First-time mothers' breast-feeding maintenance: role of experiences and changes in maternal perceptions
Ellen J Schafer1, Shelly Campo2, Tarah T Colaizy3
11Department of Community and Family Health,University of South Florida College of Public Health,13201 Bruce B. Downs Blvd,MDC 56,Tampa,FL 33612,USA.
Objective:
Breast-feeding initiation rates have increased in the USA; however, maintenance of breast-feeding for recommended durations is low. The objective of the present study was to identify factors that may facilitate breast-feeding for longer durations among first-time mothers, including physiological and social experiences and changes in maternal perceptions.
Design:
Survival analysis and linear regression methods were used to explore the relationship between experiences and breast-feeding duration, and the possible mediating effect of changes in maternal perceptions.
Setting:
Secondary data from the Infant Feeding Practices Study II, conducted in the USA between 2005 and 2007.
Subjects:
Data from 762 first-time mothers who ever breast-fed were analysed.
Results:
Experiencing trouble with baby's latch, problems with milk flow/supply and painful breast-feeding were significantly associated with breast-feeding duration (64, 26 and 36 % shorter duration, respectively). Meanwhile, positive changes in perception with respect to breast-feeding self-efficacy, opinion about infant feeding and belief about breast milk were associated with 16-27 % longer duration. Furthermore, changes in perception were observed to partially mediate the impact of physiological experiences on breast-feeding duration.
Conclusions:
Perceptions of breast-feeding self-efficacy, beliefs and opinions can change over time and are influenced by breast-feeding experiences. The combined effect of experience and perception plays a key role in influencing breast-feeding duration. Future research should explore interventions to maintain or improve these perceptions while accounting for physiological experiences to support breast-feeding for recommended durations among first-time mothers.
Related Concept Videos
Relationship with Parents: Attachment
Parental Care
Attachment
Nursing Evaluation
Imprinting
Socioemotional Development during Infancy
Primary Temperament Types


