Cent Eur J Nurs Midw 2025, 16(3):2220-2226 | DOI: 10.15452/cejnm.2025.16.0015

Evaluation of breastfeeding self-efficacy among postnatal women

Jana Valachová1, Bohdana Dušová1, Kateřina Greplová1, Patrice Marek2
1 Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic
2 Department of Mathematics, Faculty of Applied Sciences, University of West Bohemia, Pilsen, Czech Republic

Aim: The aim of this study was to evaluate mothers’ breastfeeding self-efficacy (maternal confidence) in association with demographic and clinical characteristics.

Design: An observational longitudinal study.

Methods: Data were collected with the Breastfeeding Self-Efficacy Scale – Short Form (BSES-SF) questionnaire from 102 breastfeeding women three days after delivery in three hospitals, and at the third and sixth weeks at home.

Results: Parity was a key finding in the overall assessment of breastfeeding self-efficacy, with multiparous women demonstrating higher breastfeeding self-efficacy than primiparous women at all three time points (day three: p < 0.001; week three: p = 0.015; week six: p = 0.037). Strong correlations were found between all paired time points (p < 0.001). Analysis of individual questions revealed differences primarily related to parity, while other demographic and clinical characteristics showed only occasional significant differences. In terms of time, it was found that women need most support in the first three weeks after birth.

Conclusion: The results of this study provide evidence-based guidance for healthcare professionals on how to offer effective, individualized support to women in initiating and continuing breastfeeding, both in clinical settings and at home, as well as on how to ensure accurate communication between both parties to help achieve this goal.

Keywords: breastfeeding, BSES-SF questionnaire, self-efficacy (maternal confidence)

Received: December 17, 2024; Revised: June 10, 2025; Accepted: August 7, 2025; Published: September 6, 2025  Show citation

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Valachová J, Dušová B, Greplová K, Marek P. Evaluation of breastfeeding self-efficacy among postnatal women. Central European Journal of Nursing and Midwifery. 2025;16(3):2220-2226. doi: 10.15452/cejnm.2025.16.0015.
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    References

    1. Alves dos Santos, L. M. D., Chaves, A. F. L., Dodou, H. D., Lopes, B. B., & Oriá, M. O. B. (2022). Autoeficácia de puérperas em amamentar: estudo longitudinal [Self-efficacy of puerperal women in breastfeeding: a longitudinal study]. Escola Anna Nery - Revista de Enfermagem, 26, e20210239. https://doi.org/10.1590/2177-9465-EAN-2021-0239 Go to original source...
    2. Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioural change. Psychological Review, 84(2), 191-215. https://doi.org/10.1037/0033-295X.84.2.191 Go to original source... Go to PubMed...
    3. Basu, S., Garg, S., Sharma, A., Arora, E., & Meghachandra Singh, M. (2020). The Hindi version of the Breastfeeding Self-Efficacy Scale - Short Form: reliability and validity assessment. Indian Journal of Community Medicine, 45(3), 348-352. https://doi.org/10.4103/ijcm.IJCM_378_19 Go to original source... Go to PubMed...
    4. Bengough, T., Dawson, S., Cheng, H. L., McFadden, A., Gavine, A., Rees, R., Sacks, E., & Hannes, K. (2022). Factors that influence womens' engagement with breastfeeding support: a qualitative evidence synthesis. Maternal & Child Nutrition, 18(4), e13405. https://doi.org/10.1111/mcn.13405 Go to original source... Go to PubMed...
    5. Davidson, E. L., & Ollerton, R. L. (2020). Partner behaviours improving breastfeeding outcomes: an integrative review. Women and Birth, 33(1), e15-e23. https://doi.org/10.1016/j.wombi.2019.05.010 Go to original source... Go to PubMed...
    6. De Senna, A. F. K, Giugliani, C., Avilla, J., Bizon, A. M. B. L., Martins, A. C. M, & Giugliani, E. R. J. (2020). Maternal satisfaction with breastfeeding in the first month postpartum and associated factors. International Breastfeeding Journal, 15, 72. https://doi.org/10.1186/s13006-020-00312-w Go to original source... Go to PubMed...
    7. Dennis, C.-L., & Faux, S. (1999). Development and psychometric testing of the Breastfeeding Self-Efficacy Scale. Research in Nursing and Health, 22(5), 399-409. https://doi.org/10.1002/(sici)1098-240x(199910)22:5<399::aid-nur6>3.0.co;2-4 Go to original source...
    8. Dennis, C.-L. (2003). The Breastfeeding Self-Efficacy Scale: psychometric assessment of the short form. Journal of Obstetric, Gynecologic & Neonatal Nursing, 32(6), 734-744. https://doi.org/10.1177/0884217503258459 Go to original source... Go to PubMed...
    9. Dennis, C.-L., McQueen, K., Dol, J., Brown, H., Beck, C., & Shorey, S. (2024). Psychometrics of the Breastfeeding Self-Efficacy Scale and short form: a systematic review. BMC Public Health, 24, 637. https://doi.org/10.1186/s12889-024-17805-6 Go to original source... Go to PubMed...
    10. Economou, M., Kolokotroni, O., Paphiti-Demetriou, I., Kouta, C., Lambrinou, E., Hadjigeorgiou, E., Hadjiona, V., & Middleton, N. (2021). The association of breastfeeding self-efficacy with breastfeeding duration and exclusivity: longitudinal assessment of the predictive validity of the Greek version of the BSES-SF tool. BMC Pregnancy and Childbirth, 21, 421. https://doi.org/10.1186/s12884-021-03878-3 Go to original source... Go to PubMed...
    11. Furnham, A., & Cheng, H. (2023). The Big-Five personality factors, cognitive ability, health, and social-demographic indicators as independent predictors of self-efficacy: a longitudinal study. Scandinavian Journal of Psychology, 65(1), 53-60. https://doi.org/10.1111/sjop.12953 Go to original source... Go to PubMed...
    12. Halm, A. E., Hornsby, P., Shetty, S., Madray, C., & Kellams, A. (2024). Clinicians speak: we need to redesign postpartum care. The Journal of Perinatal Education, 33(3), 159-171. https://doi.org/10.1891/JPE-2023-0023 Go to original source... Go to PubMed...
    13. Hasri, Y., Ignasensia, D. M., & Diyan, M. K. (2023). The relationship between age and parity to breastfeeding self-efficacy in postpartum mothers. Proceeding of the International Conference Health Polytechnic of Jambi, 2, 69-75. https://doi.org/10.35910/icohpj.v2i0.706 Go to original source...
    14. Kantorová, L., Poloková, A., Sýkora, M., Vrbová, T., Klugar, M., & Klugarová, J. (2023). Breastfeeding support and avoiding inappropriate breast milk substitute marketing in a neonatal ward in the Czech Republic: a best practice implementation project. JBI Evidence Implementation, 21(S1), S47-S56. https://doi.org/10.1097/XEB.0000000000000388 Go to original source... Go to PubMed...
    15. Kramuschke, M., Linde, K., Lehnig, F., Nagl, M., Dennis, C.-L., & Kersting, A. (2025). Psychometric assessment of the Breastfeeding Self-Efficacy Scale - Short Form: an alternative German translation. Midwifery, 144, 104348. https://doi.org/10.1016/j.midw.2025.104348 Go to original source... Go to PubMed...
    16. Maurer, L., Schultz, A., Dennis, C.-L., Alexandrowicz, R. W., & McQueen, K. (2024). The Breastfeeding Self-Efficacy Scale - Short Form (BSES-SF): German translation and psychometric assessment. Journal of Human Lactation, 40(3), 374-385. https://doi.org/10.1177/08903344241254108 Go to original source... Go to PubMed...
    17. Mazúchová, L., Maskálová, E., Škodová, Z., Koteríková, D., Kelčíková, S., Malinovská, N., Wilhelomová, R., & Grendár, M. (2024). Self-efficacy of mothers in breastfeeding and psychometric properties of the Slovak version of the BSES-SF. Journal of Nursing and Social Sciences Related to Health and Illness, 26(1), 45-51. https://doi.org/10.32725/kont.2024.008 Go to original source...
    18. Mercan, Y., & Tari Selcuk, K. (2021). Association between postpartum depression level, social support level and breastfeeding attitude and breastfeeding self-efficacy in early postpartum women. PLoS One, 16(4), e0249538. https://doi.org/10.1371/journal.pone.0249538 Go to original source... Go to PubMed...
    19. National Health Information Portal. (2024). Kojení [Breastfeeding]. NZIP. https://www.nzip.cz/kategorie/129-kojeni
    20. Oggero, M. K., Rozmus, C. L., & LoBiondo-Wood, G. (2024). Effects of prenatal breastfeeding education on breastfeeding duration beyond 12 weeks: a systematic review. Health Education & Behaviour, 51(5), 665-676. https://doi.org/10.1177/10901981231220668 Go to original source... Go to PubMed...
    21. World Health Organization. (2024). Breastfeeding. WHO. http://www.who.int/health-topics/breastfeeding#tab=tab_2
    22. World Health Organization. (2025). Global Targets 2025: To improve maternal, infant and young child nutrition. WHO. https://www.who.int/teams/nutrition-and-food-safety/global-targets-2025

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