Predictors of Prenatal Breastfeeding Self-Efficacy of Women With and Without Gestational Diabetes: Results of a hospital based case-control study in Türkiye
Öz
Background. Prenatal breastfeeding self-efficacy is an important parameter affecting the breastfeeding success and intention of women. Prenatal breastfeeding self-efficacy should be evaluated in all women with and without GDM.
Aim. The aim of the study was to examine the prenatal breastfeeding self-efficacy of women with and without Gestational Diabetes (GDM) and to determine the factors that predict prenatal breastfeeding self-efficacy.
Methods. The research is a hospital-based case-control study was conducted. The study was carried out with 96 women with GDM who were compared with 98 without GDM, who were admitted to the endocrinology policlinic of a university hospital, in western Türkiye. The data were collected using the “Individual Identification Form” and the "Prenatal Breastfeeding Self-Efficacy Scale (PBSES)”. For statistical analysis, t test and Chi-square test were used. Regression analyses were used to identify predictors of prenatal breastfeeding self-efficacy. Results. PBSES of cases was 79.64±15.12 and controls was 72.01±15.62. SQOL scores of cases were significantly higher than controls (p<0.05). Working, family type, and information about breastfeeding were associated with breastfeeding self-efficacy in women with GDM (p<0.05, R2=0.341); educational level, working, family type, income level, trimester, information about breastfeeding, and duration of previous breastfeeding were associated with breastfeeding self-efficacy in women without GDM (p<0.05, R2=0.612). GDM increased prenatal breastfeeding self-efficacy scores by 7.6 units (B=7.636, R2=0.059).
Conclusions. The study revealed that prenatal breastfeeding self-efficacy was higher in women with GDM, it was high in both groups. Prenatal breastfeeding self-efficacy (PBSE) was affected by some sociodemographic, obstetric, and breastfeeding-related characteristics. Health professionals should determine the breastfeeding self-efficacy of pregnant women, know the factors affecting them, and consider them when providing education and counseling. Prenatal education and support programs should be developed to increase the breastfeeding self-efficacy of women with and without GDM.
Anahtar Kelimeler
breastfeeding, self-efficacy, diabetes, gestational, pregnant
Etik Beyan
Ethical approval was obtained from Izmir Katip Çelebi University Non-Interventional Clinical Research Ethics Committee (Date: 23.02.2023; IRB: 0058) and permission from the hospital where the study was conducted (Date: 05.04.2023). Permission was obtained from the researchers who conducted the Turkish validity and reliability of the scale used in the study. The purpose, nature, confidentiality, anonymity and right of women to refuse to participate in the study were explained to the participants. Written and verbal consent was obtained from women with and without GDM who voluntarily agreed to participate in the study and met the inclusion criteria. Informed consent was obtained from all women included in the study. The research was conducted in accordance with the Principles of the Declaration of Helsinki.
Kaynakça
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