The COVID-19 pandemic's impact on breastfeeding self-efficacy: A path analysis.
Dora Samaria, Lina Ayu Marcelina, Lima Florensia
PMID 36852164WHAT IT FOUND
Among breastfeeding mothers during the pandemic, higher anxiety was linked to lower breastfeeding confidence.
Higher social support and mother-infant bonding were linked to higher confidence. Bonding did not explain much of these links.
Key findings
01Higher anxiety was associated with lower breastfeeding confidence, while higher social support and mother-infant bonding were associated with higher breastfeeding confidence.
02Anxiety and social support also had indirect associations with breastfeeding confidence through bonding, but the direct associations were larger.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured mothers at one time. It cannot show that anxiety, social support, or bonding caused changes in breastfeeding confidence. The study did not control confounding variables between the factors and breastfeeding confidence. The sample was 118 mothers in one area of Indonesia; 98 were not working and 88 were multiparous. It may not apply to other groups. The paper gives conflicting statements about bonding as a mediator. That part of the result is unclear.
Declared interests
Funded by LPPM Universitas Pembangunan Nasional 'Veteran' Jakarta. Authors declared no conflict of interest.
The easy way to misread this
Do not conclude that reducing anxiety or increasing social support will raise breastfeeding confidence. The study was cross-sectional and measured associations at one time. It did not test an intervention.