Attitude towards breast feeding and its influencing factors among postpartum women 3 days after delivery in Shanghai

LI Wen-xian; LI Bing-ying; CUI Meng-qing; DU Li; FAN Chong-chun; XU Biao; ZHU Li-Ping

doi:10.16462/j.cnki.zhjbkz.2022.04.011

Volume 26 Issue 4

Apr. 2022

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2022 > 26(4): 423-429

LI Wen-xian, LI Bing-ying, CUI Meng-qing, DU Li, FAN Chong-chun, XU Biao, ZHU Li-Ping. Attitude towards breast feeding and its influencing factors among postpartum women 3 days after delivery in Shanghai[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(4): 423-429. doi: 10.16462/j.cnki.zhjbkz.2022.04.011

Citation:

LI Wen-xian, LI Bing-ying, CUI Meng-qing, DU Li, FAN Chong-chun, XU Biao, ZHU Li-Ping. Attitude towards breast feeding and its influencing factors among postpartum women 3 days after delivery in Shanghai[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(4): 423-429. doi: 10.16462/j.cnki.zhjbkz.2022.04.011

Citation:

LI Wen-xian, LI Bing-ying, CUI Meng-qing, DU Li, FAN Chong-chun, XU Biao, ZHU Li-Ping. Attitude towards breast feeding and its influencing factors among postpartum women 3 days after delivery in Shanghai[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(4): 423-429. doi: 10.16462/j.cnki.zhjbkz.2022.04.011

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Attitude towards breast feeding and its influencing factors among postpartum women 3 days after delivery in Shanghai

doi: 10.16462/j.cnki.zhjbkz.2022.04.011

1.
Shanghai Center for Women and Children's Health, Shanghai 200062, China
2.
School of Public Health, Fudan University, Shanghai 200032, China

LI Wen-xian and LI Bing-ying contributed equally to this article

Funds:

Shanghai Municipal Health and Family Planning Commission under Grant 20204Y0272

More Information

Corresponding author: ZHU Li-ping, E-mail: shzhuliping@163.com
Received Date: 2021-06-19
Rev Recd Date: 2021-10-23

Available Online: 2022-04-14

Publish Date: 2022-04-10

Abstract

Abstract

Objective To investigate the newborn feeding attitude among postpartum women three days after delivery in Shanghai, and to analyze the effect of physiological and psychological factors and health care services on breastfeeding intention. Methods From June to July 2020, a cross sectional study involving 43 hospitals throughout Shanghai was performed. Postpartum women within three days hospitalization stay were asked to complete the self-designed scale including demographics, health information, Edinburgh Postnatal Depression Scale (EPDS), Generalized Anxiety Disorder 7-item Scale (GAD-7) and simplified Chinese version of the Iowa Infant Feeding Attitude Scale (IIFAS). One-way analysis of variance, t test, multiple linear regression and multiple Logistic regression were used as statistical methods. Results In total, 991 postpartum women within 3 days hospitalization stay were investigated. The average score of IIFAS was (59.85±7.22) points. Mothers with IIFAS score >61 points were 1.645 times more likely to breastfeed exclusively than those with IIFAS score < 55 points (95% CI: 1.148-2.357). In the univariate analysis, the following variables were related to IIFAS scores: education degree, type of hospital, anxiety, depression and postpartum breastfeeding guide (all P < 0.05). The multiple linear regressions showed that IIFAS scores were associated with EPDS and hospital category. Conclusions The hospitalized postpartum women with positive attitudes towards breastfeeding are more likely to be breastfeeding exclusively. Early recognition and intervention for pregnant and postpartum women with symptoms of depression could improve infant feeding attitude. It is necessary to promote breastfeeding support service in third-grade general hospitals and second-grade women and children's specialized hospitals, including health education about breastfeeding knowledge, individualized counseling and guiding, to cultivate positive attitude of breastfeeding.
- Infant feeding attitude,
- Breastfeeding,
- Influencing factors

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References(27)

References

[1]	Kuruvilla S, Bustreo F, Kuo T, et al. The global strategy for women's, children's and adolescents' health (2016-2030): a roadmap based on evidence and country experience. Bull World Health Organ, 2016, 94(5): 398-400. DOI: 10.2471/blt.16.170431.
[2]	Ho YJ, McGrath JM. A Chinese version of iowa infant feeding attitude scale: reliability and validity assessment[J]. Int J Nurs Stud, 2011, 48(4): 475-478. DOI: 10.1016/j.ijnurstu.2010.09.001.
[3]	Shaker I, Scott JA, Reid M. Infant feeding attitudes of expectant parents: breastfeeding and formula feeding[J]. J Adv Nurs, 2004, 45(3): 260-268. DOI: 10.1046/j.1365-2648.2003.02887.x.
[4]	Sittlington J, Stewart-Knox B, Wright M, et al. Infant-feeding attitudes of expectant mothers in Northern Ireland[J]. Health Educ Res, 2007, 22(4): 561-570. DOI: 10.1093/her/cyl113.
[5]	Cox KN, Giglia RC, Binns CW. The influence of infant feeding attitudes on breastfeeding duration: evidence from a cohort study in rural Western Australia[J]. Int Breastfeed J, 2015, 10(1): 25. DOI: 10.1186/s13006-015-0048-3.
[6]	Chen CH, Chi CS. Maternal intention and actual behavior in infant feeding at one month postpartum[J]. Acta Paediatr Taiwan, 2003, 44(3): 140-144.
[7]	Cotelo MDCS, Movilla-Fernández MJ, Pita-García P, et al. Infant feeding attitudes and practices of spanish low-risk expectant women using the ⅡFAS (iowa infant feeding attitude scale)[J]. Nutrients, 2018, 10(4): 520. DOI: 10.3390/nu10040520.
[8]	Tavoulari EF, Benetou V, Vlastarakos PV, et al. Factors affecting breastfeeding duration in Greece: what is important?[J]. World J Clin Pediatr, 2016, 5(3): 349-357. DOI: 10.5409/wjcp.v5.i3.349.
[9]	戴红霞, 刘樱. 中文版IOWA婴儿喂养态度量表信度及效度分析[J]. 中国护理管理, 2013, 13(3): 42-45. DOI: 10.3969/j.issn.1672-1756.2013.01.012. Dai HX, Liu Y. Reliability and validity analysis of the Chinese version of the iowa infant feeding attitude scale[J]. Chin Nurs Manag, 2013, 13(3): 42-45. DOI: 10.3969/j.issn.1672-1756.2013.01.012.
[10]	李森, 孙敏, 李晓丹. 住院产妇婴儿喂养态度及相关因素的研究[J]. 中国妇产科临床杂志, 2018, 19(2): 147-149. DOI: 10.13390/j.issn.1672-1861.2018.02.015. Li S, Sun M, Li XD. The related factors of infant feeding attitude among hospitalized postpartum women[J]. Chin J Clin Obstet Gynecol, 2018, 19(2): 147-149. DOI: 10.13390/j.issn.1672-1861.2018.02.015.
[11]	李玲玲, 杨媛, 顾春怡, 等. 上海住院产妇婴儿喂养态度的现状及其影响因素[J]. 解放军护理杂志, 2016, 33(9): 7-12. DOI: 10.3969/j.issn.1008-9993.2016.09.002. Li LL, Yang Y, Gu CY, et al. The current status and influencing factors of infant feeding attitude among hospitalized postpartum women in Shanghai[J]. Nurs J Clin PLA, 2016, 33(9): 7-12. DOI: 10.3969/j.issn.1008-9993.2016.09.002.
[12]	程玉珊, 史宝欣. 孕妇婴儿喂养态度的影响因素研究[J]. 中国计划生育学杂志, 2018, 26(3): 189-194. DOI: 10.3969/j.issn.1004-8189.2018.03.006. Cheng YS, Shi BX. Study of influencing factors on attitude of infant feeding of pregnant women[J]. Chin J Fam Plann, 2018, 26(3): 189-194. DOI: 10.3969/j.issn.1004-8189.2018.03.006.
[13]	刘茜. 武汉市社区婴儿母亲母乳喂养态度及其影响因素的研究[J]. 中国临床护理, 2017, 9(1): 87-90. DOI: 10.3969/j.issn.1674-3768.2017.01.030. Liu Q. Maternal attitude towards breast feeding and its influencing factors in communities of Wuhan[J]. Chin Clin Nurs, 2017, 9(1): 87-90. DOI: 10.3969/j.issn.1674-3768.2017.01.030.
[14]	Hamze L, Mao J, Reifsnider E. Knowledge and attitudes towards breastfeeding practices: a cross-sectional survey of postnatal mothers in China[J]. Midwifery, 2019, 74: 68-75. DOI: 10.1016/j.midw.2019.03.009.
[15]	戴红霞, 刘樱. 澳门住院产妇婴儿喂养态度影响因素的研究[J]. 中国护理管理, 2013, 13(1): 31-35. DOI: 10.3969/j.issn.1672-1756.2013.01.01. Dai HX, Liu Y. The influencing factors of infant feeding attitude among hospitalized postpartum women in Macao[J]. Chin Nurs Manag, 2013, 13(1): 31-35. DOI: 10.3969/j.issn.1672-1756.2013.01.01.
[16]	丘桂芳, 陈泽香, 黄琼梅. "二孩"政策下经产妇母乳喂养的态度及影响因素分析[J]. 实用预防医学, 2020, 27(2): 216-219. DOI: 10.3969/j.issn.1006-3110.2020.02.025. Qiu GF, Chen ZX, Huang QM. Analysis of attitude towards breastfeeding and its influencing factors among multiparous women under the two-child policy[J]. Pract Prev Med, 2020, 27(2): 216-219. DOI: 10.3969/j.issn.1006-3110.2020.02.025
[17]	Linares AM, Rayens MK, Gomez ML, et al. Intention to breastfeed as a predictor of initiation of exclusive breastfeeding in hispanic women[J]. J Immigr Minor Health, 2015, 17(4): 1192-1198. DOI: 10.1007/s10903-014-0049-0.
[18]	Tseng JF, Chen SR, Au HK, et al. Effectiveness of an integrated breastfeeding education program to improve self-efficacy and exclusive breastfeeding rate: a single-blind, randomised controlled study[J]. Int J Nurs Stud, 2020, 111: 103770. DOI: 10.1016/j.ijnurstu.2020.103770.
[19]	Duran S, Kaynak S, Karadas A. The relationship between breastfeeding attitudes and perceived stress levels of Turkish mothers[J]. Scand J Caring Sci, 2020, 34(2): 456-463. DOI: 10.1111/scs.12749.
[20]	Fallon V, Halford JCG, Bennett KM, et al. The postpartum specific anxiety scale: development and preliminary validation[J]. Arch Womens Ment Health, 2016, 19(6): 1079-1090. DOI: 10.1007/s00737-016-0658-9.
[21]	Pope CJ, Mazmanian D, Bédard M, et al. Breastfeeding and postpartum depression: assessing the influence of breastfeeding intention and other risk factors[J]. J Affect Disord, 2016, 200: 45-50. DOI: 10.1016/j.jad.2016.04.014.
[22]	国家卫生健康委办公厅. 探索抑郁症防治特色服务工作方案[EB/OL]. (2020-08-31)[2021-06-19]. http://www.nhc.gov.cn/jkj/s7914/202009/a63d8f82eb53451f97217bef0962b98f.shtml. General Office of NHC. Explore the special service plan for depression prevention and treatment[EB/OL]. (2020-08-31)[2021-06-19]. http://www.nhc.gov.cn/jkj/s7914/202009/a63d8f82eb53451f97217bef0962b98f.shtml.
[23]	Vaaler ML, Stagg J, Parks SE, et al. Breast-feeding attitudes and behavior among WIC mothers in Texas[J]. J Nutr Educ Behav, 2010, 42(3 Suppl): S30-S38. DOI: 10.1016/j.jneb.2010.02.001.
[24]	Shi L, Zhang J, Wang Y, et al. Breastfeeding in rural China: association between knowledge, attitudes, and practices[J]. J Hum Lact, 2008, 24(4): 377-385. DOI: 10.1177/0890334408319157.
[25]	Galler JR, Harrison RH, Ramsey F, et al. Postpartum feeding attitudes, maternal depression, and breastfeeding in Barbados[J]. Infant Behav Dev, 2006, 29(2): 189-203. DOI: 10.1016/j.infbeh.2005.10.005.
[26]	Wallace LM, Ma Y, Qiu LQ, et al. Educational videos for practitioners attending baby friendly hospital initiative workshops supporting breastfeeding positioning, attachment and hand expression skills: effects on knowledge and confidence[J]. Nurse Educ Pract, 2018, 31: 7-13. DOI: 10.1016/j.nepr.2018.04.005.
[27]	Wang W, Lau Y, Chow A, et al. Breast-feeding intention, initiation and duration among Hong Kong Chinese women: a prospective longitudinal study[J]. Midwifery, 2014, 30(6): 678-687. DOI: 10.1016/j.midw.2013.07.015.