{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T23:35:05Z","timestamp":1791243305673,"version":"4.1.0"},"reference-count":41,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hum Lact"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Breastfeeding is more than nourishment; it strengthens the physiological and psychosocial bond between mother and infant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>We examined the relationships among postpartum depressive symptoms, breastfeeding self-efficacy, and LATCH-assessed breastfeeding technique, which are known to influence breastfeeding outcomes but have generally been evaluated separately, and we also assessed relevant sociodemographic and obstetric factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This cross-sectional study was conducted at a University Hospital. Data were collected using a structured sociodemographic\/obstetric form, the Edinburgh Postnatal Depression Scale (EPDS), the Breastfeeding Self-Efficacy Scale\u2013Short Form (BSES-SF), and observation of a breastfeeding session with the LATCH tool. Analyses included descriptive statistics, group comparisons, correlation analyses, and multivariable linear regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In our study, mothers\u2019 mean (\n                      <jats:italic toggle=\"yes\">SD<\/jats:italic>\n                      ) scores were EPDS 9.0 (5.43), LATCH 10.0 (1.06), and BSES-SF 62.0 (7.05). EPDS correlated negatively with BSES-SF, not with LATCH, whereas LATCH correlated positively with BSES-SF. In adjusted models, higher maternal age and better economic status were associated with lower EPDS scores; lack of breastfeeding training and a partner not employed predicted lower LATCH scores; and lower BSES-SF scores were associated with no prior breastfeeding experience, not being employed, lack of training, and maternal smoking.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Breastfeeding success was associated with the interplay of a mother\u2019s psychological health, technical performance at the breast, and breastfeeding self-efficacy. Perinatal care practices should incorporate breastfeeding education, smoking cessation support, direct skin-to-skin contact with early breastfeeding initiation, and integrated mental health support, particularly for primiparous and socioeconomically disadvantaged women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08903344261460212","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T06:22:35Z","timestamp":1784787755000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Factors Associated With Breastfeeding Success: Postpartum Depressive Symptoms, Breastfeeding Self-Efficacy, and Technique (LATCH)\u2014A Cross-Sectional Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1845-4161","authenticated-orcid":false,"given":"G\u00fclberat","family":"Totur","sequence":"first","affiliation":[{"name":"Izmir Provincial Health Directorate, \u0130zmir University of Health Sciences, Tepecik Training and Research Hospital, Department of Pediatrics, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-0085-7115","authenticated-orcid":false,"given":"O\u011fuzhan","family":"\u00c7am","sequence":"additional","affiliation":[{"name":"Izmir Provincial Health Directorate, \u0130zmir University of Health Sciences, Tepecik Training and Research Hospital, Department of Pediatrics, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adem","family":"Ayd\u0131n","sequence":"additional","affiliation":[{"name":"Dokuz Eyl\u00fcl University, Faculty of Medicine, Department of Pediatrics, Social Pediatrics Unit, \u0130zmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6686-5208","authenticated-orcid":false,"given":"Tolga","family":"\u0130nce","sequence":"additional","affiliation":[{"name":"Dokuz Eyl\u00fcl University, Faculty of Medicine, Department of Pediatrics, Social Pediatrics Unit, \u0130zmir, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,22]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Alu\u015f-Tokat M. 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