Marital Adjustment and Prenatal Breastfeeding Efficacy of First Time Mothers in A Low-Income Community in The Philippines
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Introduction: All women should be offered support to breastfeed their babies to increase the duration and exclusivity of breastfeeding. This study aims to assess the level of marital satisfaction and its influence to prenatal breastfeeding self-efficacy in first time mothers during late pregnancy.
Methods: A descriptive correlational was conducted among 128 simple randomized prim gravid women who agreed to participate and had prenatal care check-up in the health center at the time of data gathering. The instruments used were 15-item Marital Adjustment Test (MAT) to measure marital adjustment and 14-item Breastfeeding Self efficacy Scale-Short Form (BSES-SF) as a measure of breastfeeding self-efficacy. Pearson's correlation coefficient was utilized to test the relationships between the sample's marital adjustment scores to correlate with BFSE of the respondents. Fisher's t test was utilized to determine the significance of correlations. A p-value of equal to or less than .05 was considered statistically significant.
Results: The study revealed that the sampled mothers have a high level of marital adjustment score (112.05± 21.83). Prenatal mothers responded in the study were highly confident and have high self-efficacy in breastfeeding first child currently bearing (4.55±.51). Lastly, it was found that there is no significant correlation between marital adjustment and prenatal breastfeeding self-efficacy (β=-.052, p-value=.280).
Conclusion: It was found that there is a high level of marital adjustment and breastfeeding self-efficacy among sampled mothers. However, there is no significant correlation between marital adjustment and prenatal breastfeeding self-efficacy. The study suggests incorporating co-parenting intervention involving father's involvement and assistance with breastfeeding when creating interventions in breastfeeding.
Abbass-Dick, J., Stern, S. B., Nelson, L. E., Watson, W., & Dennis, C. L. (2015). Coparenting breastfeeding support and exclusive breastfeeding: A randomized controlled trial. Pediatrics, 135(1),102-10 . https://doi.org/10.1542/peds.2014-1416
Adu, J., Tenkorang, E., Banchani, E., Allison, J., & Mulay, S. (2018). The effects of individual and community-level factors on maternal health outcomes in Ghana. PLoS ONE, 13(11). https://doi.org/10.1371/journal.pone.0207942
Aluş Tokat, M., Okumuş, H., & Dennis, C. L. (2010). Translation and psychometric assessment of the Breast-feeding Self-Efficacy Scale-Short Form among pregnant and postnatal women in Turkey. Midwifery, 26(1),101-108. https://doi.org/10.1016/j.midw.2008.04.002
Bäckström, C. A., Wahn, E. I. H., & Ekström, A. C. (2010). Two sides of breastfeeding support: Experiences of women and midwives. International Breastfeeding Journal, 5(20). https://doi.org/10.1186/1746-4358-5-20
Basharpoor, S., & Sheykholeslami, A. (2015). The relation of marital adjustment and family functions with quality of life in women. Europe's Journal of Psychology, 11(3), 432–441. https://doi.org/10.5964/ejop.v11i3.859
Bersales, L. G. S. (2014). Philippines National Demographic and Health Survey 2013. Philippine Statistics Authority.
Bircher, J., & Hahn, E. G. (2017). Will the Meikirch Model, a New Framework for Health, Induce a Paradigm Shift in Healthcare? Cureus, 9(3). https://doi.org/10.7759/cureus.1081
Bolton, T. A., Chow, T., Benton, P. A., & Olson, B. H. (2009). Characteristics associated with longer breastfeeding duration: An analysis of a peer counseling support program. Journal of Human Lactation, 25(1), 18-27. https://doi.org/10.1177/0890334408325985
Campbell, O. M., & Graham, W. J. (2006). Strategies for reducing maternal mortality: getting on with what works. Lancet, 368(9543(, 1284-1299. https://doi.org/10.1016/S0140-6736(06)69381-1
Chan, M. Y., Ip, W. Y., & Choi, K. C. (2016). The effect of a self-efficacy-based educational programme on maternal breast feeding self-efficacy, breast feeding duration and exclusive breast feeding rates: A longitudinal study. Midwifery, 36, 92-98. https://doi.org/10.1016/j.midw.2016.03.003
Cottrell, B. H., & Detman, L. A. (2013). Breastfeeding concerns and experiences of African American mothers. MCN The American Journal of Maternal/Child Nursing, 38(5), 297-304. https://doi.org/10.1097/NMC.0b013e31829a5606
Dennis, C. (2003). The Breastfeeding Self"Efficacy Scale: Psychometric Assessment of the Short Form. Journal of Obstetric, Gynecologic & Neonatal Nursing, 32(6), 734-744. https://doi.org/10.1177/0884217503258459
Dennis, C. L., Brennenstuhl, S., & Abbass-Dick, J. (2018). Measuring paternal breastfeeding self-efficacy: A psychometric evaluation of the Breastfeeding Self-Efficacy Scale–Short Form among fathers. Midwifery, 64:17-22. https://doi.org/10.1016/j.midw.2018.05.005
Dutamo, Z., Assefa, N., & Egata, G. (2015). Maternal health care use among married women in Hossaina, Ethiopia. BMC Health Services Research,. 15(1),365, https://doi.org/10.1186/s12913-015-1047-1
Ghose, B., Feng, D., Tang, S., Yaya, S., He, Z., Udenigwe, O., ... Feng, Z. (2017). Women's decision-making autonomy and utilisation of maternal healthcare services: Results from the Bangladesh Demographic and Health Survey. BMJ Open,7(9). https://doi.org/10.1136/bmjopen-2017-017142
Henshaw, E. J., Fried, R., Siskind, E., Newhouse, L., & Cooper, M. (2015). Breastfeeding self-efficacy, mood, and breastfeeding outcomes among primiparous women. Journal of Human Lactation. https://doi.org/10.1177/0890334415579654
Hill, J., Hoyt, J., van Eijk, A. M., D'Mello-Guyett, L., ter Kuile, F. O., Steketee, R., ... Webster, J. (2013). Factors Affecting the Delivery, Access, and Use of Interventions to Prevent Malaria in Pregnancy in Sub-Saharan Africa: A Systematic Review and Meta-Analysis. PLoS Medicine, 10(7). https://doi.org/10.1371/journal.pmed.1001488
Jones, A. D., Ickes, S. B., Smith, L. E., Mbuya, M. N. N., Chasekwa, B., Heidkamp, R. A., ... Stoltzfus, R. J. (2014). World Health Organization infant and young child feeding indicators and their associations with child anthropometry: A synthesis of recent findings. Maternal and Child Nutrition, 10(1), 1-17. https://doi.org/10.1111/mcn.12070
Kornides, M., & Kitsantas, P. (2013). Evaluation of breastfeeding promotion, support, and knowledge of benefits on breastfeeding outcomes. Journal of Child Health Care, 17(3),264-273. https://doi.org/10.1177/1367493512461460
Locke, H. J., & Wallace, K. M. (1959). Short Marital-Adjustment and Prediction Tests: Their Reliability and Validity. Marriage and Family Living, 21(3), 251-255. https://doi.org/10.2307/348022
Mannion, C. A., Hobbs, A. J., McDonald, S. W., & Tough, S. C. (2013). Maternal perceptions of partner support during breastfeeding. International Breastfeeding Journal, 8(1),4. https://doi.org/10.1186/1746-4358-8-4
McKinley, E. M., Knol, L. L., Turner, L. W., Burnham, J. J., Graettinger, K. R., Hernandez-Reif, M., & Leeper, J. D. (2019). The Prenatal Rating of Efficacy in Preparation to Breastfeed Scale: A New Measurement Instrument for Prenatal Breastfeeding Self-efficacy. Journal of Human Lactation, 25(1), 21-31. https://doi.org/10.1177/0890334418799047
Mcqueen, K. A., Dennis, C. L., Stremler, R., & Norman, C. D. (2011). A Pilot Randomized Controlled Trial of a Breastfeeding Self-Efficacy Intervention With Primiparous Mothers. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 40(1), 35-46. https://doi.org/10.1111/j.1552-6909.2010.01210.x
Molgora, S., Acquati, C., Fenaroli, V., & Saita, E. (2019). Dyadic coping and marital adjustment during pregnancy: A cross-sectional study of Italian couples expecting their first child. International Journal of Psychology, 54(2),277-285. https://doi.org/10.1002/ijop.12476
Mutlu, B. R., Erkut, Z., Yildirim, Z., & Gündoğdu, N. (2018). A review on the relationship between marital adjustment and maternal attachment. Revista Da Associacao Medica Brasileira, 64(3), 243-252. https://doi.org/10.1590/1806-9282.64.03.243
Noel-Weiss, J., Rupp, A., Cragg, B., Bassett, V., & Woodend, A. K. (2006). Randomized controlled trial to determine effects of prenatal breastfeeding workshop on maternal breastfeeding self-efficacy and breastfeeding duration. JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35(5), 616-624. https://doi.org/10.1111/j.1552-6909.2006.00077.x
Pollard, D., & Guill, M. (2009). The relationship between baseline self-efficacy and breastfeeding duration. Southern Online Journal of Nursing Research, 9(4).
PSA. (2015). Poverty incidence among Filipinos registered at 25.8%, as of first semester of 2014 ” PSA. Poverty Statistics - Press Release.
Pulok, M. H., Sabah, M. N. U., Uddin, J., & Enemark, U. (2016). Progress in the utilization of antenatal and delivery care services in Bangladesh: Where does the equity gap lie? BMC Pregnancy and Childbirth, 16, 200. https://doi.org/10.1186/s12884-016-0970-4
Radzyminski, S., & Callister, L. C. (2015). Health Professionals' Attitudes and Beliefs About Breastfeeding. The Journal of Perinatal Education, 24(2), 102–109. https://doi.org/10.1891/1058-1243.24.2.102
Renfrew, M. J., McCormick, F. M., Wade, A., Quinn, B., & Dowswell, T. (2012). Support for healthy breastfeeding mothers with healthy term babies. In Cochrane Database of Systematic Reviews, 16(5). https://doi.org/10.1002/14651858.cd001141.pub4
Simkhada, B., Van Teijlingen, E. R., Porter, M., & Simkhada, P. (2008). Factors affecting the utilization of antenatal care in developing countries: Systematic review of the literature. Journal of Advanced Nursing, 61(3),244-260. https://doi.org/10.1111/j.1365-2648.2007.04532.x
World Health Organization. (2014). Comprehensive Implementation Plan on Maternal, Infant and Young Child Nutrition. World Health Organization.
Wu, Y.-H., Ho, Y.-J., Han, J.-P., & Chen, S.-Y. (2018). The influence of breastfeeding self-efficacy and breastfeeding intention on breastfeeding behavior in postpartum women. Hu Li Za Zhi The Journal of Nursing, 65(1), 42–50. https://doi.org/10.6224/jn.201802_65(1).07
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