Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Impact of Breastfeeding Knowledge, Attitude, and Barriers on Breastfeeding Practice among Twin Mothers

쌍태아 어머니의 모유수유 지식, 태도 및 장애요인이 모유수유 실천에 미치는 영향

  • 심재인 (이화여자대학교 간호대학) ;
  • 강숙정 (이화여자대학교 간호대학)
  • Received : 2017.01.21
  • Accepted : 2017.03.17
  • Published : 2017.06.20
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Abstract

Purpose: This study was conducted to identify effects of breastfeeding knowledge, attitude, and barriers on breastfeeding practice on twin mothers and to provide basic data for successful breastfeeding for twins. Methods: Participants were 151 mothers with two to twelve months-old twins. Data were collected from online support groups by an online survey. Results: Mean score for breastfeeding knowledge was $18.34{\pm}4.63$, for breastfeeding attitude was $3.61{\pm}0.51$, and for barriers to breastfeeding was $13.35{\pm}1.08$. The breastfeeding practice rate was 27.8% when twins were two months old. The breastfeeding knowledge was significantly different depending on mother's occupation, number of children, utilization of postpartum caretaker, and age of the children. There were significant differences in the breastfeeding attitude depending on gestational week of twins, planned length of the breastfeeding, and decision period for the breastfeeding. The practice of the breastfeeding was significantly different depending on the number of children. Factors influencing the breastfeeding practice were the breastfeeding attitude (p<.05), age of mother (p<.01), and the number of children (p<.01). Conclusion: An educational program and expert-led supportive system that is designed for twins are necessary, and they need to be included in prenatal care in order to have positive attitude for the breastfeeding as well as to breastfeed successfully.

Keywords

References

  1. Statistics Korea. Birth Statistics 2015 [Internet]. Daejeon: Statistics Korea; 2016 [cited 2017 January 5]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/2/1/index.board?bmode=read&aSeq=355736
  2. Centers for Disease Control and Prevention. National vital statistics reports [Internet]. Maryland: National Center for Health Statistics; 2012 [cited 2016 may 31]. Available from: http://www.cdc.gov/nchs/govdelivery.htm
  3. Martin JA, Hamilton BE, Osterman MJK. Three decades of twin births in the United States, 1980-2009 [Internet]. Maryland: National Center for Health Statistics; 2015 [cited 2016 May 31]. Available from: http://www.cdc.gov/nchs/products/databriefs/db80.htm
  4. Park SH, Lim DO. Contribution of maternal age distribution to incidence of multiple birth rates, 1997-99 and 2011-13. Journal of Reproductive Medicine and Population. 2015;28:96-102.
  5. US Preventive Services Task Force. Primary care interventions to support breastfeeding: US preventive services task force recommendation statement. Journal of the American Medical Association. 2016;316(16);1688-1693. https://doi.org/10.1001/jama.2016.14697
  6. Ra JS, Chae SM. Breastfeeding knowledge, attitude, and nursing practice of nurses in neonatal intensive care units. Child Health Nursing Research. 2013;19(2):76-84. https://doi.org/10.4094/chnr.2013.19.2.76
  7. Seo JW. Benefit of breastfeeding. Journal of the Korean Society of Maternal and Child Health Conference Proceeding Book. 2004;3:70-78.
  8. Ooki S. Breast-feeding rates and related maternal and infants' obstetric factors in Japanese twins. Environmental Health and Preventive Medicine. 2008;13(4):187-197. https://doi.org/10.1007/s12199-008-0028-y
  9. Kim BY. Comparison of factors influencing breastfeeding practice and continuation between twins and singletons [dissertation]. Seoul: Seoul National University; 2014. 157 p.
  10. Kim HR. Breastfeeding trends, affecting factors and policy options for breastfeeding promotion in Korea. Health and Welfare Policy Forum. 2013;201:49-60.
  11. Choi YH, Kim HS, Park HK, Lee YH. Analysis of factors related to breastfeeding practice of breastfeeding. The Korean Nurse. 1996;35(5):98-109.
  12. Lee EJ. The effect of prenatal breastfeeding education on breastfeeding practice and retention of knowledge [master's thesis]. Daegu: Keimyung University; 1997. 60 p.
  13. Kim SH. Factors explaining mothers' breastfeeding satisfaction. Korean Journal of Women Health Nursing. 2009;15(4):270-279. https://doi.org/10.4069/kjwhn.2009.15.4.270
  14. Sohn IA. A Study on the factors affecting knowledge about attitudes towards and practice of breast-feeding [master's thesis]. Seoul: Hanyang University; 2007. 65 p.
  15. Jeong GH. Effect of the nursing intervention program on promoting the breast - feeding practice in primipara [dissertation]. Seoul: Ewha Womans University; 1997. 133 p.
  16. Kim MS, Kim JU, Ahn YM, Bae SM, Kim MJ. The research on the breast feeding and its related factors of premature infant. Child Health Nursing Research. 2003;9(3):272-284.
  17. Korea Centers for Disease Control and Prevention. Korea health statistics 2011: Korea National Health and Nutrition Examination Survey (KNHANES V-2). Research Report. Seoul: Korea Centers for Disease Control and Prevention; 2012.
  18. Helsing E. Infant feeding and infectious illness. Report of the World Health Organization. Copenhagen, DK: World Health Organization Regional Office for Europe; 1985.
  19. Lee SS. The 2015 national survey on fertility, family health and welfare. Research Report. Sejong: Korea Institute for Health and Social Affairs; 2015. 520 p.
  20. Lee SO, Chung ES, Ahn SH, Moon GN, Park NH. A study of predictors of breastfeeding. Child Health Nursing Research. 2003;9(4):368-375.
  21. Lee SO. A study about breastfeeding knowledge, attitude and problem of breastfeeding in early postpartum period and breastfeeding practice. Korean Journal of Women Health Nursing. 2003;9(2):179-188.
  22. Kim M, Kim SH, Lee JH. Types of breastfeeding and its predictors of mothers in twenty-four months after birth. Korean Journal of Women Health Nursing. 2011;17(1):21-30. https://doi.org/10.4069/kjwhn.2011.17.1.21
  23. Kim KN, Hyun T, Kang NM. A survey on the feeding practices of women for the development of a breastfeeding education program: Breastfeeding knowledge and breastfeeding rates. Korean Journal of Community Nutrition. 2002;7(3):345-353.
  24. Yeo JH. Influencing factors in breast feeding duration. Korean Journal of Women Health Nursing. 2005;11(2):142-147.
  25. Dennis CL. Breastfeeding initiation and duration: A 1990-2000 literature review. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2002;31(1):12-32. https://doi.org/10.1111/j.1552-6909.2002.tb00019.x
  26. Mogre V, Dery M, Gaa PK. Knolwedge, attitudes and determinants of exclusive breastfeeding practice among Ghanaian rural lactation mother. International Breastfeeding Journal. 2016;11:12. https://doi.org/10.1186/s13006-016-0071-z

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