J Korean Acad Nurs.  2013 Jun;43(3):399-408. 10.4040/jkan.2013.43.3.399.

A Structural Model for Primiparas' Breastfeeding Behavior

• Yang HJ
• Seo JM

• KMID: 1707130
• DOI: http://doi.org/10.4040/jkan.2013.43.3.399

Abstract

PURPOSE
The study was done to construct and test a structural model to explain primipara breastfeeding behavior.
METHODS
The participants were 213 primiparas on postpartum wards. Data were analyzed using the PASW 18.0 and AMOS 19.0 programs.
RESULTS
Fitness statistics for the hypothetical model were appropriate (chi2 =38.50, p=.070, GFI=.96, RMSEA=.05, AGFI=.93, NFI=.95, TLI=.97, CFI=.98, PNFI=.57, chi2/df=1.43). Breastfeeding behaviors were directly influenced by intention to breastfeed, perceived effectiveness of breastfeeding, and the amount of supplementary feeding. The amount of supplementary feeding had the largest direct impact on breastfeeding behavior. The largest total effect on breastfeeding behavior was intention to breastfeed. The environment of the maternity hospital indirectly influenced breastfeeding behavior. These factors explained 18.9% of variance in the primipara breastfeeding behavior.
CONCLUSION
The results of the study indicate that in order to promote primipara breastfeeding the amount of supplementary feeding immediately after the birth should be limited and an environment that encourages exclusive breastfeeding in the hospital should be provided. The results also suggest it is necessary to provide nursing interventions that increase the intention to breastfeed and the perceived effectiveness of breastfeeding.

Keyword

Breastfeeding; Structural models; Maternal behavior; Supplementary feeding

MeSH Terms

Adult
Bottle Feeding
Breast Feeding/*statistics & numerical data
Female
Humans
Infant, Newborn
Intention
*Models, Structural
Mothers/psychology
Questionnaires
Young Adult

Figure

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  Figure 1 Conceptual framework.

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  Figure 2 Final model with parameter estimates.

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