Factors Affecting Breastfeeding Self-Efficacy Among Postpartum Mothers at Independent Midwifery Practices Across Bengkulu City, Indonesia
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Abstract
Breastfeeding self-efficacy reflects a mother’s confidence in her ability to breastfeed successfully, particularly during the early postpartum period. This study aimed to determine factors associated with breastfeeding self-efficacy among postpartum mothers. This study used an analytical survey method with a cross-sectional design. A total of 105 mothers, 3–4 days postpartum, participated in this study. Data were analyzed using univariate and bivariate analyses with the Chi-square test, and multivariate analysis with logistic regression to identify the dominant factors associated with breastfeeding self-efficacy. The results showed that parity (p = .028), previous breastfeeding experience (p = .026), and husband’s support (p < .001) were significantly associated with breastfeeding self-efficacy. Employment status (p = .452), education level (p = 1.000), and health worker support (p = .062) were not significantly associated with breastfeeding self-efficacy. Husband’s support was the strongest predictor of early postpartum breastfeeding self-efficacy (OR = 27.715). Breastfeeding self-efficacy among postpartum mothers is influenced by parity, breastfeeding experience, and husband’s support, where husband’s support is the most dominant factor. Mothers who receive support from their husbands demonstrate higher levels of early breastfeeding self-efficacy. Educational programs that involve husbands, empower new mothers, and increase support from health workers are important steps toward improving breastfeeding outcomes.
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