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Knowledge and health beliefs about gestational diabetes and healthy pregnancy's breastfeeding intention

Author

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  • Seungmi Park
  • Jung Lim Lee
  • Jang In Sun
  • Youngji Kim

Abstract

Aims and objectives If the knowledge and health beliefs relating to gestational diabetes mellitus during pregnancy are associated with behaviours during pregnancy and lactation, this suggests potential educational interventions. Backgrounds Women with gestational diabetes mellitus are more likely to develop type 2 diabetes mellitus, and babies with gestational diabetes mellitus incur increased risk of neonatal hypoglycaemia and childhood obesity. Breastfeeding is an effective way to improve maternal and lipid metabolism of gestational diabetes mothers, and to lower the risk of type 2 diabetes mellitus after birth, to prevent conception. Nurses have an important role in encouraging mothers to breastfeed for health promotion. The importance of cognitive factors such as knowledge, beliefs and attitudes is emphasised to increase the breastfeeding rate and to improve the quality of breastfeeding for pregnant women. Little research has been undertaken exploring cognitive factors and breastfeeding intention. Design Cross‐sectional descriptive survey in healthy pregnant women. Methods A questionnaire about gestational diabetes mellitus‐related knowledge and health beliefs of gestational diabetes mellitus management composed of perceived susceptibility, severity, benefits, barriers and self‐efficacy was developed by investigators. The association of two predictor variables of interest, gestational diabetes mellitus‐related knowledge and health beliefs of gestational diabetes mellitus management, was tested with the outcome variable, breastfeeding intention, using chi‐square test, t test, ANOVA and multiple logistic regression. Results Two hundred and thirty‐seven of the 250 participants returned questionnaires for a final response rate of 94.8%. Breastfeeding intention after childbirth was associated with stronger perceived benefit, higher levels of self‐efficacy and lower alcohol consumption. Conclusion History of drinking and health beliefs such as perceived benefits and self‐efficacy were highly associated with breastfeeding intention relating to gestational diabetes mellitus. Education for breastfeeding in gestational diabetes mellitus mothers should focus upon the benefit of breastfeeding and strengthening self‐efficacy.

Suggested Citation

  • Seungmi Park & Jung Lim Lee & Jang In Sun & Youngji Kim, 2018. "Knowledge and health beliefs about gestational diabetes and healthy pregnancy's breastfeeding intention," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(21-22), pages 4058-4065, November.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:21-22:p:4058-4065
    DOI: 10.1111/jocn.14539
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    References listed on IDEAS

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    1. Yuhong Xu & Shutong Shen & Lizhou Sun & Haiwei Yang & Bai Jin & Xiaohui Cao, 2014. "Metabolic Syndrome Risk after Gestational Diabetes: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-8, January.
    2. Jiyoung Park & Hee Soon Kim & Sang‐Hui Chu & Yoon‐Suk Jekal & Ja‐yin Lee, 2015. "The effect of predominant breast‐feeding on the risk of obesity in Korean preschool children," Nursing & Health Sciences, John Wiley & Sons, vol. 17(1), pages 77-83, March.
    3. Ching‐Man Ku & Susan KY Chow, 2010. "Factors influencing the practice of exclusive breastfeeding among Hong Kong Chinese women: a questionnaire survey," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(17‐18), pages 2434-2445, September.
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    Cited by:

    1. Nada Alyousefi & Arwa Alemam & Dena Altwaijri & Sarah Alarifi & Haifa Alessa, 2022. "Predictors of Prenatal Breastfeeding Self-Efficacy in Expectant Mothers with Gestational Diabetes Mellitus," IJERPH, MDPI, vol. 19(7), pages 1-11, March.
    2. Shu-Fang Vivienne Wu & Shu-Ching Chen & Hsiao-Yun Liu & Hsiu-Lan Lee & Yueh-E Lin, 2021. "Knowledge, Intention, and Self-Efficacy Associated with Breastfeeding: Impact of These Factors on Breastfeeding during Postpartum Hospital Stays in Taiwanese Women," IJERPH, MDPI, vol. 18(9), pages 1-11, May.
    3. Jolanta Lis-Kuberka & Magdalena Orczyk-Pawiłowicz, 2021. "Polish Women Have Moderate Knowledge of Gestational Diabetes Mellitus and Breastfeeding Benefits," IJERPH, MDPI, vol. 18(19), pages 1-25, October.

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