficacy and thus BSES-SF scores. Participants and methods: A descriptive analytical cohort study was conducted, with the primary outcome being the duration of exclusive breastfeeding up to six months postpartum. The study sample comprised 329 women who had given birth at the Rahima Moosa Mother and Child Hospital in Coronationville, during the period August 2014 to May 2015 who were interviewed during their hospital stay using self-formulated questionnaires including the BSES-SF. Post hospital follow-up was done telephonically. Results: The BSES-SF scores were a positive predictor of the duration of exclusive breastfeeding in both HIV-infected and uninfected mothers. The BSES-SF scores were found to be an independent predictor of an increased duration of exclusive breastfeeding. Other independent predictors of breastfeeding included method of feeding in hospital, prenatal intention to breastfeed and race. Conclusion: The BSES-SF has been confirmed by our study as a valuable instrument for identifying women at risk of early cessation of exclusive breastfeeding. Together with other demographic, medical and breastfeeding factors, this instrument could be useful to directing limited resources to those most in need of breastfeeding support.
Description
Thesis (MNutr)--Stellenbosch University, 2019.
Keywords
Infants -- Nutrition -- Coronationville, Gauteng, Breastfeeding -- South Africa -- Coronationville, Gauteng, Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), HIV-positive women -- Coronationville, Gauteng, Self-evaluation, UCTD