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Kim: Factors Affecting Mother's Adaptation to Breastfeeding
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2010; 40(2): 225-235.

Published online: 30 April 2010

DOI: https://doi.org/10.4040/jkan.2010.40.2.225

Factors Affecting Mother's Adaptation to Breastfeeding

Sun Hee Kim

Full-time Lecturer, College of Nursing, Catholic University of Daegu, Daegu, Korea.

Address reprint requests to: Kim, Sun Hee. College of Nursing, Catholic University of Daegu, 3056-6 Daemyeong 4-dong, Nam-gu, Daegu 705-718, Korea. Tel: 82-53-650-4831, Fax: 82-53-650-4392, sunhee421@cu.ac.kr

Received 17 July 2009       Revised 24 July 2009       Accepted 24 March 2010

Copyright © 2010 Korean Society of Nursing Science

Abstract

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.

Keywords: Breast feeding, Marriage, Parenting, Psychological adaptation, Social support

Figures and Tables

Figure 1
Design of research according to Roy's conceptual model.
jkan-40-225-g001
Table 1
Descriptive Statistics for Study Variables of Breastfeeding Mothers (N=179)
jkan-40-225-i001

*Missing data were excluded; †Mean of total items (range of score from 1 to 5); ‡Impertinent data were excluded.

Table 2
Differences in Breast Feeding Adaptation by Study Variables (N=179)
jkan-40-225-i002

*Impertinent data were excluded (n=74).

Table 3
Correlation of Study Variables (N=179)
jkan-40-225-i003

*Impertinent data were excluded (n=63).

Table 4
Factors Influencing Breastfeeding Adaptation (N=175)
jkan-40-225-i004

*Dummy variables; †Impertinent data were excluded (n=63).

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