Journal of Korean Academy of Nursing

Research Papers

Development and Effectiveness Evaluation of Comprehensive Mobile-Based, Breastfeeding Promotion Program for Mothers with Gestational Diabetes: Kwak, Eunju , Park, Seungmi; J Korean Acad Nurs 2024;54(2):224-236. Published online May 31, 2024; DOI: https://doi.org/10.4040/jkan.23098

Purpose
This study aimed to evaluate the effects of a mobile-based breastfeeding promotion program (M-BFGDM) that helps mothers with gestational diabetes.
Methods
Forty-seven mothers participated in the study, of whom 22 were in the experimental group and 25 in the control group. To verify the effects, a lag design before and after the non-equivalence control group was used. The data collection for the experimental group was done before and after the intervention.
Results
In the results, breastfeeding knowledge showed a significant difference in the interaction between measurement period and group (χ² = 8.14, p = .017), whereas breastfeeding intention did not show a significant difference in the interaction (χ² = 4.73, p = .094). There was no difference in self-efficacy interaction (F = 0.13, p = .856). The breastfeeding method showed no difference in interaction (F = 0.04, p = .952), whereas cross-analysis showed a significant difference in breastfeeding practice rate between the experimental group and the control group at 1 month postpartum (χ² = 7.59, p = .006).
Conclusion
A mobile-based breastfeeding promotion program was developed and applied for gestational diabetic mothers, resulting in an increase in breastfeeding knowledge and an improvement in breastfeeding practice rate one month after childbirth. In addition, M-BFGDM managed to create a breastfeeding practice environment with fewer time and place restrictions. A program study that complements motivation is needed to improve breastfeeding in pregnant diabetic mothers in the future.

Citations

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Breastfeeding and education in the puerperium
Elena Alfonso
Community and Interculturality in Dialogue.2025; 5: 129. CrossRef

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Information Resource Network Analysis of Factors Influencing Breastfeeding Planning and Duration: Lee, Eunyoung , Cho, Insook , Cho, Seong Jin , Lee, Eunju; J Korean Acad Nurs 2021;51(2):232-244. Published online April 30, 2021; DOI: https://doi.org/10.4040/jkan.20280

Abstract PDF

Purpose
This study aimed to identify the modifiable factors affecting breastfeeding planning and duration among healthy mothers and their use of breastfeeding information resources.
Methods
A cross-sectional survey was conducted in a community setting. Four hundreds participants were recruited at five pediatric clinics and three community health centers located in Paju-si and Goyang-si, Gyeonggi-do, between January and May 2019. Based on the breastfeeding decision-making model, driven by Martens and Young’s work, the survey items consisted of demographics, childbirth and breastfeeding characteristics, and breastfeeding information resources. In the analysis, 389 responses were used in the t-test, ANOVA, and logistic regression. Information resource networks were compared before and after childbirth including a subgroup analysis depending on the breastfeeding duration.
Results
The modifiable factors affecting breastfeeding planning and duration were antenatal and postpartum breastfeeding education and the provision of information in the hospital. The frequency of Internet use and websites visited were notable and potentially modifiable factors, which were also observed in the networks showing different relationship patterns according to participant subgroups and times. The childbirth event increased the centralization of the network in the planned group, while the network of the non-planned group was more diffused after childbirth. The network of the short-term breastfeeding group was characterized by a more centralized pattern and the resources of high betweenness centrality than the long-term group.
Conclusion
Breastfeeding education is a consistent factor that affects breastfeeding behavior. A well-designed internet-based approach would be an effective nursing intervention to meet the needs of women seeking breastfeeding information and changing their behaviors.

Citations

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Survey on the Status of Breastfeeding in Korean Medical Institution Workers
Tae Hyeong Kim, Sung-Hoon Chung, Jun Hwan Kim, Youngmin Ahn, Son Moon Shin, Woo Ryoung Lee, Eui Kyung Choi, Juyoung Lee, Hye-Jung Shin, Euiseok Jung, Ju Sun Heo, Jin A Lee, Soon Min Lee, Seong Phil Bae, Jeonglyn Song, Chae-Young Kim, Dae Yong Yi
Journal of Korean Medical Science.2022;[Epub] CrossRef
A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea
Yong-Sung Choi, Sung-Hoon Chung, Eun Sun Kim, Eun Hee Lee, Euiseok Jung, So Yeon Lee, Wooryoung Lee, Hye Sun Yoon, Yong Joo Kim, Ji Kyoung Park, Son Moon Shin, Ellen Ai-Rhan Kim
Neonatal Medicine.2022; 29(1): 28. CrossRef
Breastfeeding Success Experience of Primiparas
Sun Ok Lee, Sung Soon Na, Hee Sook Kim, Kyung Eui Bae, Mi Sun Youn, Eun Ju Oh
Journal of The Korean Society of Maternal and Child Health.2022; 26(4): 254. CrossRef
Breastfeeding experiences of women with gestational diabetes
Seungmi Park, Soo-Young Yu
The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 274. CrossRef

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4 Crossref

Effect of Direct Breastfeeding Program for Premature Infants in Neonatal Intensive Care Unit: Kang, Ji Hyun , Son, Hyunmi , Byun, Shin Yun , Han, Gyumin; J Korean Acad Nurs 2021;51(1):119-132. Published online February 28, 2021; DOI: https://doi.org/10.4040/jkan.20240

Abstract PDF

Purpose
This study aimed to identify the effects of a direct breastfeeding program for premature infants in neonatal intensive care units (NICUs).
Methods
This quasi-experimental study was conducted during August 2016 to April 2017. Sixty mothers of premature infants were assigned to the experimental (n = 31) or control groups (n = 29). The program was comprised of breastfeeding education and direct breastfeeding support. The experimental and control groups were provided with education and counseling on breastfeeding at the time of admission and discharge. In the experimental group, the mothers initiated oral feeding with direct breastfeeding and engaged in breastfeeding at least seven times during the NICU stay. The collected data were analyzed by the χ² -test and repeated measures ANOVA using an SPSS program.
Results
The experimental group showed a higher direct breastfeeding practice rate (χ² = 19.29, p < .001), breastfeeding continuation rate (χ² = 3.76, p < .001), and self-efficacy (F = 25.37, p < .001) than the control group except for maternal attachment.
Conclusion
The direct breastfeeding program in the NICU has significant effects on the practice and continuation rate of breastfeeding and breastfeeding self-efficacy. Therefore, this program can be applied in the NICU settings where direct breastfeeding is limited.

Citations

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Fresh Parent’s Own Milk for Preterm Infants: Barriers and Future Opportunities
Carrie-Ellen Briere, Jessica Gomez
Nutrients.2024; 16(3): 362. CrossRef
Exploration of Family-Centered Care in NICUs: A Grounded Theory Methodology
Young Ah Park, YeoJin Im
Qualitative Health Research.2024;[Epub] CrossRef
Development and Effectiveness Evaluation of Comprehensive Mobile-Based, Breastfeeding Promotion Program for Mothers with Gestational Diabetes
Eunju Kwak, Seungmi Park
Journal of Korean Academy of Nursing.2024; 54(2): 224. CrossRef

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Original Articles

The Relationship of Bone Mineral Densities and Period of Breast feeding in Premenopausal Women: Eun Nam Lee, Eun Ok Lee, Gwang Hae Lee; Journal of Korean Academy of Nursing 2000;30(1):29-38. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.2000.30.1.29

Abstract PDF

To determine whether personal history of lactation in premenopausal women influence bone mineral density, a cross-sectional study was conducted. One hundred eighty-four premenopausal women were selected from women who had been checked for bone mineral density by dual energy x-ray absortiometry in lumbar spine, femoral neck, Ward's triangle, and trochanteric site at general hospitals in Seoul and Pusan. They completed a questionnaire including life style factors and reproductive history. In the data analysis, Pearson correlation coefficients were used to test any association between individual variables and bone mineral density and a statistical comparisons between long term lactation(>24 months) and short term lactation(<24 months) were made by one way analysis of covariance. The results were summarized as follows: 1) There was no significant difference in the bone mineral density of the lumbar vertebrae in premenopausal women between the long term lactation group(>24months) and the short term lactation group(<24months). 2) There was no significant difference in the bone mineral density of the femur neck, Ward's triangle, and trochanteric site in premenopausal women between the long term lactation group (>24months) and the short term lactation group (<24months). Considering these results, we suggest prospective studies that measure bone mineral density before and after, in addition to those during lactation. We also suggest the further study with premenopausal women less than 35 who have achieved peak adult bone mass.

Citations

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Uncomfortable Breast Experiences of Breast feeding Mothers
노승옥, Insook Park, 조광남
Qualitative Research.2012; 13(2): 131. CrossRef
The Role of Salicornia herbacea in Ovariectomy-Induced Oxidative Stress
Bae Jin Ha, Sang Hun Lee, Hee Jin Kim, Jin Young Lee
Biological & Pharmaceutical Bulletin.2006; 29(7): 1305. CrossRef

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Attitudes of Pregnant women's husbands to Breast Feeding: Hae Kyung Chung, Kyung Hee Kim; Journal of Korean Academy of Nursing 1998;28(2):392-402. Published online March 29, 2017; DOI: https://doi.org/10.4040/jkan.1998.28.2.392

Abstract PDF: By using Q-methodology, this study examines the attitudes of pregnant womens' husbands toward breastfeeding. Also, the research provides basic data necessary to develop a strategy for recommending breastfeeding. A total of 112 items for the Q-population were collected from related literature and interviews with the general public, specialists, pregnant women and the general public, specialists, pregnant women and their husbands. Finally, 38 statements were selected. Twenty one husbands of pregnant women classified these statements on each card on a 1 to 9 point scale(forced normal distribution) and wrote the reasons for both the most supported and the mos resisted statements. The materials collected were analyzed by using pc QUANL program. The analysis drew down following fact that even though the attitudes of the husbands of pregnant were very similar, they could be classified to three types according to the motivation and recognition the degree of choosing breastfeeding. Type 1 is the mother's duty supporter, who insists that breastfeeding is completely natural and the proper duty of the mother. Type 2 is the emotional value supporter, who thinks that breastfeeding emotionally affects both the baby and the mother in a positive way. Type 3 is the conditional choice supporter, who chooses the most proper suckling way of feeding according to given conditions.

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Effects of a Workbook Program on the Perceived Stress Level, Maternal Role Confidence and Breast Feeding Practice of Mothers of Premature Infants: Yung Sook Jang; Journal of Korean Academy of Nursing 2005;35(2):419-427. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.2.419

Abstract PDF

Purpose

The purpose of this study was to identify the effects of a workbook program on percieved stress levels, maternal role confidence and breastfeeding practices of mothers of premature infants.

Method

This study employed a quasi-experimental non-equivalent pre-and-post test to compare the two groups. Data was collected from 32 subjects from March 10. to September 5, 2003 at an NICU located in S. city. In the sample, fifteen mothers were in the experimental group and seventeen were in the control group. A workbook program was provided twice during a period from two-three days after the baby's admission to one week after the first intervention. The instruments used were the PSS and self confidence scale. Data was analyzed by means of frequency, SD, χ²-test, Fisher's exact test, Mann-Whitney test, and the Wilcoxon signed rank test.

Result

There was a significant difference in perceived stress levels between the experimental and control group (U=2.366, p=.018). There was not a significant difference in maternal role confidence between the two groups (U=1.002, p=.316). There was a significant difference in breastfeeding practice between the two groups (χ²= 4.910, p=.035).

Conclusion

It is concluded that a program using a workbook has a positive effect on decreasing the perceived stress level and increasing breastfeeding practice.

Citations

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Effects of Systematic Discharge Education Program on Anxiety and Parenting Confidence in Mothers of Premature Infants
Eunyoung Kim, Aeran Jo, Meenam Hwang, Hyunjin Moon, Daeun Jeong, Myungjin Jang, Choyeon Lim
Journal of The Korean Society of Maternal and Child Health.2023; 27(2): 71. CrossRef
Effects of a newborn care education program using ubiquitous learning on exclusive breastfeeding and maternal role confidence of first-time mothers in Vietnam: a quasi-experimental study
Tran Thi Nguyet, Nguyen Vu Quoc Huy, Yunmi Kim
Korean Journal of Women Health Nursing.2021; 27(4): 278. CrossRef
Effects of an Infant Care Education Program for Mothers of Late-preterm Infants on Parenting Confidence, Breastfeeding Rates, and Infants' Growth and Readmission Rates
Eun Hye Jang, Hyeon Ok Ju
Child Health Nursing Research.2020; 26(1): 11. CrossRef
Effects of a Maternal Role Adjustment Program on First-time Mothers
Su Jeong Kim, Ji Min Seo
Korean Journal of Women Health Nursing.2018; 24(3): 322. CrossRef
Development and Evaluation of a Video Discharge Education Program focusing on Mother-infant Interaction for Mothers of Premature Infants
Jin Suk Ra, Jiyoung Lim
Journal of Korean Academy of Nursing.2012; 42(7): 936. CrossRef
A Study on the Experience of Breastfeeding Education for Women with Children 24 Months of Age and Younger
Ji-Eun Kim, Dong-Yean Park
The Korean Journal of Community Living Science.2012; 23(4): 523. CrossRef
Effects of a Discharge Education Program Using On-line Community for Parents of Premature Infants
Jeong Soon Kim, Hee Sun Shin
Journal of Korean Academy of Child Health Nursing.2010; 16(4): 344. CrossRef
Effects of a Breast-Feeding Empowerment Program on Exclusive Breast-Feeding
Yunmi Kim
Journal of Korean Academy of Nursing.2009; 39(2): 279. CrossRef

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Review Article

Effects of Breastfeeding Interventions on Breastfeeding Rates at 1, 3 and 6 Months Postpartum: A Systematic Review and Meta-Analysis: Seol Hui Park, Seang Ryu; J Korean Acad Nurs 2017;47(6):713-730. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.6.713

Abstract PDF

Abstract Purpose

This study was a systematic review and meta-analysis designed to evaluate the effects of breastfeeding intervention on breastfeeding rates.

Methods

Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a systematic search was conducted using eight core electronic databases and other sources including gray literature from January 9 to 19, 2017. Two reviewers independently select the studies and assessed methodological risk of bias of studies using the Cochrane criteria. The topics of breastfeeding interventions were analyzed using descriptive analysis and the effects of intervention were meta-analyzed using the Review Manager 5.2 software.

Results

A total of 16 studies were included in the review and 15 were included for meta-analysis. The most frequently used intervention topics were the importance of good latch-on and frequency of feeding and determining adequate intake followed. The pooled total effect of breastfeeding intervention was 1.08 (95% CI 1.03~1.13). In the subgroup analysis, neither pre-nor post-childbirth intervention was effective on the breastfeeding rates at 1, 3, and 6 months, and neither group nor individual interventions had an effect. Only the 1 month breastfeeding rate was found to be affected by the individual intervention with the persistent strategies 1.21 (95% CI 1.04~1.40).

Conclusion

Effective breastfeeding interventions are needed to help the mother to start breastfeeding after childbirth and continue for at least six months. It should be programmed such that individuals can acquire information and specific breastfeeding skills. After returning home, there should be continuous support strategies for breastfeeding as well as managing various difficulties related to childcare.

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Postpartum Breastfeeding Practices and Attitudes in Parents: A Randomized Study to Evaluate the Effects of Individual and Group Breastfeeding Education of Mothers and Fathers
Yeşim Yeşil, Hafize Öztürk Can
Cureus.2023;[Epub] CrossRef
Social policies and breastfeeding duration in South Korea: A survival analysis of the national data
Jung Hee Yeo, Eun-Young Kim
Midwifery.2022; 107: 103282. CrossRef
Information Resource Network Analysis of Factors Influencing Breastfeeding Planning and Duration
Eunyoung Lee, Insook Cho, Seong Jin Cho, Eunju Lee
Journal of Korean Academy of Nursing.2021; 51(2): 232. CrossRef
A Structural Model for Breastfeeding Behavior of First-Time Mothers
Seol Hui Park, Seang Ryu
Journal of The Korean Society of Maternal and Child Health.2021; 25(3): 184. CrossRef
The Relationship of Previous Breastfeeding Experiences and Factors Affecting Breastfeeding Rates: A Follow-Up Study
Jun-Yan Li, Yi Huang, Hao-Qi Liu, Jing Xu, Lu Li, Sharon R. Redding, Yan-Qiong Ouyang
Breastfeeding Medicine.2020; 15(12): 789. CrossRef
Effects of galactagogue herbal tea containing Chrysanthemum indicum as the main component on milk production in postpartum rats
Jiyoung Choi, Yunjung Lee, Sunuk Choi, Eunju Park
Journal of Nutrition and Health.2020; 53(5): 445. CrossRef
A systematic review and meta-analysis of interventions incorporating behaviour change techniques to promote breastfeeding among postpartum women
Angelos P. Kassianos, Emma Ward, Antonio Rojas-Garcia, Allison Kurti, Fiona C. Mitchell, Dian Nostikasari, Jamie Payton, Julian Pascal-Saadi, Claire Adams Spears, Caitlin Notley
Health Psychology Review.2019; 13(3): 344. CrossRef

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Original Articles

Breast Feeding Rates and Factors Influencing Breast Feeding Practice in Late Preterm Infants: Comparison with Preterm Born at Less than 34 Weeks of Gestational Age: Gun Ja Jang, Sang Lak Lee, Hyeon Mi Kim; J Korean Acad Nurs 2012;42(2):181-189. Published online April 30, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.2.181

Abstract PDF

Purpose

This study was done to compare breast feeding rates and factors influencing feeding practice between late preterm (34≤GA<37) and preterm infants (GA<34).

Methods

A survey was done of 207 late preterm and 117 preterm infants in neonatal intensive care units (NICU) of 4 university hospitals in D city. Data were collected from July 2009 to June 2010 from 324 medical records in the NICU. Breast-feeding at home was checked either by telephone survey or questioning during hospital visits.

Results

Rate of breast feeding for late preterm infants was significantly lower than for preterm infants. There was no significant difference in breast-feeding at home. We found differences in factors influencing breast feeding between the two groups. Factors influencing feeding for late preterm infants were type of delivery, mothers' occupation, feeding type during hospitalization, time elapse from hospital discharge, total admission days, infant's body weight at first feeding and length of NPO (nothing by mouth). Factors influencing feeding for preterm infants were birth order, maternal disease and obstetric complications, and one-minute Apgar score.

Conclusion

Results of the study show low rates of breast-feeding for late preterm infants indicating a need for breast-feeding education for mothers of these infants.

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Role of personal aptitudes as determinants of incident morbidity, lifestyles, quality of life, use of health services, and mortality (DESVELA cohort): quantitative study protocol for a prospective cohort study in a hybrid analysis
Ruth Martí-Lluch, Bonaventura Bolíbar, Joan Llobera, José A Maderuelo-Fernández, Rosa Magallón-Botaya, Álvaro Sánchez-Pérez, Ma José Fernández-Domínguez, Emma Motrico, Enric Vicens-Pons, Blanca Notario-Pacheco, Lia Alves-Cabratosa, Rafel Ramos
Frontiers in Public Health.2023;[Epub] CrossRef
A shorter breastfeeding duration in late preterm infants than term infants during the first year
Rakel B. Jonsdottir, Helga Jonsdottir, Brynja Orlygsdottir, Renée Flacking
Acta Paediatrica.2021; 110(4): 1209. CrossRef
Upper Lip Tie: Anatomy, Effect on Breastfeeding, and Correlation With Ankyloglossia
Shalini Shah, Paul Allen, Ryan Walker, Casey Rosen‐Carole, Margo K. McKenna Benoit
The Laryngoscope.2021;[Epub] CrossRef
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Gun Ja Jang, Yeon Ran Hong
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Breastfeeding progression in late preterm infants from birth to one month
Rakel B. Jónsdóttir, Helga Jónsdóttir, Arna Skúladóttir, Thordur Thorkelsson, Renée Flacking
Maternal & Child Nutrition.2020;[Epub] CrossRef
Factors Influencing Breast Milk Feeding in Singleton Late Preterm Infants
Su Jin Kim, Gun Ja Jang
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Jonathan Walsh, Margo McKenna Benoit
Otolaryngologic Clinics of North America.2019; 52(5): 795. CrossRef
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Didier Tshamala, Anita Pelecanos, Mark W Davies
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Hospital Pediatrics.2016; 6(5): 261. CrossRef
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Camila Dantas Martins, Renata Maria Moreira Moraes Furlan, Andréa Rodrigues Motta, Maria Cândida Ferrarez Bouzada Viana
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Healthy late preterm infants and supplementary artificial milk feeds: Effects on breast feeding and associated clinical parameters
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Journal of the Korean Society of Food Culture.2013; 28(2): 125. CrossRef

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Effects of Breast Massage on Breast Pain, Breast-milk Sodium, and Newborn Suckling in Early Postpartum Mothers: Sukhee Ahn, Jinhee Kim, Jungsuk Cho; J Korean Acad Nurs 2011;41(4):451-459. Published online August 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.4.451

Abstract PDF

Purpose

In this study the effects of breast massage on breast pain, breast-milk sodium, and newborn suckling in early postpartum mothers were investigated.

Methods

The design was a non-synchronized nonequivalent control group pretest-posttest design. Sixty postpartum mothers who were admitted to a postpartum care center and had problems with breastfeeding were recruited. Of these mothers, 44 were assigned to the intervention group and received two 30-minute breast massages within 10 days of postpartum period. The others were assigned control group and received only routine care. Breast pain was measured using a numeric pain scale and number of times newborns suckled was observed throughout breastfeeding. Breast milk was self-collected to evaluate breast-milk sodium.

Results

Mean age of postpartum mothers was 30 years old. Compared to the control group, women in the intervention group reported significant decreases in breast pain (p<.001), increases in number of times newborns suckled after the first and second massage (p<.001), and a decrease in breast-milk sodium after the first massage (p=.034).

Conclusion

Breast massage may have effects on relieving breast pain, decreasing breast-milk sodium, and improving newborn suckling. Breast massage can be used to solve breast problems. Further research is needed to validate our findings.

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Auricular Acupressure on Breast Pain Among Breastfeeding Mothers Receiving Gentle Hand Techniques: A Randomized, Single-Blind, Sham-Controlled Trial
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Santhosh Kumar Kraleti ., Swapna Lingaldinna ., Sravani Kalvala ., Sadiqua Anjum ., Himabindu Singh .
Indian Journal of Child Health.2018; 5(12): 731. CrossRef
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Effects of Oketani Breast Massage on Breast Discomfort, Breast Pumping Time and Breast-milk compositions in Preterm Infants' Mothers
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Effects of Breast-feeding Education and Support Services on Breast-feeding Rates and Infant's Growth: Gun-Ja Jang, Sun-Hee Kim; J Korean Acad Nurs 2010;40(2):277-286. Published online April 30, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.2.277

Abstract PDF

Purpose

This study was done to investigate the effects of breast-feeding education and support services on rate of breast-feeding three and six months after birth, and the effect on infant's growth (weight, height, body mass index [BMI]). The experimental group which had both education and support services was compared with the control group which had only breast-feeding education.

Methods

This study was a quasi-experimental study with a time-series design. The participants were 39 mothers who were hospitalized for childbirth. Twenty mother were assigned to the experimental group and 19 mothers, to the control group. The breast feeding education was done during hospitalization, and support services were provided once a week after discharge for a month (a total 4 times) by a maternity ward nurse. Data regarding breastfeeding rate at one month after childbirth was collected by phone call; the breast-feeding rates at three and six months after childbirth were collected in a visit to the families. The child's weight and height were also measured during the visit.

Results

The experimental group had a statistically significant higher rate for frequency of breast-feeding at one, three and six months after childbirth than the control group. However, there was no meaningful difference between the two groups for infant growth.

Conclusion

The results of this study suggest that breast-feeding education is helpful for a start, but support services are also necessary to sustain breast-feeding.

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Support for healthy breastfeeding mothers with healthy term babies
Anna Gavine, Shona C Shinwell, Phyll Buchanan, Albert Farre, Angela Wade, Fiona Lynn, Joyce Marshall, Sara E Cumming, Shadrach Dare, Alison McFadden
Cochrane Database of Systematic Reviews.2022;[Epub] CrossRef
Effects of an Infant Care Education Program for Mothers of Late-preterm Infants on Parenting Confidence, Breastfeeding Rates, and Infants' Growth and Readmission Rates
Eun Hye Jang, Hyeon Ok Ju
Child Health Nursing Research.2020; 26(1): 11. CrossRef
Knowledge of and Attitude toward Breastfeeding among Medical Staff Working in the Neonatal Intensive Care Unit and Obstetric Unit
Eun Sook Kim, Young Hee Cho, Hyejung Lee
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Effects of Breastfeeding Interventions on Breastfeeding Rates at 1, 3 and 6 Months Postpartum: A Systematic Review and Meta-Analysis
Seol Hui Park, Seang Ryu
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Factors Affecting Mother's Adaptation to Breastfeeding: Sun Hee Kim; J Korean Acad Nurs 2010;40(2):225-235. Published online April 30, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.2.225

Abstract PDF

Purpose

The aim of this study was to identify factors which influence breastfeeding adaptation from among the following: parity and feeding behavior, social support, psychological, and demographic factors.

Methods

The respondents were 179 breastfeeding mothers. Data were collected from June 2 to 19, 2009 at two community health centers and one pediatric outpatient department. Data were analyzed using the SPSS program and included descriptive statistics, t-test, ANOVA, correlation, and multiple regression.

Results

The major findings of this study were: 1) Significant differences in the level of breastfeeding adaptation were related to number of children, current problems related to breastfeeding, and lay supporters. 2) Level of breastfeeding adaptation was significantly related to marriage satisfaction, proportion of breastfeeding, length of previous breastfeeding, planned length of breastfeeding, parenting stress, and encouragement to breastfeed given by medical personnel. 3) Regression analysis showed that parenting stress, marriage satisfaction, current problems related to breastfeeding, and proportion of breastfeeding explained 44.3% of variance for breastfeeding adaptation. Length of previous breastfeeding also explained 9.7% of breastfeeding adaptation among mothers who had breastfed an elder child.

Conclusion

Mothers with lower marriage satisfaction, breastfeeding problems, and higher parenting stress require more help from their family and nurses for breastfeeding adaptation. Future research should include variables, such as mother's and baby's behavior related to breastfeeding, knowledge about breastfeeding, and attitude toward breastfeeding.

Citations

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Women's quality of life and mental health in the first year after birth: Associated factors and effects of antenatal preventive measures among mothers in the ELFE cohort
S. Barandon, L. Castel, C. Galera, J. van der Waerden, A.-L. Sutter-Dallay
Journal of Affective Disorders.2023; 321: 16. CrossRef
Social policies and breastfeeding duration in South Korea: A survival analysis of the national data
Jung Hee Yeo, Eun-Young Kim
Midwifery.2022; 107: 103282. CrossRef
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Yu-Jeong Jeong, Ju-Hee Nho, Hye Young Kim, Ji Young Kim
International Journal of Environmental Research and Public Health.2021; 18(6): 2988. CrossRef
Breastfeeding Adaptation Scale-Short Form for mothers at 2 weeks postpartum: construct validity, reliability, and measurement invariance
Sun-Hee Kim
Korean Journal of Women Health Nursing.2020; 26(4): 326. CrossRef
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Journal of The Korean Society of Maternal and Child Health.2019; 23(3): 162. CrossRef
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Quality of life of mothers at the sixth week and sixth month post partum and type of infant feeding
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Midwifery.2016; 34: 230. CrossRef
Effects of Breastfeeding Empowerment Program on Breastfeeding Self-efficacy, Adaptation and Continuation in Primiparous Women
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Association of Parenting Stresses, Maternal Role Adjustment, and Types of Feeding during Hospital Stays at Birth to Breastfeeding Adaptation
Sukhee Ahn, Yunmi Kim
Korean Journal of Women Health Nursing.2015; 21(4): 262. CrossRef
Maternal Psychosocial Factors that Affect Breastfeeding Adaptation and Immune Substances in Human Milk
Eun Sook Kim, Mi Jo Jeong, Sue Kim, Hyun-A Shin, Hyang Kyu Lee, Kayoung Shin, Jee Hee Han
Korean Journal of Women Health Nursing.2014; 20(1): 14. CrossRef
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Myoung Hee Yun, Hye Sook Shin
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Development of a Breast Feeding Adaptation Scale (BFAS): Sun Hee Kim; J Korean Acad Nurs 2009;39(2):259-269. Published online April 28, 2009; DOI: https://doi.org/10.4040/jkan.2009.39.2.259

Abstract PDF

Purpose

The aim of this study was to develop a breast feeding adaptation scale (BFAS) to evaluate adaptation to breastfeeding for breastfeeding mothers and their infants and to test the validity and reliability of the instrument.

Methods

The study was conducted as follows: application of the conceptual framework, identification of the content domains, items generation, and test of validity and reliability. In order to test validity and reliability, two panels of experts reviewed items and subcategories of the preliminary questionnaire and then data were collected from 329 mothers who were up to 4 weeks postpartum and breastfeeding. Descriptive statistics, t-test, factor analysis, and Cronbach's alpha were used to analyze the data.

Results

The conceptual framework was based on the Roy adaptation model. The content domains were developed via literature review, review of instruments, and data acquired from the interviews of breastfeeding mothers and nurses. A total of 69 items belonging to 8 domains were generated. A reduction to 44 preliminary items was accomplished through content validity analysis. Factor analysis extracted 8 factors with a total of 27 items on a 5-point Likert scale. Content validity, construct validity, criterion validity, and reliability of the BFAS were established.

Conclusion

The newly developed BFAS is a reliable and valid instrument with which the adaptation of breastfeeding mothers and their infants to the breastfeeding behavior can be evaluated.

Citations

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Jungmi Ko, Ju-Eun Song
Journal of Korean Maternal and Child Health.2024; 28(2): 51. CrossRef
Emzirme Adaptasyon Ölçeği Türkçe Geçerlik ve Güvenirlik Çalışması
Yasemin DİNÇEL, Resmiye ÖZDİLEK
Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi.2021; 3(3): 190. CrossRef
Breastfeeding Adaptation Scale-Short Form for mothers at 2 weeks postpartum: construct validity, reliability, and measurement invariance
Sun-Hee Kim
Korean Journal of Women Health Nursing.2020; 26(4): 326. CrossRef
Effects of Breast-Feeding Adaptation and Quality of Sleep on Postpartum Depression in Puerperal Women
Chae Yeon Lee, Hun Ha Cho
Journal of The Korean Society of Maternal and Child Health.2019; 23(3): 162. CrossRef
Factors associated with Maternal Attachment of Breastfeeding Mothers
Sun-Hee Kim
Child Health Nursing Research.2019; 25(1): 65. CrossRef
Impact of Parenting Stress and Husband's Support on Breastfeeding Adaptation among Breastfeeding Mothers
Seung Hui Heo, Yoon Goo Noh
Korean Journal of Women Health Nursing.2017; 23(4): 233. CrossRef
Effects of Breastfeeding Empowerment Program on Breastfeeding Self-efficacy, Adaptation and Continuation in Primiparous Women
Seon Mi Song, Mi Kyung Park
Journal of Korean Academy of Nursing.2016; 46(3): 409. CrossRef
Development of a Breastfeeding Effectiveness Scale (BES)
Hyun-Joo Yang, Min-Young Jeong, Ji-Min Seo
Korean Journal of Women Health Nursing.2016; 22(4): 264. CrossRef
Association of Parenting Stresses, Maternal Role Adjustment, and Types of Feeding during Hospital Stays at Birth to Breastfeeding Adaptation
Sukhee Ahn, Yunmi Kim
Korean Journal of Women Health Nursing.2015; 21(4): 262. CrossRef
Maternal Psychosocial Factors that Affect Breastfeeding Adaptation and Immune Substances in Human Milk
Eun Sook Kim, Mi Jo Jeong, Sue Kim, Hyun-A Shin, Hyang Kyu Lee, Kayoung Shin, Jee Hee Han
Korean Journal of Women Health Nursing.2014; 20(1): 14. CrossRef
Brestfeeding Rate and Its Related Factors In Rural area
Hyun-Jee Kim, Keon-Yeop Kim, Jeong-Yeon Hwangbo
Journal of the Korea Academia-Industrial cooperation Society.2014; 15(3): 1671. CrossRef
Comparison of Lactation Problems, Knowledge, and Adaptation on Breastfeeding between Users and Non-Users of Lactation Clinic
Myoung Hee Yun, Hye Sook Shin
Journal of East-West Nursing Research.2014; 20(2): 112. CrossRef
Effects of Breast-feeding Adaptation, Attitude and Practice of Primipara Depending on Method of Postpartum Breast-feeding Education
Seung Eun Yun, Hyea Kyung Lee
Korean Journal of Women Health Nursing.2012; 18(2): 75. CrossRef
Factors Affecting Mother's Adaptation to Breastfeeding
Sun Hee Kim
Journal of Korean Academy of Nursing.2010; 40(2): 225. CrossRef
Effects of Breast-feeding Education and Support Services on Breast-feeding Rates and Infant's Growth
Gun-Ja Jang, Sun-Hee Kim
Journal of Korean Academy of Nursing.2010; 40(2): 277. CrossRef

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Effects of a Breast Feeding Promotion Program for Working Women: Ji-Won Yoon, Young-Joo Park; J Korean Acad Nurs 2008;38(6):843-852. Published online December 31, 2008; DOI: https://doi.org/10.4040/jkan.2008.38.6.843

Abstract PDF

Purpose

The purpose of this study was to measure the effects of a breast feeding promotion program for working women on breast feeding continuation, mother-infant attachment, and maternal sensitivity.

Methods

The design of this study is nonequivalent control group design with repeated measures.

Results

There were significant differences in breast feeding continuation between two groups at each time point except 2 days and 1 week after delivery. The scores of mother-infant attachment and maternal sensitivity of experimental group were higher than those of the control group, but there were no significant differences between two groups.

Conclusion

Although some modifications in contents and administration will be required to increase the effectiveness of the program, breast feeding promotion program for working women can be an effective nursing intervention which can facilitate breast feeding continuation and mother-infant relationships.

Citations

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Maternal sensitivity, its relationship with child outcomes, and interventions that address it: a systematic literature review
Carolyn L. Deans
Early Child Development and Care.2020; 190(2): 252. CrossRef
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The Korean Journal of Community Living Science.2012; 23(4): 523. CrossRef
Effects of a Breast-Feeding Empowerment Program on Exclusive Breast-Feeding
Yunmi Kim
Journal of Korean Academy of Nursing.2009; 39(2): 279. CrossRef

177 View
0 Download
4 Crossref

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