Breastfeeding self-efficacy in terms of sleep quality, perceived social support, depression and certain variables: a cross-sectional study of postpartum women in Turkey

Abstract Background Breastfeeding self-efficacy is one of the key factors that affect a healthy and successful breastfeeding process. A mother’s belief regarding her ability to breastfeed is influenced by social and psychological factors. This study aimed to investigate the breastfeeding self-effica...

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Main Authors: Dilek Konukbay, Emine Öksüz, Gulten Guvenc
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-024-06456-5
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author Dilek Konukbay
Emine Öksüz
Gulten Guvenc
author_facet Dilek Konukbay
Emine Öksüz
Gulten Guvenc
author_sort Dilek Konukbay
collection DOAJ
description Abstract Background Breastfeeding self-efficacy is one of the key factors that affect a healthy and successful breastfeeding process. A mother’s belief regarding her ability to breastfeed is influenced by social and psychological factors. This study aimed to investigate the breastfeeding self-efficacy levels of postpartum women, the factors affecting this, and its relationship with sleep quality, social support and depression. Methods This descriptive cross-sectional study was conducted in the pediatric department of a tertiary hospital in Ankara, Turkey. Data were collected from 200 postpartum women using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), the Pittsburgh Sleep Quality Index (PSQI), the Multidimensional Scale of Perceived Social Support (MSPSS) and the Edinburgh Postnatal Depression Scale (EPDS). Results The mean scores of the BSES-SF, PSQI, MSPSS and EPDS were 59.05 ± 8.28, 9.18 ± 3.67, 57.82 ± 18.81, and 8.98 ± 5.89, respectively. A statistically significant negative correlation was found among the BSES-SF, EPDS (r = -0.445, p = 0.001) and PSQI (r = -0.612, p = 0.004), while a positive correlation was found among the BSES-SF, total MSPSS (r  = 0.341, p = 0.036), and family support (r  = 0.373, p = 0.014) (p < 0.05). In addition, a statistically significant difference was found between the number of births and breastfeeding self-efficacy (F = 3.68; p = 0.001). The linear regression analysis revealed that sleep quality (β = -0.491, p = 0.001), perceived social support (β = 0.146, p = 0.015), family support (β = 0.153, p = 0.013), and depression (β = -0.228, p = 0.001) emerged as the predictors of breastfeeding self-efficacy. Conclusions In this study, the increase in sleep quality and perceived social support positively affected the breastfeeding self-efficacy of postpartum women, while giving birth for the first time and an increase in the risk of depression were negatively affected.
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spelling doaj.art-000ff1810aff4dbab73ca9ff85a60a4c2024-04-07T11:33:47ZengBMCBMC Pregnancy and Childbirth1471-23932024-04-012411910.1186/s12884-024-06456-5Breastfeeding self-efficacy in terms of sleep quality, perceived social support, depression and certain variables: a cross-sectional study of postpartum women in TurkeyDilek Konukbay0Emine Öksüz1Gulten Guvenc2Department of Pediatric Nursing, University of Health Sciences Turkey, Gulhane Faculty of NursingDepartment of Psychiatric and Mental Health Nursing, University of Health Sciences Turkey, Gulhane Faculty of NursingDepartment of Obstetrics and Gynecology Nursing, University of Health Sciences Turkey, Gulhane Faculty of NursingAbstract Background Breastfeeding self-efficacy is one of the key factors that affect a healthy and successful breastfeeding process. A mother’s belief regarding her ability to breastfeed is influenced by social and psychological factors. This study aimed to investigate the breastfeeding self-efficacy levels of postpartum women, the factors affecting this, and its relationship with sleep quality, social support and depression. Methods This descriptive cross-sectional study was conducted in the pediatric department of a tertiary hospital in Ankara, Turkey. Data were collected from 200 postpartum women using the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), the Pittsburgh Sleep Quality Index (PSQI), the Multidimensional Scale of Perceived Social Support (MSPSS) and the Edinburgh Postnatal Depression Scale (EPDS). Results The mean scores of the BSES-SF, PSQI, MSPSS and EPDS were 59.05 ± 8.28, 9.18 ± 3.67, 57.82 ± 18.81, and 8.98 ± 5.89, respectively. A statistically significant negative correlation was found among the BSES-SF, EPDS (r = -0.445, p = 0.001) and PSQI (r = -0.612, p = 0.004), while a positive correlation was found among the BSES-SF, total MSPSS (r  = 0.341, p = 0.036), and family support (r  = 0.373, p = 0.014) (p < 0.05). In addition, a statistically significant difference was found between the number of births and breastfeeding self-efficacy (F = 3.68; p = 0.001). The linear regression analysis revealed that sleep quality (β = -0.491, p = 0.001), perceived social support (β = 0.146, p = 0.015), family support (β = 0.153, p = 0.013), and depression (β = -0.228, p = 0.001) emerged as the predictors of breastfeeding self-efficacy. Conclusions In this study, the increase in sleep quality and perceived social support positively affected the breastfeeding self-efficacy of postpartum women, while giving birth for the first time and an increase in the risk of depression were negatively affected.https://doi.org/10.1186/s12884-024-06456-5Breastfeeding self-efficacyPostpartum womenSleep qualitySocial supportDepression
spellingShingle Dilek Konukbay
Emine Öksüz
Gulten Guvenc
Breastfeeding self-efficacy in terms of sleep quality, perceived social support, depression and certain variables: a cross-sectional study of postpartum women in Turkey
BMC Pregnancy and Childbirth
Breastfeeding self-efficacy
Postpartum women
Sleep quality
Social support
Depression
title Breastfeeding self-efficacy in terms of sleep quality, perceived social support, depression and certain variables: a cross-sectional study of postpartum women in Turkey
title_full Breastfeeding self-efficacy in terms of sleep quality, perceived social support, depression and certain variables: a cross-sectional study of postpartum women in Turkey
title_fullStr Breastfeeding self-efficacy in terms of sleep quality, perceived social support, depression and certain variables: a cross-sectional study of postpartum women in Turkey
title_full_unstemmed Breastfeeding self-efficacy in terms of sleep quality, perceived social support, depression and certain variables: a cross-sectional study of postpartum women in Turkey
title_short Breastfeeding self-efficacy in terms of sleep quality, perceived social support, depression and certain variables: a cross-sectional study of postpartum women in Turkey
title_sort breastfeeding self efficacy in terms of sleep quality perceived social support depression and certain variables a cross sectional study of postpartum women in turkey
topic Breastfeeding self-efficacy
Postpartum women
Sleep quality
Social support
Depression
url https://doi.org/10.1186/s12884-024-06456-5
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AT gultenguvenc breastfeedingselfefficacyintermsofsleepqualityperceivedsocialsupportdepressionandcertainvariablesacrosssectionalstudyofpostpartumwomeninturkey