Predictors of Prenatal Breastfeeding Self-Efficacy of Women With and Without Gestational Diabetes: Results of a hospital based case-control study in Türkiye

Authors : Ekin Dila Topaloğlu Ören, Gökşen Polat, Funda Sofulu, Elif Ünsal Avdal, Gülseren Pamuk

Pages : 70-79

Doi:10.54005/geneltip.1504267

View : 14 | Download : 34

Publication Date : 2025-02-28

Article Type : Research Paper

Abstract :Background. Prenatal breastfeeding self-efficacy is an important parameter affecting the breastfeeding success and intention of women. Prenatal breastfeeding self-efficacy should be evaluated in all women with and without GDM. Aim. The aim of the study was to examine the prenatal breastfeeding self-efficacy of women with and without Gestational Diabetes (GDM) and to determine the factors that predict prenatal breastfeeding self-efficacy. Methods. The research is a hospital-based case-control study was conducted. The study was carried out with 96 women with GDM who were compared with 98 without GDM, who were admitted to the endocrinology policlinic of a university hospital, in western Türkiye. The data were collected using the “Individual Identification Form” and the \\\"Prenatal Breastfeeding Self-Efficacy Scale (PBSES)”. For statistical analysis, t test and Chi-square test were used. Regression analyses were used to identify predictors of prenatal breastfeeding self-efficacy. Results. PBSES of cases was 79.64±15.12 and controls was 72.01±15.62. SQOL scores of cases were significantly higher than controls (p<0.05). Working, family type, and information about breastfeeding were associated with breastfeeding self-efficacy in women with GDM (p<0.05, R2=0.341); educational level, working, family type, income level, trimester, information about breastfeeding, and duration of previous breastfeeding were associated with breastfeeding self-efficacy in women without GDM (p<0.05, R2=0.612). GDM increased prenatal breastfeeding self-efficacy scores by 7.6 units (B=7.636, R2=0.059). Conclusions. The study revealed that prenatal breastfeeding self-efficacy was higher in women with GDM, it was high in both groups. Prenatal breastfeeding self-efficacy (PBSE) was affected by some sociodemographic, obstetric, and breastfeeding-related characteristics. Health professionals should determine the breastfeeding self-efficacy of pregnant women, know the factors affecting them, and consider them when providing education and counseling. Prenatal education and support programs should be developed to increase the breastfeeding self-efficacy of women with and without GDM.
Keywords : emzirme, öz yeterlilik, diyabet, gestasyonel, gebe