DOI: http://dx.doi.org/10.18203/2349-3933.ijam20203119

Attitudes toward breastfeeding practices among breastfeeding women in Buraydah city, Saudi Arabia: a cross-sectional study

Alhanof F. Alharbi, Asma M. Almutairi, Abeer E. Alrasheedi, Abdulrhman Aldukhayel, Sara M. Almutairi

Abstract


Background: This study assessed the attitudes toward breastfeeding among mothers receiving healthcare services in Primary Healthcare Centers (PHCCs) in Buraydah, Saudi Arabia. It also examined the association between the mothers’ demographic characteristics and breastfeeding attitudes.

Methods: This study utilized a descriptive cross-sectional design. A purposive sample of 415 breastfeeding mothers who were receiving healthcare services from the selected PHCCs during the conduct of the study were recruited in PHCCs in Buraydah, Saudi Arabia. A two-part self-administered questionnaire containing a demographic sheet and the Iowa Infant Feeding Attitude Scale (IIFAS) Arabic version was employed to collect data from the respondents. Descriptive and inferential statistics were used accordingly in data analyses.

Results: The overall mean score of the women in the IIFAS was 60.50 (SD = 11.08), with individual scores ranging from 17.00 to 82.00. This finding implies good attitudes toward breastfeeding. Mothers who were divorced/widowed (M = 63.75, SD = 5.20) had significantly better breastfeeding attitudes than married mothers (M = 60.24, SD = 11.38). Mothers who were not working (M = 61.41, SD = 10.03) reported more positive breastfeeding attitudes compared with working mothers (M = 58.36, SD = 13.02).

Conclusions: The mothers reported good attitudes toward breastfeeding, but expressed poor beliefs in some areas of breastfeeding. The present findings have implication to medicine, nursing, and healthcare policies.


Keywords


Breastfeeding, Breastfeeding attitudes, Health promotion, Public health, Women health

Full Text:

PDF

References


Akinyinka MR, Olatona FA, Oluwole EO. Breastfeeding knowledge and practices among mothers of children under 2 years of age living in a military barrack in Southwest Nigeria. Int J MCH AIDS. 2016;5:1-13.

Ho C. Optimal duration of exclusive breastfeeding: Summaries of Nursing Care-related Systematic Reviews from the Cochrane Library. Int J Evid Based Healthc. 2013;11:140-1.

Kramer MS, Kakuma R. Optimal duration of exclusive breastfeeding. Cochrane Database Syst Rev. 2012;(8).

Maonga AR, Mahande MJ, Damian DJ, Msuya SE. Factors affecting exclusive breastfeeding among women in Muheza District Tanga northeastern Tanzania: a mixed method community based study. Matern Child Health J. 2016;20:77-87.

Qin H, Zhang L, Zhang L, Zhang W, Li L, Deng X, et al. Prevalence of Breastfeeding: Findings from the First Health Service Household Interview in Hunan Province, China. Int J Environ Res Public Health. 2017;14:150.

Takahashi K, Ganchimeg T, Ota E, Vogel JP, Souza JP, Laopaiboon M, et al. Prevalence of early initiation of breastfeeding and determinants of delayed initiation of breastfeeding: secondary analysis of the WHO global survey. Sci Rep. 2017;7:44868.

Joshi PC, Angdembe MR, Das SK, Ahmed S, Faruque AS, Ahmed T. Prevalence of exclusive breastfeeding and associated factors among mothers in rural Bangladesh: a cross-sectional study. Int Breastfeed J. 2014;9:7.

Center for Disease Control and Prevention. Breastfeeding among U.S. children born 2009-2015, CDC National Immunization Survey. 2018. Available at: https://www.cdc.gov/breastfeeding/data/nis_data/results.html

Al Juaid DA, Binns CW, Giglia RC. Breastfeeding in Saudi Arabia: a review. Int Breastfeed J. 2014;9:1.

Doughty KN, Ronnenberg AG, Reeves KW, Qian J, Sibeko L. Barriers to Exclusive Breastfeeding Among Women With Gestational Diabetes Mellitus in the United States. J Obstet Gynecol Neonatal Nurs. 2018;47:301-15.

Vijayalakshmi P, Susheela T, Mythili D. Knowledge, attitudes, and breast feeding practices of postnatal mothers: A cross sectional survey. Int J Health Sci (Qassim). 2015;9:364.

Cox KN, Giglia RC, Binns CW. The influence of infant feeding attitudes on breastfeeding duration: evidence from a cohort study in rural Western Australia. Int Breastfeed J. 2015;10:25.

Al-Madani M, Vydelingum V, Lawrence J. Saudi mothers’ expected intentions and attitudes toward breast-feeding. ICAN: Infant, Child. Adolescent Nutrition. 2010;2:187-98.

Al-Mutairi NF, Al-Omran YA, Parameaswari PJ. Breastfeeding practice and knowledge among women attending primary health-care centers in Riyadh 2016. J Family Med Prim Care. 2017;6:392-8.

Charafeddine L, Tamim H, Soubra M, de la Mora A, Nabulsi M, Research and Advocacy Breastfeeding Team. Validation of the Arabic version of the Iowa Infant Feeding Attitude scale among Lebanese women. J Hum Lact. 2016;32:309-14.

Mora AD, Russell DW, Dungy CI, Losch M, Dusdieker L. The Iowa Infant Feeding Attitude Scale: Analysis of Reliability and Validity 1. J Appl Soc Psychol. 1999;29:2362-80.

Dallak A, Al-Rabeei N, Aljahmi Y. Breastfeeding knowledge, attitude, and practices among mothers attending health centers in Sana'a City. ARC J Public Health Community Med. 2016;1:9-17.

Hamade H, Naja F, Keyrouz S, Hwalla N, Karam J, Al-Rustom L, et al. Breastfeeding knowledge, attitude, perceived behavior, and intention among female undergraduate university students in the Middle East: the case of Lebanon and Syria. Food Nutr Bull. 2014;35:179-90.

Cotelo MD, Movilla-Fernández MJ, Pita-García P, Novío S. Infant feeding attitudes and practices of Spanish low-risk expectant women using the IIFAS (Iowa Infant Feeding Attitude Scale). Nutrients. 2018;10.

Alshebly M, Sobaih B. Attitudes of Saudi mothers towards breastfeeding. Sudanese Sudan J Paediatr. 2016;16:31-6.

Alhabas MS. Breastfeeding among working mothers in Saudi Arabia. Available at: http://scholarcommons.sc.edu/cgi/viewcontent.cgi?article=4621&context=etd.

Chen S, Binns CW, Liu Y, Maycock B, Zhao Y, Tang L. Attitudes towards breastfeeding-the Iowa infant feeding attitude scale in Chinese mothers living in China and Australia. Asia Pac J Clin Nutr. 2013;22:266-9.

Komodiki E, Kontogeorgou A, Papastravrou M, Volaki P, Genitsaridi SM, Iacovidou N. Breastfeeding in public: A global review of different attitudes towards it. J Pediatr Neonatal Care. 2014;1:40-2.

Bernard JY, Cohen E, Kramer MS. Breast feeding initiation rate across Western countries: does religion matter? An ecological study. BMJ Glob Health. 2016;1:e000151.

Brand E, Kothari C, Stark MA. Factors related to breastfeeding discontinuation between hospital discharge and 2 weeks postpartum. J Perinat Educ. 2011;20:36.

Mgongo M, Mosha MV, Uriyo JG, Msuya SE, Stray-Pedersen B. Prevalence and predictors of exclusive breastfeeding among women in Kilimanjaro region, Northern Tanzania: a population based cross-sectional study. Int Breastfeeding Jo. 2013;8:12.

Johnston ML, Esposito N. Barriers and facilitators for breastfeeding among working women in the United States. J Obstet Gynecol Neonatal Nurs. 2007;36:9-20.