Preventive Care in Nursing and Midwifery Journal
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Volume 8, Issue 2 (9-2018)
PCNM 2018, 8(2): 9-17 |
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Aziziz E, Maleki A, Mazloomzadeh S, Pirzeh R. An Evaluation of the Relationship between Perceived Stress and Breastfeeding Self-efficacy in Women Referred to Delivery Preparatory Classes in Zanjan, Iran in 2018. PCNM 2018; 8 (2) :9-17
URL: http://nmcjournal.zums.ac.ir/article-1-574-en.html
URL: http://nmcjournal.zums.ac.ir/article-1-574-en.html
PhD in maternal and child health, Assistant Professor, Social Determinants of Health Research Center, Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran , malekia@zums.ac.ir
Abstract: (9057 Views)
Background: Stress during pregnancy and delivery is associated with unfavorable outcomes, which negatively affects maternal breastfeeding self-efficacy.
Objectives: This study aimed to determine the relationship between perceived stress and breastfeeding self-efficacy of women in Zanjan, Iran.
Methods: This descriptive- analytical study was performed on 224 pregnant women, who participated in delivery preparation classes and were selected by Poisson random sampling. The data were collected using Demoghraphic and midwifery characteristics Questionnaires, Cohen’s perceived stress scale, and Dennis’s breast-feeding self-efficacy scale. In addition, data analysis was performed using descriptive statistics, Pearson’s correlation coefficient, and logistic regression model at 95% confidence interval.
Results: In this study, the mean age of the participants was 26.56±4.61 years. Moreover, a majority of mothers were nulliparous (81.3%), had academic degrees (56.7%), and were housewives (86.6%). According to the results, there was a significant and reverse association between perceived stress and breastfeeding self-efficacy and neonatal weight at birth (P=0.0001) (P=0.01). While breastfeeding self-efficacy had a direct association with natural delivery, wanted pregnancy, neonatal weight, and family income level, It had a significant and reverse relationship with history of abortion (P<0.05).
Conclusion: Due to the significant and negative relationship between perceived stress and self-efficacy as well as the importance of this issue in the rate of exclusive nutrition and continuation of lactation, planning to control perceived stress in nulliparous women with a history of abortion, unwanted pregnancy, and low income levels seems necessary
Objectives: This study aimed to determine the relationship between perceived stress and breastfeeding self-efficacy of women in Zanjan, Iran.
Methods: This descriptive- analytical study was performed on 224 pregnant women, who participated in delivery preparation classes and were selected by Poisson random sampling. The data were collected using Demoghraphic and midwifery characteristics Questionnaires, Cohen’s perceived stress scale, and Dennis’s breast-feeding self-efficacy scale. In addition, data analysis was performed using descriptive statistics, Pearson’s correlation coefficient, and logistic regression model at 95% confidence interval.
Results: In this study, the mean age of the participants was 26.56±4.61 years. Moreover, a majority of mothers were nulliparous (81.3%), had academic degrees (56.7%), and were housewives (86.6%). According to the results, there was a significant and reverse association between perceived stress and breastfeeding self-efficacy and neonatal weight at birth (P=0.0001) (P=0.01). While breastfeeding self-efficacy had a direct association with natural delivery, wanted pregnancy, neonatal weight, and family income level, It had a significant and reverse relationship with history of abortion (P<0.05).
Conclusion: Due to the significant and negative relationship between perceived stress and self-efficacy as well as the importance of this issue in the rate of exclusive nutrition and continuation of lactation, planning to control perceived stress in nulliparous women with a history of abortion, unwanted pregnancy, and low income levels seems necessary
Type of Study: Orginal research |
Subject:
Midwifery
Received: 2019/05/17 | Accepted: 2018/09/17 | Published: 2018/09/17
Received: 2019/05/17 | Accepted: 2018/09/17 | Published: 2018/09/17
References
1. McCarter‐Spaulding DE, Dennis CL. Psychometric testing of the breastfeeding self‐efficacy scale‐short form in a sample of black women in the United States. Res Nurs health. 2010; 33(2):111-9. [Crossref]
2. Hasanpour S, Bany S, Ansari S, Ebrahimi H. Measuring breastfeeding self – efficacy among pregnant women referred to health centers of ahvaz. Nursing and Midwifery Journal. 2010; 19: 47-53. [In Persian]
3. Mirghafourvand M, Malakouti J, Mohammad-Alizadeh-Charandabi S, Faridvand F. Predictors of Breastfeeding Self-efficacy in Iranian Women: A Cross-Sectional Study. Int J Women's Health Reprod Sci. 2018; 6(3): 380-85. [Crossref]
4. Bastani F, Rahmatnejad L, Jahdi F, Haghani H. Breastfeeding self efficacy and perceived stress in primiparous mothers. Iran J Nursing. 2008; 21(54): 9-24. [In Persian]
5. Robinson KM, VandeVusse L. African American women's infant feeding choices: prenatal breast-feeding self-efficacy and narratives from a black feminist perspective. J Perinat Neonatal Nurs. 2011; 25(4): 320-28. [Crossref]
6. Dennis CL. Theoretical underpinnings of breastfeeding confidence: a self-efficacy framework. J Hum lact. 1999; 15(3): 195-201. [Crossref]
7. Curtis R, Groarke A, Sullivan F. Stress and self-efficacy predict psychological adjustment at diagnosis of prostate cancer. Sci Rep. 2014; 4: 5569. [Crossref]
8. Emami Naeni N. Life Skills for Adult Working. 2nd ed. Tehran:Honarabi Pub, Department of Cultural Affairs and Prevention; 2011. [In Persian]
9. Dolatian M, Mirabzadeh A, Forouzan AS, et al. Correlation between self-esteem and perceived stress in pregnancy and ways to coping with stress. Pejouhandeh Journal. 2013; 18(3): 149-55. [In Persian]
10. Hung C-H. The psychosocial consequences for primiparas and multiparas. Kaohsiung J Med Sci. 2007; 23(7): 352-60. [Crossref]
11. Divney AA, Sipsma H, Gordon D, Niccolai L, Magriples U, Kershaw T. Depression during pregnancy among young couples: the effect of personal and partner experiences of stressors and the buffering effects of social relationships. J Pediatr Adolesc Gynecol. 2012; 25(3): 201-207. [Crossref]
12. Groer MW, Davis MW. Cytokines, infections, stress, and dysphoric moods in breastfeeders and formula feeders. J Obste Gynecol Neonatal Nurs. 2006; 35(5): 599-607. [Crossref]
13. Dewey KG. Maternal and fetal stress are associated with impaired lactogenesis in humans. J Nutr. 2001; 131(11): 3012S-5S. [Crossref]
14. de Jager E, Skouteris H, Broadbent J, Amir L, Mellor K. Psychosocial correlates of exclusive breastfeeding: a systematic review. Midwifery. 2013; 29(5): 506-18. [Crossref]
15. Mardani Hamile M, Ebrahimi E. Mental Health Status of Pregnant Women Referring to Shahinshahr Health Care Centers. J Nurse Midwife Gorgan. 2010; 7(1): 27-33. [In Persian].
16. Leung D, Lam T-H. Three versions of percieved stress scale: validation in a sample of chinese cardiac patients who smoke. BMC public health. 2010; 10(1): 513. [Crossref]
17. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983: 385-96. [Crossref]
18. Behroozi N, Shahni Yelaq M, Pourseyed S. Relationship between perfectionism, perceived stress and social support with academic burnout. Strategy for Culture. 2013; 5(20):83-102. [In Persian]
19. Dennis CL. The breastfeeding self‐efficacy scale: Psychometric assessment of the short form. J Obstet Gynecol Neonatal Nurs. 2003;32(6):734-44. [Crossref]
20. Araban M, Falahiyan Mehrgardi F, Shahri P, Montazeri A. The Persian version of Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF): translation and psychometric assessment. payesh. 2016;15(1):87-93. [In Persian]
21. Rahmatnejad L, Bastani F. An investigation of Breast Feeding Self Efficacy and its Relationship with exclusive breast feeding. aumj. 2012; 1(1): 31-6. [In Persian] [Crossref]
22. Nekavand M, Horsan R, Zohoor A, Karami A, editors. The effect of exclusive breastfeeding education on breastfeeding self-efficacy and stress in mothers referring to hospitals affiliated to Tehran University of Medical Sciences in 2009-2010. First International Congress on Obstetrics and Gynecology, Iran; May 15, 2012. [In Persian]
23. Bazrafshan M, Mahmodi Rad A. The relationship between women's anxiety during pregnancy and labor outcomes in Larestan hospitals. Aligoodarz Nurs Fac Analytic Res J. 2012;1(1): 11-12. [In Persian]
24. Abedi M, Sabory E, Rabiepour S, Rasoli J. The relationship between stress in pregnancy and pregnancy outcomes: a longitudinal study. J Urmia Nurse Midwifery Fac. 2017; 14(12): 969-81. [In Persian]
25. Azin S, Rasulzadeh Tabatabai k, Zarei N. A comparison of depression, anxiety and stress levels in first, second and third trimesters between women with normal pregnancy and pregnant women who have received infertility treatment. Health psychology review. 2013;1(4):5-18. [In Persian]
26. Zareipour M, Sadeghianifar A, Amirzehni J, Parsnezhad M, Ayuoghi Rahnema V. Exploring of Depression, Anxiety and Stress in Pregnant Women Referred to Health Centers of Urmia. Rahavard Salamat Journal. 2018;3(2):19-30. [In Persian]
27. Varaei S, Mehrdad N, Bahrani N. The Relationship between Self-efficacy and Breastfeeding, Tehran, Iran. HAYAT. 2009; 15(3): 31-8. [In Persian]
28. Otsuka K, Dennis C-L, Tatsuoka H, Jimba M. The relationship between breastfeeding self-efficacy and perceived insufficient milk among Japanese mothers. J Obstetric, Gynecologic Neonatal Nurs. 2008; 37(5): 546-55. [Crossref]
29. Mirmohaammad ali M, Bahiraii A, Rahimi A, Hashemzadeh M, Sohrabi N, Sohrabi Z. Effect of educational package on breastfeeding self-efficacy in postpartum period. PAYESH. 2014;13(2): 221-28. [In Persian]
30. Baker SS. The Infant Feeding Decision: A Survey of Limited-Resource Women in North Carolina. [dissertation ]. North Carolina Graduated faculty of North Carolina State University. 2004: p.58.
31. Islami Z, Fallah R, Golestan M, Shajaree A. Relationship between Delivery Type and Successful Breastfeeding. Iran J Pediatr. 2009; 18(1) :47-52. [In Persian]
32. Ghanbarnejad A, Abedini S, Taqipoor L. Exclusive breastfeeding and its related factors among infants in Bandar Abbas City, Iran. J Babol Univ Med Sci. 2014; 16(1): 85-91. [In Persian]
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