Factors Affecting Exclusive Breastfeeding during 4-6 Week Postpartum among Mothers with Pre-pregnancy Overweight and Obese

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Nichaporn Tipsing
Siriwan Sangin
Piriya Suppasri


Purpose:The study aimed to study exclusive breastfeeding rate and investigate factors predicting
exclusive breastfeeding during 4-6 week postpartum among mothers with pre-pregnancy overweight
and obesity.
Design: Descriptive predictive research.
Methods: Participants consisted of 200 during 4-6 week postpartum among mothers with
pre-pregnancy overweight and obesity who were followed up at obstetrical-gynecological
out-patient departments at 3 Saiyairak (family-friendly) hospitals in Chonburi province including
Chonburi hospital, Queen Savang Vadhana Memorial hospital and Banglamung hospital.
Convenience sampling was used to recruit sample. Research instruments consisted of demographic
and breastfeeding information, perceived benefit of breastfeeding questionnaire, perceived barrier
of breastfeeding questionnaire, perceived self-efficacy of breastfeeding questionnaire and perceived
support for breastfeeding questionnaire. Data were analyzed by descriptive statistics and binary
logistic regression.
Results: Rate of exclusive breastfeeding during 4-6 week postpartum among mothers with
pre-pregnancy overweight and obesity was 45%. Perceived benefit of breastfeeding, perceived
barrier to breastfeeding, perceived self-efficacy of breastfeeding, and perceived support for
breastfeeding accounted for 28.3% of the variance in 4-6 week exclusive breastfeeding (Nagelkerke
= .283, p < .05).
Conclusion: Nurses should bring factors affecting exclusive breastfeeding during 4-6 week
postpartum to promote exclusive breastfeeding among mothers with pre-pregnancy overweight
and obesity.


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