Association between Breastfeeding Self-Efficacy and Human Milk Feeding in Mothers of Moderate and Late Preterm Infants in a Level II NICU

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dc.contributor.advisorBenzies, Karen Marie
dc.contributor.authorDelhenty, Samantha Elizabeth
dc.contributor.committeememberDuffett-Leger, Linda A.
dc.contributor.committeememberFenton, Tanis R.
dc.date2019-11
dc.date.accessioned2019-05-15T21:06:43Z
dc.date.available2019-05-15T21:06:43Z
dc.date.issued2019-05-14
dc.description.abstractIntroduction: There is a positive association between breastfeeding self-efficacy (BSE) and breastmilk feeding duration in mothers of healthy, full-term infants. BSE refers to a mother’s perceived ability to successfully breastfeed her infant and is associated with four main factors: (a) performance accomplishments, (b) vicarious experience, (c) verbal persuasion, and (d) physiological and affective states. Limited research explores the relationship between BSE and breastmilk feeding duration for mothers of pre-term infants. Aim: The aim of this research was to explore the association between BSE and human milk feeding at discharge in mothers of moderate and late pre-term infants in a level II NICU. Methods: This study was part of a larger study known as the Family Integrated Care (FICare) study, a cluster randomized controlled trial conducted in 10 level II neonatal intensive care units (NICUs) in Alberta. BSE and breastmilk feeding rates were secondary outcomes. I conducted an observational study that involved secondary data analysis. Participants in this study included 221 maternal-infant dyads from the five control sites. BSE was collected using the modified breastfeeding self-efficacy scale – short form and human milk feeding outcomes were collected using categories recommended by Labbok and Krasovec. I aimed to look at predictors of human milk feeding at discharge and how previous breastfeeding experience may affect feeding outcomes. Results: The primary hypothesis for this study was supported and with all models (multivariable, crude, and stratified by parity analyses), BSE at admission was significantly associated with human milk feeding at discharge (p < 0.05). The secondary hypothesis was not supported since there was no important difference in the association between higher modified BSES-SF scores at admission and providing human milk at discharge when stratified by parity (p > 0.05). Conclusion: using the modified BSES-SF at admission in level II NICUs has potential as a clinical tool to support healthcare providers in identifying mothers of moderate and late pre-term infants at risk of early discontinuation of human milk feeding at discharge. Further research is needed to support the association between higher modified BSES-SF scores at admission and type of feeding at discharge with this maternal-infant dyad.en_US
dc.identifier.citationDelhenty, S. E. (2019). Association between Breastfeeding Self-Efficacy and Human Milk Feeding in Mothers of Moderate and Late Preterm Infants in a Level II NICU (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/36528
dc.identifier.urihttp://hdl.handle.net/1880/110356
dc.language.isoengen_US
dc.publisher.facultyNursingen_US
dc.publisher.institutionUniversity of Calgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.en_US
dc.subjectpreterm infanten_US
dc.subjecthuman milk feedingen_US
dc.subjectbreastfeeding self-efficacyen_US
dc.subjectneonatal intensive care uniten_US
dc.subject.classificationNursingen_US
dc.titleAssociation between Breastfeeding Self-Efficacy and Human Milk Feeding in Mothers of Moderate and Late Preterm Infants in a Level II NICUen_US
dc.typemaster thesisen_US
thesis.degree.disciplineNursingen_US
thesis.degree.grantorUniversity of Calgaryen_US
thesis.degree.nameMaster of Nursing (MN)en_US
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