DOI QR코드

DOI QR Code

Factors Affecting Mother's Adaptation to Breastfeeding

어머니의 모유수유 적응에 영향을 미치는 요인

  • Kim, Sun-Hee (College of Nursing, Catholic University of Daegu)
  • 김선희 (대구가톨릭대학교 간호대학)
  • Received : 2009.07.17
  • Accepted : 2010.03.24
  • Published : 2010.04.30

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.

Keywords

References

  1. Abidin, R. R. (1990). Parenting stress index (PSI). Charlottesville, VA: Pediatric Psychology Press.
  2. Academy of Breastfeeding Medicine Korea. (2006). New mother's guide to breastfeeding. Seoul: $E^*PUBLIC$.
  3. Ahluwalia, I. B., Morrow, B., & Hsia, J. (2005). Why do women stop breastfeeding? Findings from the pregnancy risk assessment and monitoring system. Pediatrics, 116, 1408-1412. https://doi.org/10.1542/peds.2005-0013
  4. Ahn, O. S. (2005). The influence of parenting stress and social support on postpartum depression among mothers during puerperium. Unpublished master's thesis, Dongguk University, Gyeongju.
  5. Altemus, M., Deuster, P. A., Galliven, E., Carter, C. S., & Gold, P. W. (1995). Suppression of hypothalmic-pituitary-adrenal axis responses to stress in lactating women. The Journal of Clinical Endocrinology and Metabolism, 80, 2954-2959. https://doi.org/10.1210/jc.80.10.2954
  6. Bandura, A. (2008). Self-efficacy in changing societies. Cambridge: Cambridge University Press.
  7. Borenstein, M., Rothstein, H., & Cohen, J. (1997). Power and precision. Englewood, NJ: Lawewnce Erlbaum.
  8. Choi, G. R. (2007). Family relations. Goyang: Gongdongche.
  9. Dennis, C. L. (2002). Breastfeeding initiation and duration: A 1990-2000 literature review. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 31, 12-32. https://doi.org/10.1111/j.1552-6909.2002.tb00019.x
  10. Fawcett, J. (2005). Contemporary nursing knowledge: Analysis and evaluation of nursing models and theories (2nd ed.). Philadelphia, PA: F. A. Davis Company.
  11. Foster, D. A., & McLachlan, H. L. (2007). Breastfeeding initiation and birth setting practices: A review of the literature. Journal of Midwifery &Women's Health, 52, 273-280. https://doi.org/10.1016/j.jmwh.2006.12.016
  12. Hannula, L., Kaunonen, M., & Tarkka, M. T. (2008). A systematic review of professional support interventions for breastfeeding. Journal of Clinical Nursing, 17, 1132-1143. https://doi.org/10.1111/j.1365-2702.2007.02239.x
  13. Hedberg-Nyqvist, K. H., & Ewald, U. (1999). Infant and maternal factors in the development of breastfeeding behavior and breastfeeding outcome in preterm infants. Acta Paediatrica, 88, 1194-1203. https://doi.org/10.1111/j.1651-2227.1999.tb01017.x
  14. Huggins, K., & Ziedrich, L. (2007). The nursing mother's guide to weaning. Boston, MA: The Harvard Common Press.
  15. Isabella, P. H., & Isabella, R. A. (1994). Correlates of successful breastfeeding: A study of social personal factor. Journal of Human Lactation, 10, 257-264. https://doi.org/10.1177/089033449401000421
  16. Jang, G. J., Kim, S. H., & Jeong, K. S. (2008). Effect of postpartum breast-feeding support by nurse on the breast-feeding prevalence. Journal of Korean Academy of Nursing, 38, 172-179. https://doi.org/10.4040/jkan.2008.38.1.172
  17. Kalnins, D., Stone, D., & Touw, J. (2007). Better breastfeeding: A mother's guide to feeding and nutrition. Toronto: Robert Rose Inc.
  18. Kim, S. H. (2008). Development of an instrument to evaluate adaptation to breastfeeding. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  19. Kim, S. H. (2009a). Development of a breast feeding adaptation scale (BFAS). Journal of Korean Academy of Nursing, 39, 259-269. https://doi.org/10.4040/jkan.2009.39.2.259
  20. Kim, S. H. (2009b). Factors explaining mothers' breastfeeding satisfaction. Korean Journal of Women Health Nursing, 15, 270-279. https://doi.org/10.4069/kjwhn.2009.15.4.270
  21. Kronborg, H., & Vaeth, M. (2004). The influence of psychosocial factors on the duration of breastfeeding. Scandinavian Journal of Public Health, 32, 210-216. https://doi.org/10.1080/14034940310019218
  22. Lee, S. O. (2003). A study about breastfeeding knowledge, attitude and problem of breastfeeding in early postpartum period and breastfeeding practice. Korean Journal of Women Health Nursing, 9, 179-188.
  23. Lewallen, L. P., Dick, M. J., Flowers, J., Powell, W., Zickefoose, K. T., Wall, Y. G., et al. (2006). Breastfeeding support and early cessation. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35, 166-172. https://doi.org/10.1111/j.1552-6909.2006.00031.x
  24. Mezzacappa, E. S., & Katlin, E. S. (2002). 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, 21, 187-193.
  25. Ministry of Health, Welfare, and Family Affairs. (2006, July 5). 2005 Korean national health and nutrition survey: Nutrition survey. Retrieved October 12, 2007, from http://www.mw.go.kr/front/al/sal0301ls.jsp?PAR_MENU_ID=04&MENU_ID=0403
  26. Park, H. M. (1994). A study on parental stress based on the parenting of young children. Unpublished master's thesis, Ewha Womans University, Seoul.
  27. Rempel, L. A., & Fong, G. T. (2005). Why breastfeed? A longitudinal test of the reasons model among first-time mothers. Psychology & Health, 20, 443-466. https://doi.org/10.1080/08870440512331334004
  28. Riordan, J., & Wambach, K. (2009). Breastfeeding and human lactation (4th ed.). Sudbury, MA: Jones and Bartlett Publishers.
  29. Roy, S. C., & Andrews, H. A. (1999). The Roy adaptation model (2nd ed.). Stamford, CT: Appleton & Lange.
  30. Yeo, J. H. (2007). Influencing factors in breast feeding duration. Korean Journal of Women Health Nursing, 11, 142-147.
  31. Yoon, J. W. (2006). The development and evaluation of the breastfeeding self-efficacy program for working mothers. Unpublished doctoral dissertation, Korea University, Seoul.

Cited by

  1. 산후 24개월 이내 어머니의 수유형태와 예측요인 vol.17, pp.1, 2011, https://doi.org/10.4069/kjwhn.2011.17.1.21
  2. 제왕절개분만 산모의 흡연여부에 따른 신생아 건강상태 비교 vol.17, pp.1, 2011, https://doi.org/10.14370/jewnr.2011.17.1.071
  3. 24개월 이하의 자녀를 가진 여성의 모유수유 교육 경험에 관한 연구 vol.23, pp.4, 2010, https://doi.org/10.7856/kjcls.2012.23.4.523
  4. 초산모의 모유수유행위 구조모형 vol.43, pp.3, 2010, https://doi.org/10.4040/jkan.2013.43.3.399
  5. 산모의 모유수유 적응과 모유 내 면역물질에 영향을 미치는 심리사회적 요인 vol.20, pp.1, 2014, https://doi.org/10.4069/kjwhn.2014.20.1.14
  6. 모유수유클리닉 이용군과 비이용군의 모유수유 문제, 지식 및 적응 비교 vol.20, pp.2, 2010, https://doi.org/10.14370/jewnr.2014.20.2.112
  7. 어머니의 양육스트레스가 모유수유 영아와 비모유수유 영아 발달에 미치는 영향 vol.11, pp.1, 2010, https://doi.org/10.14698/jkcce.2015.11.395
  8. 양육 스트레스, 모성역할 적응, 출산 당시 병원에서의 수유방법과 모유수유 적응과의 관계 vol.21, pp.4, 2015, https://doi.org/10.4069/kjwhn.2015.21.4.262
  9. 모유수유 임파워먼트 프로그램이 초산모의 모유수유 자기효능감, 적응 및 지속에 미치는 효과 vol.46, pp.3, 2010, https://doi.org/10.4040/jkan.2016.46.3.409
  10. 모유수유 어머니의 양육 스트레스와 남편의 지지가 모유수유 적응에 미치는 영향 vol.23, pp.4, 2010, https://doi.org/10.4069/kjwhn.2017.23.4.233
  11. 간호대학생의 모유수유 간호활동에 영향을 미치는 요인 vol.25, pp.1, 2010, https://doi.org/10.5977/jkasne.2019.25.1.83
  12. Effects of Breast-Feeding Adaptation and Quality of Sleep on Postpartum Depression in Puerperal Women vol.23, pp.3, 2010, https://doi.org/10.21896/jksmch.2019.23.3.162
  13. 산후 2주 축약형 모유수유 적응 측정도구의 구성 타당도, 신뢰도와 측정 불변성 vol.26, pp.4, 2010, https://doi.org/10.4069/kjwhn.2020.11.10
  14. Factors Influencing Quality of Life in Early Postpartum Women vol.18, pp.6, 2021, https://doi.org/10.3390/ijerph18062988