Caesarean Parturient Woman's Breastfeeding Self-efficacy And Influencing Factor

ObjectiveThrough questionnaires by mothers to understand the conditions of breastfeeding self-efficacy after caesarean section, and to figure out the factors effecting maternal breastfeeding self-efficacy after caesarean section in order to guide clinical work. Finally provide a reference to increase the self-efficacy of maternity breastfeeding after caesarean section and to improve breastfeeding rates.MethodsBy choosing some cases who have received caesarean section in many hospitals of the city that, during Jun.2010-Oct.2010 for investigation.350 questionnaires were hand out, recovering 340. Finally we get 302 valid questionnaires.So excluding 38 invalid questionnaires,110 cases of maternity vaginal delivery and 192 cases of cesarean section are in valid questionnaires. Through the "breastfeeding confidence scale" assessment of the Chinese version to evaluate the maternity self-efficacy, we can compare whether there are some differences between maternity vaginal delivery and cesarean section. At the same time, I also designed a postpartum questionnaire to analyze the factors that affect breastfeeding self-efficacy.Results1.Vaginal delivery of maternal breastfeeding confidence score is 108.94±17.86, while the caesarean section maternal breastfeeding confidence score is 92.81±18.42, which has remarkable difference. (P<0.05)2.After a multiple regression analysis, I found that the maternal breastfeeding self-efficacy after caesarean section is positively related to appetite,self-regarding insufficient milk and the time of sleeping.Conclusion1.The caesarean section maternal self-efficacy is lower than maternal vaginal delivery.2.The factors effecting maternal breastfeeding self-efficacy after caesarean section are as following:good appetite or not; self-regarding insufficient milk; the time of sleeping.