J Korean Acad Nurs.  2010 Apr;40(2):225-235. 10.4040/jkan.2010.40.2.225.

Factors Affecting Mother's Adaptation to Breastfeeding

• Kim SH

• KMID: 987600
• DOI: http://doi.org/10.4040/jkan.2010.40.2.225

Abstract

PURPOSE
The aim of this study was to identify factors which influence breastfeeding adaptation from among the following: parity and feeding behavior, social support, psychological, and demographic factors.
METHODS
The respondents were 179 breastfeeding mothers. Data were collected from June 2 to 19, 2009 at two community health centers and one pediatric outpatient department. Data were analyzed using the SPSS program and included descriptive statistics, t-test, ANOVA, correlation, and multiple regression.
RESULTS
The major findings of this study were: 1) Significant differences in the level of breastfeeding adaptation were related to number of children, current problems related to breastfeeding, and lay supporters. 2) Level of breastfeeding adaptation was significantly related to marriage satisfaction, proportion of breastfeeding, length of previous breastfeeding, planned length of breastfeeding, parenting stress, and encouragement to breastfeed given by medical personnel. 3) Regression analysis showed that parenting stress, marriage satisfaction, current problems related to breastfeeding, and proportion of breastfeeding explained 44.3% of variance for breastfeeding adaptation. Length of previous breastfeeding also explained 9.7% of breastfeeding adaptation among mothers who had breastfed an elder child.
CONCLUSION
Mothers with lower marriage satisfaction, breastfeeding problems, and higher parenting stress require more help from their family and nurses for breastfeeding adaptation. Future research should include variables, such as mother's and baby's behavior related to breastfeeding, knowledge about breastfeeding, and attitude toward breastfeeding.

Keyword

Breast feeding; Marriage; Parenting; Psychological adaptation; Social support

MeSH Terms

*Adaptation, Psychological
Adult
Breast Feeding/*psychology
Demography
Female
Humans
Infant
Infant, Newborn
Marriage
Maternal Behavior
Mothers/*psychology
Parenting
Personal Satisfaction
Questionnaires
Regression Analysis
Social Support

Figure

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  Figure 1 Design of research according to Roy's conceptual model.

Reference

1. Abidin RR. Parenting stress index (PSI). 1990. Charlottesville, VA: Pediatric Psychology Press.

2. Academy of Breastfeeding Medicine Korea. New mother's guide to breastfeeding. 2006. Seoul: E*PUBLIC.

3. Ahluwalia IB, Morrow B, Hsia J. Why do women stop breastfeeding? Findings from the pregnancy risk assessment and monitoring system. Pediatrics. 2005. 116:1408–1412.

4. Ahn OS. The influence of parenting stress and social support on postpartum depression among mothers during puerperium. 2005. Gyeongju: Dongguk University;Unpublished master's thesis.

5. Altemus M, Deuster PA, Galliven E, Carter CS, Gold PW. Suppression of hypothalmic-pituitary-adrenal axis responses to stress in lactating women. The Journal of Clinical Endocrinology and Metabolism. 1995. 80:2954–2959.

6. Bandura A. Self-efficacy in changing societies. 2008. Cambridge:: Cambridge University Press.

7. Borenstein M, Rothstein H, Cohen J. Power and precision. 1997. Englewood, NJ: Lawewnce Erlbaum.

8. Choi GR. Family relations. 2007. Goyang: Gongdongche.

9. Dennis CL. Breastfeeding initiation and duration: A 1990-2000 literature review. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2002. 31:12–32.

10. Fawcett J. Contemporary nursing knowledge: Analysis and evaluation of nursing models and theories. 2005. 2nd ed. Philadelphia, PA: F. A. Davis Company.

11. Foster DA, McLachlan HL. Breastfeeding initiation and birth setting practices: A review of the literature. Journal of Midwifery & Women's Health. 2007. 52:273–280.

12. Hannula L, Kaunonen M, Tarkka MT. A systematic review of professional support interventions for breastfeeding. Journal of Clinical Nursing. 2008. 17:1132–1143.

13. Hedberg-Nyqvist KH, Ewald U. Infant and maternal factors in the development of breastfeeding behavior and breastfeedingoutcome in preterm infants. Acta Paediatrica. 1999. 88:1194–1203.

14. Huggins K, Ziedrich L. The nursing mother's guide to weaning. 2007. Boston, MA: The Harvard Common Press.

15. Isabella PH, Isabella RA. Correlates of successful breastfeeding: A study of social personal factor. Journal of Human Lactation. 1994. 10:257–264.

16. Jang GJ, Kim SH, Jeong KS. Effect of postpartum breast-feeding support by nurse on the breast-feeding prevalence. Journal of Korean Academy of Nursing. 2008. 38:172–179.

17. Kalnins D, Stone D, Touw J. Better breastfeeding: A mother's guide to feeding and nutrition. 2007. Toronto: Robert Rose Inc.

18. Kim SH. Development of an instrument to evaluate adaptation to breastfeeding. 2008. Seoul: Ewha Womans University;Unpublished doctoral dissertation.

19. Kim SH. Development of a breast feeding adaptationscale (BFAS). Journal of Korean Academy of Nursing. 2009a. 39:259–269.

20. Kim SH. Factors explaining mothersoasis breastfeeding satisfaction. Korean Journal of Women Health Nursing. 2009b. 15:270–279.

21. Kronborg H, Vaeth M. The influence of psychosocial factors on the duration of breastfeeding. Scandinavian Journal of Public Health. 2004. 32:210–216.

22. Lee SO. A study about breastfeeding knowledge, attitude and problem of breastfeeding in early postpartum period and breastfeeding practice. Korean Journal of Women Health Nursing. 2003. 9:179–188.

23. Lewallen LP, Dick MJ, Flowers J, Powell W, Zickefoose KT, Wall YG, et al. Breastfeeding support and early cessation. Journal of Obstetric, Gynecologic, and Neonatal Nursi. g. 2006. 35:166–172.

24. Mezzacappa ES, Katlin ES. Breast-feeding is associated with reduced perceived stress and negative mood in mothers. Health Psychology: Official Journal of the Division of Health Psychology. American Psychological Association. 2002. 21:187–193.

25. 2005 Korean national health and nutrition survey: Nutrition survey. Ministry of Health, Welfare, and Family Affairs. 2006. 07. 05. Retrieved October 12, 2007. from http://www.mw.go.kr/front/al/sal0301ls.jsp?PAR_MENU_ID=04&MENU_ID=0403.

26. Park HM. A study on parental stress based on the parenting of young children. 1994. Seoul: Ewha Womans University;Unpublished master's thesis.

27. Rempel LA, Fong GT. Why breastfeed? A longitudinal test of the reasons model among first-time mothers. Psychology & Health. 2005. 20:443–466.

28. Riordan J, Wambach K. Breastfeeding and human lactation. 2009. 4th ed. Sudbury, MA: Jones and Bartlett Publishers.

29. Roy SC, Andrews HA. The Roy adaptation model. 1999. 2nd ed. Stamford, CT: Appleton & Lange.

30. Yeo JH. Influencing factors in breast feeding duration. Korean Journal of Women Health Nursing. 2005. 11:142–147.

31. Yoon JW. The development and evaluation of the breastfeeding self-efficacy program for working mothers. 2006. Seoul: Korea University;Unpublished doctoral dissertation.