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KMID : 0892720150190010023
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Journal of the Korean Society of Maternal and Child Health
2015 Volume.19 No. 1 p.23 ~ p.36
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Direct Breastfeeding Self-Efficacy of Mothers with Premature Infants
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Ra Jin-Suk
Chae Sun-Mi
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Abstract
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Purpose: The purpose of this study was to explore direct breastfeeding self-efficacy (DBSE) of mothers with premature infants and its relations with their knowledge, attitude and family perception on direct breastfeeding.
Methods: A cross-sectional descriptive study was employed. A total of 76 mothers with premature infants participated in the study from 3 neonatal intensive care units (NICU). Data were collected using self-report questionnaires.
Results: The mothers of premature infants showed 51% of correct answers on direct breastfeeding knowledge. No one breastfed their premature infants in NICU while about a half of the mothers used bottle feeding with breast milk and formula. Almost all of the mothers with premature infants (96.1%) expressed intention to begin and continue direct breastfeeding. Their DBSE was at a moderate level, 3.09±0.65. The DBSE of the mothers with premature infants was significantly correlated with their knowledge, attitude, and family perception on breastfeeding. Also DBSE was significantly higher in those with direct breastfeeding experiences than their counterparts. Maternal previous direct breastfeeding experience, direct breastfeeding experience in NICU, and family perception on direct breastfeeding significantly explained 38.8% of the variance in DBSE of mothers with premature infants.
Conclusion: Our findings suggest mother of premature infants with experience of direct breastfeeding in NICU and positive family perception on direct breastfeeding seems to increase DBSE. Therefore, NICU discharge program should include education on direct breastfeeding to those mothers. Also family-centered approach should be developed to improve DBSE of the mothers with premature infants.
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KEYWORD
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breast feeding, self efficacy, premature infant, mothers, knowledge, attitude
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