An Assessment of Prenatal Breastfeeding Self-Efficacy among Primiparous Mothers in a Tertiary Care Setting

Authors

  • Priya S. Kadam
  • M B Shinde
  • V R Mohite
  • Jyoti Salunkhe

DOI:

https://doi.org/10.52783/jns.v14.4160

Keywords:

Breastfeeding self-efficacy, Primiparous mother, Prenatal breastfeeding self-efficacy

Abstract

Background:  Breastfeeding is often described as both a natural process and an acquired skill. In recent years, health systems across the globe have intensified efforts to promote breastfeeding. Despite these initiatives, global breastfeeding rates remain suboptimal. Only 40% of infants under six months are exclusively breastfed, and just 44% of newborns are breastfed within the first hour of birth. Additionally, only 45% of children continue to receive breast milk up to two years of age.

Objectives

  1. To assess the level of prenatal breastfeeding self-efficacy among primiparous mothers.
  2. To determine the association between prenatal breastfeeding self-efficacy and selected socio-demographic variables.

Methodology: A descriptive cross-sectional study design was adopted. A purposive sampling technique was used to select 80 primiparous mothers attending Krishna Hospital & Medical Research Centre (KH&MRC), Karad. The study utilized a single-group post-test research design. Data were collected using a standardized and validated tool, following informed consent. Both descriptive and inferential statistics were applied for data analysis.

Results: The majority of participants were aged between 24–27 years, Hindu by religion, and had attained at least a graduate-level education. Most were homemakers, belonged to joint families, resided in rural areas, and were from upper middle-class socioeconomic backgrounds. Assessment of prenatal breastfeeding self-efficacy revealed that 81.25% (n=65) of the mothers had low confidence, 15% (n=12) had moderate confidence, and only 3.75% (n=3) reported high confidence. No statistically significant association was found between breastfeeding self-efficacy and the selected socio-demographic variables.

Conclusion:This study explored the level of confidence among first-time mothers regarding breastfeeding during the prenatal period. The findings indicated a generally low level of prenatal breastfeeding self-efficacy, with over 80% of participants lacking confidence. These results highlight the need for targeted antenatal interventions and educational strategies to enhance breastfeeding self-efficacy among primiparous women.

Downloads

Download data is not yet available.

References

Padmasree SR, Linda V, Aswathy SK. Effectiveness of prenatal teaching on prevention of breast engorgement. Int J Reprod Contracept Obstet Gynecol. 2017;6(9):3927–31.

Nelson AM. A metasynthesis of qualitative breastfeeding studies. J Midwifery Womens Health. 2006;51(2):e13–20.

World Health Organization. Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised baby-friendly hospital initiative. Geneva: WHO Document Production Service; 2018.

La Leche League International. Report on the World Health Day: Improve global breastfeeding practices 2021 [Internet]. USA: 110 Horizon Drive, Suite 210 Raleigh, NC 27615; [cited 2021]. Available from: https://www.llli.org/2021-world-health-day-improve-global-breastfeeding-practices

Sutherland T, Pierce CB, Blomquist JL, Handa VL. Breastfeeding practices among first-time mothers and across multiple pregnancies. Matern Child Health J. 2012;16(8):1665–71. doi:10.1007/s10995-011-0866-x

Jagdale S, Salunkhe JA, Kapurkar KS, Patil S, Kanase NV. To assess knowledge, attitude and knowledge of practice regarding breast feeding among primi para mothers. J Evol Med Dent Sci. 2015;4(30):5121–7. doi:10.14260/jemds/2015/748

Husin H, Isa Z, Ariffin R, Rahman SA, Ghazi HF. The Malay version of antenatal and postnatal breastfeeding self-efficacy scale-short form: reliability and validity assessment. Malays J Public Health Med. 2017;17(2):62–9.

Heidari Z, Keshvari M, Kohan S. Breastfeeding promotion, challenges and barriers: a qualitative research. Int J Pediatr. 2016;4(5):1687–95.

Dennis CL. Theoretical underpinnings of breastfeeding confidence: a self-efficacy framework. J Hum Lact. 1999;15(3):195–201.

Rempel LA, Moore KC. Peer-led prenatal breast-feeding education: a viable alternative to nurse-led education. Midwifery. 2012;28(1):73–9.

Wells KJ, Thompson NJ, Kloeblen-Tarver AS. Development and psychometric testing of the Prenatal Breastfeeding Self-Efficacy Scale. Am J Health Behav. 2006;30(2):177–87.

Dennis CL, McQueen KA, Montelpare W. Validation of the Breastfeeding Self-Efficacy Scale-Short Form. Can J Nurs Res. 2013;45(2):58–75.

Khresheh RM, Ahmed NM. Breastfeeding self-efficacy among pregnant women in Saudi Arabia. Saudi Med J. 2018;39(11):1116–22. doi:10.15537/smj.2018.11.23437

Laantera S, Polkki T, Ekstrom A, Pietila AM. Breastfeeding attitudes of Finnish parents during pregnancy. BMC Pregnancy Childbirth. 2010;10:79.

Alyousefi N, Alemam A, Altwaijri D, Alarifi S, Alessa H. Predictors of prenatal breastfeeding self-efficacy in expectant mothers with gestational diabetes mellitus. Int J Environ Res Public Health. 2022;19(7):4115. doi:10.3390/ijerph19074115

El Harit J. The effect of an antenatal breastfeeding intervention on breastfeeding self-efficacy and intention among inner-city adolescents [thesis]. 2015.

Aguirre TM, Johnson A, Krumwiede A, Rasmussen E, Weis SL. Impact of a computer-based breastfeeding education program on breastfeeding self-efficacy and duration in rural Hispanic women. Health Prim Care. 2018;2(4):1–5.

Otsuka K, Taguri M, Dennis CL, Wakutani K, Awano M, Yamaguchi T, Jimba M. Effectiveness of a breastfeeding self-efficacy intervention: do hospital practices make a difference? Matern Child Health J. 2014;18(1):296–306.

Downloads

Published

2025-04-21

How to Cite

1.
Kadam PS, Shinde MB, Mohite VR, Salunkhe J. An Assessment of Prenatal Breastfeeding Self-Efficacy among Primiparous Mothers in a Tertiary Care Setting. J Neonatal Surg [Internet]. 2025 Apr. 21 [cited 2026 May 30];14(13S):1255-62. Available from: https://jneonatalsurg.com/index.php/jns/article/view/4160