CONFERENCE PROCEEDING
Associations of breastfeeding preferences and breastfeeding self-efficacy with maternal factors during pregnancy
 
More details
Hide details
1
Japanese Redcross College of Nursing, Graduate School of International Health Midwifery, Tokyo, Japan
 
2
Juntendo University, Faculty of Health and Science, Shizuoka, Japan
 
3
Japanese Redcross Medical Center, Midwifery School, Tokyo, Japan
 
 
Eur J Midwifery 2026;10(Supplement 1):A545
 
ABSTRACT
BACKGROUND:
In Japan, the exclusive breastfeeding rate at one month postpartum declined to 29.7% in 2023. As many women prefer for combination feeding, enhancing antenatal breastfeeding education has become essential. Since breastfeeding preferences and self-efficacy are key predictors of breastfeeding behavior, understanding their associations with maternal factors during pregnancy is crucial for effective support.

OBJECTIVES:
To examine the associations of breastfeeding preferences and breastfeeding self-efficacy with various maternal factors during pregnancy.

METHODS:
A web-based survey was conducted with pregnant women at 24–32 weeks’ gestation receiving antenatal care at the hospitals promoting breastfeeding. Participants completed the Japanese version of the Breastfeeding Self-Efficacy Scale (BSE) and reported their feeding preferences. Additional variables included employment status, depressive symptoms, and the Feelings for Baby Questionnaire (Bonding Scale). Data were analyzed using descriptive statistics, t-tests, and ANOVA.

RESULTS:
Of 85 eligible women, 53 (65.4%) responded. Most were in their 30s (60.4%), primiparas (60.4%), and employed (90.6%). Regarding feeding preferences, 37.7% intended to breastfeed, 30.2% preferred to breastfeed if possible, and 32.1% planned to use both breast milk and formula. None preferred to use formula alone. Mean BSE scores were highest in women who intended to breastfeed (47.2, SD 9.1), compared to the other groups (34.2, SD 8.5; 34.8, SD 12.1). BSE scores were negatively correlated with bonding scores (r = –.38). The highest mean bonding score (4.8) was seen in the planned to combination feeding group, showing a non-significant but notable trend.

CONCLUSIONS:
Women who preferred breastfeeding had higher self-efficacy. Breastfeeding self-efficacy was associated with both feeding preferences and bonding. Enhancing self-efficacy and bonding during pregnancy may promote breastfeeding.

KEY MESSAGE:
Breastfeeding preferences are closely linked to self-efficacy and maternal bonding. Antenatal support should target both. Poster session 1 (Group A)
eISSN:2585-2906
Journals System - logo
Scroll to top