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Breastfeeding and Aboriginal Women: Validation of the Breastfeeding Self-Efficacy Scale – Short Form L'allaitement et les femmes autochtones : validation de l'échelle de mesure de l'auto-efficacité en matière d'allaitement, version abrégée

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The purpose of this methodological investigation, part of a prospective cohort study, was to test the reliability and validity of the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) among Aboriginal women. The sample comprised 130 breastfeeding Aboriginal women from the postpartum ward of an urban tertiary care hospital or a rural community hospital. The women provided baseline information while in hospital and were telephoned at 4 and 8 weeks postpartum for assessment of their method of infant feeding. The BSES-SF was found to be a valid and reliable tool for assessing breastfeeding self-efficacy among Aboriginal women. Significant differences were found in BSES-SF in-hospital scores among women who at 4 weeks postpartum were exclusively breastfeeding, combination feeding, or solely feeding formula ( (2) = 7.31, = 0.001). The authors conclude that Aboriginal women with low breastfeeding self-efficacy in the early postpartum period may be at risk for early cessation and could benefit from additional breastfeeding support.

L'objectif de cette enquête méthodologique, qui s'inscrit dans le cadre d'une étude de cohorte prospective, est d'évaluer la fiabilité et la validité de l'échelle de mesure de l'auto-efficacité en matière d'allaitement, version abrégée (BSES-SF), chez les femmes autochtones. L'échantillon est composé de 130 femmes autochtones allaitantes ayant séjourné en salle postpartum dans un hôpital de soins tertiaires urbain ou un hôpital rural. Les femmes ont fourni des renseignements de base pendant leur hospitalisation et ont été contactées par téléphone à la quatrième et à la huitième semaine postpartum afin d'évaluer leur méthode pour allaiter leur nourrisson. Selon l'enquête, la BSES-SF est un outil valide et fiable pour évaluer l'auto-efficacité chez les femmes autochtones en matière d'allaite ment. Des différences importantes ont été constatées en ce qui a trait au score de la BSES-SF en milieu hospitalier, chez les femmes qui, à quatre semaines postpartum, nourrissaient leur nourrisson exclusivement au sein, avec une méthode mixte ou uniquement au biberon (F (2) = 7,31, p = 0,001). Les auteurs concluent que les femmes autochtones affichant une faible auto-efficacité en début de période postpartum risquent d'arrêter d'allaiter de façon précoce et bénéficieraient d'un soutien supplémentaire en matière d'allaitement.


Document Type: Regular Paper

Publication date: June 1, 2013

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