The motivational determinants of breast-feeding: predictors for the continuation of breast-feeding.

Abstract:

OBJECTIVE:The aim of this study was to evaluate the motivational determinants of the continuation of breast-feeding until 3 months postpartum. METHODS:A prospective cohort study using the Integrated Change Model in 341 women in 5 child health care centers. RESULTS:At birth, 73% of the mothers started with breast-feeding and 39% of them continued at least 3 months postpartum. Mothers who continued for 3 months differed in almost all the motivational determinants from mothers who discontinued. In the multiple logistic regression analysis, social support for formula feeding from significant others and situational self-efficacy for breast-feeding made a significant independent contribution to the continuation of breast-feeding. Among the predisposing determinants, the strongest positive predictor of continuation was the intention to return to work at 1 month postpartum. CONCLUSION:The Integrated Change Model is valid to explain and predict the continuation of breast-feeding. Hence, the results may be used to tailor future interventions aimed at promoting breast-feeding. In the discussion, we use the results to target interventions.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Kools EJ,Thijs C,Kester AD,de Vries H

doi

10.1016/j.ypmed.2006.03.012

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

394-401

issue

5

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(06)00096-X

journal_volume

43

pub_type

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