Examining the predictive role of breastfeeding knowledge on self-efficacy among second-time nursing mothers in Angeles City, Pampanga
Allyssa G. Llaneta | Frances Lurene M. Mercado | Sophia Joana T. Yalung | Sean Mikhail E. Diomampo
Discipline: midwifery, nursing (non-specific)
Abstract:
Despite the well-documented health benefits of breastfeeding for both
mother and infant, exclusive breastfeeding rates remain suboptimal globally,
with barriers including knowledge gaps and poor maternal confidence.
Understanding how breastfeeding knowledge influences self-efficacy is
critical to improving breastfeeding outcomes and achieving public health
targets. This study examined the extent to which breastfeeding knowledge is
associated with breastfeeding self-efficacy among second-time nursing
mothers in Angeles City, Pampanga. A cross-sectional descriptivecorrelational design was employed using snowball sampling to recruit 104
second-time nursing mothers. Data were collected using the Gender-Friendly
Breastfeeding Knowledge Scale (GFBFKS) and the Breastfeeding SelfEfficacy Scale–Short Form (BSES-SF). Descriptive statistics, Pearson's
correlation, and linear regression analyses were conducted using IBM SPSS
at a significance level of 0.05. Respondents demonstrated high breastfeeding
knowledge (3.98 ± 1.29) and high breastfeeding self-efficacy (3.85 ± 1.27).
Pearson's correlation revealed a strong positive relationship between
breastfeeding knowledge and self-efficacy (r = 0.872*, p-value 0.001).
Linear regression analysis showed that breastfeeding knowledge predicts
self-efficacy (β = 0.677, t = 18.034, p = 0.001), explaining 76.1% of the
variance (R² = 0.761). Breastfeeding knowledge significantly predicts
maternal confidence in breastfeeding ability. These findings support the
integration of knowledge-based assessments and targeted educational
interventions into prenatal and postnatal care, reinforcing initiatives such as
the Philippine Plan of Action for Nutrition's 5.8% annual increase target and
the WHO's exclusive breastfeeding goals, ultimately strengthening maternal
and child health outcomes in Central Luzon.
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