Breastfeeding Knowledge, Breastfeeding Confidence, and Infant Feeding Plans: Effects on Actual Feeding Practices
Version of Record online: 9 MAR 2006
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Volume 32, Issue 1, pages 40–47, January 2003
How to Cite
Chezem, J., Friesen, C. and Boettcher, J. (2003), Breastfeeding Knowledge, Breastfeeding Confidence, and Infant Feeding Plans: Effects on Actual Feeding Practices. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 32: 40–47. doi: 10.1177/0884217502239799
- Issue online: 9 MAR 2006
- Version of Record online: 9 MAR 2006
- Accepted: March 2002
- Infant food;
Objective: To explore relationships among breastfeeding knowledge, breastfeeding confidence, and infant feeding plans and their effects on feeding practices in first-time breastfeeding mothers.
Design: Prospective descriptive design.
Setting: Telephone interviews were conducted prenatally and at 6 weeks, 3 months, and 6 months postpartum.
Participants: Seventy-four of 83 first-time mothers with prenatal intentions to breastfeed completed all study requirements. The majority were White (95%), between the ages of 21 and 30 years (73%), with a post–high school education (85%), and household incomes of more than 200% of the federal poverty guideline (88%).
Main Outcome Measures: Breastfeeding knowledge, breastfeeding confidence, planned infant feeding method, planned breastfeeding duration, weeks of daily human milk substitute feeding, breastfeeding duration, achievement of breastfeeding goals.
Results: Breastfeeding knowledge was strongly correlated with breastfeeding confidence (r= .262; p= .025) and actual lactation duration (r= .455; p= .0001). Compared with women planning to exclusively breastfeed their infants, those planning to combination feed planned shorter breastfeeding duration (p= .022), reported shorter actual duration (p= .004), and were less likely to meet their breastfeeding goal (p= .034). The variables maternal education, breastfeeding knowledge, and weeks of daily human milk substitute feeding were used to develop a prediction equation that correctly categorized 93% of participants who met their breastfeeding goal and 90% of those who did not.
Conclusions: Expectations and the actual breastfeeding experience differed among women planning to combination feed and those planning to exclusively breastfeed. Whether a cause or consequence, daily human milk substitute feeding was associated with negative breastfeeding outcomes.