{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:07:33Z","timestamp":1792804053463,"version":"4.5.0"},"reference-count":72,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,6,20]],"date-time":"2024-06-20T00:00:00Z","timestamp":1718841600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Special Account for Research Grants of the University of West Attica","id":[{"id":"https:\/\/ror.org\/00r2r5k05","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["EJIHPE"],"abstract":"<jats:p>Background: the objective of this longitudinal study (from pregnancy to the end of the sixth month postpartum) is to elucidate the association between maternal self-efficacy, defined as a mother\u2019s confidence in her ability to breastfeed, and breastfeeding outcomes. Methods: This prospective cohort study was conducted among high-risk pregnant women (including those with conditions such as gestational diabetes, hypertension, pre-eclampsia, and other pathological medical conditions) and normal-risk pregnant women in Greece. The high-risk group included 164 women, while the normal-risk group comprised 154 women. Data were collected using validated psychometric scales, including the Breastfeeding Self-Efficacy Scale-Short Form, State-Trait Anxiety Inventory, Edinburgh Postnatal Depression Scale, Maternal Antenatal Attachment Scale, and Iowa Infant Feeding Attitude Scale. Results: Higher maternal self-efficacy was significantly associated with a longer duration and greater exclusivity of breastfeeding. A statistically significant relationship between the type of breastfeeding and the degree of breastfeeding self-efficacy was observed at multiple postpartum milestones: in the first and third 24 h postpartum, and at the end of the sixth week, third month, and sixth month postpartum. Conclusion: The findings underscore the critical role of maternal self-efficacy in breastfeeding success, influenced by individual psychological factors and broader socio-cultural contexts. Strengthening maternal self-efficacy is essential for improving breastfeeding outcomes.<\/jats:p>","DOI":"10.3390\/ejihpe14060119","type":"journal-article","created":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T12:27:33Z","timestamp":1718972853000},"page":"1803-1820","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Mothers\u2019 Breastfeeding Self-Efficacy after a High-Risk or Normal Pregnancy: A Greek Longitudinal Cohort Study"],"prefix":"10.3390","volume":"14","author":[{"given":"Panagiota","family":"Brani","sequence":"first","affiliation":[{"name":"Department of Midwifery, School of Health & Care Sciences, University of West Attica, 12243 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irina","family":"Mrvoljak-Theodoropoulou","sequence":"additional","affiliation":[{"name":"Department of Psychology, National & Kapodistrian University of Greece, 15784 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fani","family":"Pechlivani","sequence":"additional","affiliation":[{"name":"Department of Midwifery, School of Health & Care Sciences, University of West Attica, 12243 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kleanthi","family":"Gourounti","sequence":"additional","affiliation":[{"name":"Department of Midwifery, School of Health & Care Sciences, University of West Attica, 12243 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0891-040X","authenticated-orcid":false,"given":"Maria","family":"Iliadou","sequence":"additional","affiliation":[{"name":"Department of Midwifery, School of Health & Care Sciences, University of West Attica, 12243 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6500-5043","authenticated-orcid":false,"given":"Ermioni","family":"Palaska","sequence":"additional","affiliation":[{"name":"Department of Midwifery, School of Health & Care Sciences, University of West Attica, 12243 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2106-5922","authenticated-orcid":false,"given":"Panagiotis","family":"Antsaklis","sequence":"additional","affiliation":[{"name":"First Department of Obstetrics and Gynecology, Medical School, National and Kapodistrian University of Athens, General Hospital \u201cALEXANDRA\u201d,11528 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Drakakis","sequence":"additional","affiliation":[{"name":"Third Department of Obstetrics and Gynecology, Medical School, National and Kapodistrian University of Athens, University Hospital \u201cATTIKON\u201d,12461 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4871-999X","authenticated-orcid":false,"given":"Maria","family":"Dagla","sequence":"additional","affiliation":[{"name":"Department of Midwifery, School of Health & Care Sciences, University of West Attica, 12243 Athens, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"158","DOI":"10.1891\/0889-8391.13.2.158","article-title":"Self-Efficacy: The Exercise of Control","volume":"13","author":"Bandura","year":"1999","journal-title":"J. Cogn. Psychother."},{"key":"ref_2","unstructured":"Bandura, A., and National Inst of Mental Health (1986). Social Foundations of Thought and Action: A Social Cognitive Theory\u2014PsycNET, Prentice Hall."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1177\/0890334412456240","article-title":"Psychometric Assessment of the Croatian Version of the Breastfeeding Self-Efficacy Scale-Short Form","volume":"28","author":"Rumboldt","year":"2012","journal-title":"J. Hum. Lact."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"103988","DOI":"10.1016\/j.midw.2024.103988","article-title":"Theoretical Approaches in the Development of Interventions to Promote Breastfeeding: A Scoping Review","volume":"132","author":"Ouyang","year":"2024","journal-title":"Midwifery"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1007\/s10995-013-1265-2","article-title":"Effectiveness of a Breastfeeding Self-Efficacy Intervention: Do Hospital Practices Make a Difference?","volume":"18","author":"Otsuka","year":"2014","journal-title":"Matern. Child Health J."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1590\/S0103-21002011000500005","article-title":"Maternal Experiences Associated with Longer Term Exclusive Breastfeeding: An Ethnographic Study","volume":"24","author":"Polido","year":"2011","journal-title":"ACTA Paul. Enferm."},{"key":"ref_7","first-page":"21","article-title":"Prenatal Breastfeeding Intentions in a Group of Women with High Risk Pregnancies","volume":"102","year":"2010","journal-title":"Bol. Asoc. Med. P. R."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1590\/S1415-52732008000500002","article-title":"Motiva\u00e7\u00e3o de Gestantes Para o Aleitamento Materno","volume":"21","author":"Takushi","year":"2008","journal-title":"Rev. Nutr."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Locke, E.A., and Latham, G.P. (2013). New Developments in Goal Setting and Task Performance, Taylor and Francis.","DOI":"10.4324\/9780203082744"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1177\/0890334410395753","article-title":"Expectant Fathers\u2019 and Mothers\u2019 Perceptions of Breastfeeding and Formula Feeding: A Focus Group Study in Three US Cities","volume":"27","author":"Avery","year":"2011","journal-title":"J. Hum. Lact."},{"key":"ref_11","first-page":"605","article-title":"Aleitamento Materno: A Vis\u00e3o Das Pu\u00e9rperas","volume":"11","author":"Barreto","year":"2009","journal-title":"Rev. Eletr\u00f4nica Enferm."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1590\/S0103-21002010000200013","article-title":"Translation and Cultural Adaptation of the Breastfeeding Self-Efficacy Scale to Portuguese","volume":"23","author":"Ximenes","year":"2010","journal-title":"ACTA Paul. Enferm."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1007\/s00737-012-0274-2","article-title":"A Longitudinal Study of Postpartum Depressive Symptoms: Multilevel Growth Curve Analyses of Emotion Regulation Strategies, Breastfeeding Self-Efficacy, and Social Support","volume":"15","author":"Haga","year":"2012","journal-title":"Arch. Womens. Ment. Health"},{"key":"ref_14","first-page":"664","article-title":"Postpartum Depression and Maternal Self-Efficacy for Breastfeeding: Prevalence and Association","volume":"29","author":"Caldeira","year":"2016","journal-title":"ACTA Paul. Enferm."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1093\/jahist\/jaq050","article-title":"\u201cThe Highest Pleasure of Which Woman\u2019s Nature Is Capable\u201d: Breast-Feeding and the Sentimental Maternal Ideal in America, 1750-1860","volume":"97","author":"Doyle","year":"2010","journal-title":"J. Am. Hist."},{"key":"ref_16","first-page":"17","article-title":"First-Time Breastfeeding Mothers: Perceptions and Lived Experiences with Breastfeeding","volume":"26","author":"Phillips","year":"2011","journal-title":"Int. J. Childbirth Educ."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1016\/j.ijnurstu.2006.02.006","article-title":"Getting It Right: Australian Primiparas\u2019 Views about Breastfeeding: A Quasi-Experimental Study","volume":"44","author":"Hall","year":"2007","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1080\/13698570802383432","article-title":"Living with Risk in the Age of \u201cIntensive Motherhood\u201d: Maternal Identity and Infant Feeding","volume":"10","author":"Lee","year":"2008","journal-title":"Health Risk Soc."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1186\/s13006-020-00310-y","article-title":"The Relationship between Perceived Milk Supply and Exclusive Breastfeeding during the First Six Months Postpartum: A Cross-Sectional Study","volume":"15","author":"Sandhi","year":"2020","journal-title":"Int. Breastfeed. J."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1111\/j.1547-5069.2008.00234.x","article-title":"Maternal Perceptions of Insufficient Milk Supply in Breastfeeding","volume":"40","author":"Gatti","year":"2008","journal-title":"J. Nurs. Scholarsh."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"e12607","DOI":"10.1111\/mcn.12607","article-title":"Effectiveness of Interventions on Breastfeeding Self-Efficacy and Perceived Insufficient Milk Supply: A Systematic Review and Meta-Analysis","volume":"14","author":"Galipeau","year":"2018","journal-title":"Matern. Child Nutr."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/S0031-3955(05)70296-0","article-title":"Effects of Stress on Lactation","volume":"48","author":"Lau","year":"2001","journal-title":"Pediatr. Clin. N. Am."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1111\/j.1740-8709.2009.00185.x","article-title":"Understanding Infant Feeding Beliefs, Practices and Preferred Nutrition Education and Health Provider Approaches: An Exploratory Study with Somali Mothers in the USA","volume":"6","author":"Steinman","year":"2010","journal-title":"Matern. Child Nutr."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1310","DOI":"10.12688\/f1000research.24516.1","article-title":"Breastfeeding Assessment Tools for At-Risk and Malnourished Infants Aged under 6 Months Old: A Systematic Review","volume":"9","author":"Brugaletta","year":"2020","journal-title":"F1000Research"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"270","DOI":"10.4069\/kjwhn.2009.15.4.270","article-title":"Factors Explaining Mothers\u2019 Breastfeeding Satisfaction","volume":"15","author":"Kim","year":"2009","journal-title":"Korean J. Women Health Nurs."},{"key":"ref_26","doi-asserted-by":"crossref","unstructured":"Awaliyah, S.N., Rachmawati, I.N., and Rahmah, H. (2019). Breastfeeding Self-Efficacy as a Dominant Factor Affecting Maternal Breastfeeding Satisfaction. BMC Nurs., 18.","DOI":"10.1186\/s12912-019-0359-6"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"40","DOI":"10.5935\/1676-4285.20120005","article-title":"Factores Sociales Que Influyen En La Lactancia de Los Reci\u00e9n Nacidos Prematuros: Estudio Descriptivo","volume":"11","author":"Silva","year":"2012","journal-title":"Online Braz. J. Nurs."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.ijnurstu.2016.04.011","article-title":"Expectant Parents\u2019 Views of Factors Influencing Infant Feeding Decisions in the Antenatal Period: A Systematic Review","volume":"60","author":"Roll","year":"2016","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1177\/0890334417707957","article-title":"Interventions to Improve Breastfeeding Self-Efficacy and Resultant Breastfeeding Rates: A Systematic Review and Meta-Analysis","volume":"33","author":"Brockway","year":"2017","journal-title":"J. Hum. Lact."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"e13947","DOI":"10.2196\/13947","article-title":"Information and Communication Systems to Tackle Barriers to Breastfeeding: Systematic Search and Review","volume":"21","author":"Tang","year":"2019","journal-title":"J. Med. Internet Res."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1089\/jwh.2014.5059","article-title":"Breastfeeding: What Are the Barriers? Why Women Struggle to Achieve Their Goals","volume":"25","author":"Sriraman","year":"2016","journal-title":"J. Women\u2019s Health"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.bpobgyn.2022.01.010","article-title":"Overcoming Barriers to Breastfeeding","volume":"83","author":"Tomori","year":"2022","journal-title":"Best Pract. Res. Clin. Obstet. Gynaecol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.socscimed.2016.09.014","article-title":"Contested Moral Landscapes: Negotiating Breastfeeding Stigma in Breastmilk Sharing, Nighttime Breastfeeding, and Long-Term Breastfeeding in the U.S. and the U.K","volume":"168","author":"Tomori","year":"2016","journal-title":"Soc. Sci. Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1111\/j.1740-8709.2006.00071.x","article-title":"The Education of Health Practitioners Supporting Breastfeeding Women: Time for Critical Reflection","volume":"2","author":"Dykes","year":"2006","journal-title":"Matern. Child Nutr."},{"key":"ref_35","doi-asserted-by":"crossref","unstructured":"Dagla, M., Mrvoljak-Theodoropoulou, I., Karagianni, D., Dagla, C., Sotiropoulou, D., Kontiza, E., Kavakou, A.T., and Antoniou, E. (2021). Women\u2019s Mental Health as a Factor Associated with Exclusive Breastfeeding and Breastfeeding Duration: Data from a Longitudinal Study in Greece. Children, 8.","DOI":"10.3390\/children8020150"},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Dagla, M., Mrvoljak-Theodoropoulou, I., Vogiatzoglou, M., Giamalidou, A., Tsolaridou, E., Mavrou, M., Dagla, C., and Antoniou, E. (2021). Association between Breastfeeding Duration and Long-Term Midwifery-Led Support and Psychosocial Support: Outcomes from a Greek Non-Randomized Controlled Perinatal Health Intervention. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph18041988"},{"key":"ref_37","unstructured":"Spielberger, C.D., and Sydeman, S.J. (1994). State-Trait Anxiety Inventory and State-Trait Anger Expression Inventory. The Use of Psychological Testing for Treatment Planning and Outcome Assessment, Lawrence Erlbaum Associates, Inc."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"782","DOI":"10.1192\/bjp.150.6.782","article-title":"Detection of Postnatal Depression: Development of the 10-Item Edinburgh Postnatal Depression Scale","volume":"150","author":"Cox","year":"1987","journal-title":"Br. J. Psychiatry"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Vivilaki, V.G., Dafermos, V., Kogevinas, M., Bitsios, P., and Lionis, C. (2009). The Edinburgh Postnatal Depression Scale: Translation and Validation for a Greek Sample. BMC Public Health, 9.","DOI":"10.1186\/1471-2458-9-329"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1111\/j.2044-8341.1993.tb01739.x","article-title":"The Assessment of Antenatal Emotional Attachment: Development of a Questionnaire Instrument","volume":"66","author":"Condon","year":"1993","journal-title":"Br. J. Med. Psychol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1007\/s00737-015-0559-3","article-title":"Investigating Validity and Reliability Evidence for the Maternal Antenatal Attachment Scale in a Sample of Italian Women","volume":"19","author":"Busonera","year":"2016","journal-title":"Arch. Womens. Ment. Health"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1157","DOI":"10.1007\/s00404-018-4676-x","article-title":"Reliability and Validity of the German Version of the Maternal\u2013Fetal Attachment Scale","volume":"297","author":"Doster","year":"2018","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"33","DOI":"10.14205\/2309-4400.2014.02.01.5","article-title":"Reliability and Validity of the Hungarian Version of the Maternal Antenatal Attachment Scale","volume":"2","author":"Mako","year":"2014","journal-title":"Int. J. Gynecol. Obstet. Res."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"2362","DOI":"10.1111\/j.1559-1816.1999.tb00115.x","article-title":"The Iowa Infant Feeding Attitude Scale: Analysis of Reliability and Validity","volume":"29","author":"Russell","year":"1999","journal-title":"J. Appl. Soc. Psychol."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"160","DOI":"10.5455\/msm.2019.31.160-165","article-title":"Reliability and Validity of the Greek Version of the Iowa Infant Feeding Attitude Scale Among Pregnant Women","volume":"31","author":"Iliadou","year":"2019","journal-title":"Mater. Sociomed."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"NP9","DOI":"10.1177\/0890334414559647","article-title":"Assessing Infant Feeding Attitudes of Expectant Women in a Provincial Population in Canada: Validation of the Iowa Infant Feeding Attitude Scale","volume":"32","author":"Twells","year":"2016","journal-title":"J. Hum. Lact."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1177\/0884217503258459","article-title":"The Breastfeeding Self-Efficacy Scale: Psychometric Assessment of the Short Form","volume":"32","author":"Dennis","year":"2003","journal-title":"J. Obstet. Gynecol. Neonatal Nurs."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1007\/s00737-007-0191-y","article-title":"An Evaluation of Two Bonding Questionnaires: A Comparison of the Mother-to-Infant Bonding Scale with the Postpartum Bonding Questionnaire in a Sample of Primiparous Mothers","volume":"10","author":"Wittkowski","year":"2007","journal-title":"Arch. Womens. Ment. Health"},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Economou, M., Kolokotroni, O., Paphiti-Demetriou, I., Kouta, C., Lambrinou, E., Hadjigeorgiou, E., Hadjiona, V., and 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 Childbirth, 21.","DOI":"10.1186\/s12884-021-03878-3"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1177\/0890334414523836","article-title":"The Swedish Version of the Breastfeeding Self-Efficacy Scale-Short Form: Reliability and Validity Assessment","volume":"30","author":"Gerhardsson","year":"2014","journal-title":"J. Hum. Lact."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.ijnurstu.2011.08.005","article-title":"The Spanish Version of the Breastfeeding Self-Efficacy Scale-Short Form: Reliability and Validity Assessment","volume":"49","author":"Dennis","year":"2012","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1007\/s00737-015-0589-x","article-title":"Assessment of Psychometric Properties of the Postpartum Bonding Questionnaire (PBQ) in Spanish Mothers","volume":"19","author":"Torres","year":"2016","journal-title":"Arch. Womens. Ment. Health"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1007\/s00737-006-0150-z","article-title":"Mother-Infant Bonding Disorders in Patients with Postnatal Depression: The Postpartum Bonding Questionnaire in Clinical Practice","volume":"9","author":"Klier","year":"2006","journal-title":"Arch. Womens. Ment. Health"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1007\/s00737-006-0144-x","article-title":"The German Version of the Postpartum Bonding Instrument: Psychometric Properties and Association with Postpartum Depression","volume":"9","author":"Reck","year":"2006","journal-title":"Arch. Womens. Ment. Health"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1007\/s10995-018-2453-x","article-title":"Breastfeeding Duration and the Theory of Planned Behavior and Breastfeeding Self-Efficacy Framework: A Systematic Review of Observational Studies","volume":"22","author":"Lau","year":"2018","journal-title":"Matern. Child Health J."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"G\u00e1lvez-Adalia, E., Bartolom\u00e9-Guti\u00e9rrez, R., Berlanga-Mac\u00edas, C., Rodr\u00edguez-Mart\u00edn, B., Marcilla-Toribio, I., and Mart\u00ednez-Andr\u00e9s, M. (2022). Perceptions of Mothers about Support and Self-Efficacy in Breastfeeding: A Qualitative Study. Children, 9.","DOI":"10.3390\/children9121920"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1177\/1090198107303362","article-title":"The Impact of a Self-Efficacy Intervention on Short-Term Breast-Feeding Outcomes","volume":"36","author":"Nichols","year":"2009","journal-title":"Health Educ. Behav."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"103675","DOI":"10.1016\/j.ijnurstu.2020.103675","article-title":"Effectiveness of Theory-Based Educational Interventions on Breastfeeding Self-Efficacy and Exclusive Breastfeeding: A Systematic Review and Meta-Analysis","volume":"109","author":"Chipojola","year":"2020","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_59","first-page":"11941","article-title":"Enhancing Maternal Role Achievement and Breastfeeding Success through Health Belief Model Intervention","volume":"12","author":"Safaah","year":"2024","journal-title":"Healthc. Low-Resour. Settings"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1111\/j.1552-6909.2006.00053.x","article-title":"Developing a Prenatal Breastfeeding Workshop to Support Maternal Breastfeeding Self-Efficacy","volume":"35","author":"Bassett","year":"2006","journal-title":"JOGNN\u2014J. Obstet. Gynecol. Neonatal Nurs."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"102532","DOI":"10.1016\/j.midw.2019.102532","article-title":"Exclusive Breastfeeding, Breastfeeding Self-Efficacy and Perception of Milk Supply among Mothers in Singapore: A Longitudinal Study","volume":"79","author":"Fong","year":"2019","journal-title":"Midwifery"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"1058","DOI":"10.1016\/j.ijnurstu.2011.02.001","article-title":"The Effect of a Postnatal Education and Support Program on Breastfeeding among Primiparous Women: A Randomized Controlled Trial","volume":"48","author":"Khresheh","year":"2011","journal-title":"Int. J. Nurs. Stud."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1111\/j.1552-6909.2010.01210.x","article-title":"A Pilot Randomized Controlled Trial of a Breastfeeding Self-Efficacy Intervention with Primiparous Mothers","volume":"40","author":"Mcqueen","year":"2011","journal-title":"JOGNN\u2014J. Obstet. Gynecol. Neonatal Nurs."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1007\/s10995-010-0583-x","article-title":"Impact of a Feeding Log on Breastfeeding Duration and Exclusivity","volume":"15","author":"Pollard","year":"2011","journal-title":"Matern. Child Health J."},{"key":"ref_65","first-page":"258","article-title":"Effectiveness of Breastfeeding Skills Training and Support Program among First Time Mothers: A Randomized Control Trial","volume":"23","author":"Prasitwattanaseree","year":"2019","journal-title":"Pac. Rim Int. J. Nurs. Res."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1017\/S1368980017003214","article-title":"Prevalence of Breast-Feeding and Exclusive Breast-Feeding at 48 h after Birth and up to the Sixth Month in Cyprus: The BrEaST Start in Life Project","volume":"21","author":"Economou","year":"2018","journal-title":"Public Health Nutr."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"117955651769813","DOI":"10.1177\/1179556517698136","article-title":"Factors Influencing Exclusive Breastfeeding in Tabuk, Saudi Arabia","volume":"11","author":"Alzaheb","year":"2017","journal-title":"Clin. Med. Insights Pediatr."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s13006-016-0083-8","article-title":"Exclusive Breastfeeding among City-Dwelling Professional Working Mothers in Ghana","volume":"11","author":"Laar","year":"2016","journal-title":"Int. Breastfeed. J."},{"key":"ref_69","unstructured":"Eidman, C. (2011). Enhancing Breastfeeding Self-Efficacy through Prenatal Education. Master Arts Nurs. Sch. Proj., 24."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s13006-015-0036-7","article-title":"\u201cBe Positive as Well as Realistic\u201d: A Qualitative Description Analysis of Information Gaps Experienced by Breastfeeding Mothers","volume":"10","author":"Misskey","year":"2015","journal-title":"Int. Breastfeed. J."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"125","DOI":"10.4103\/jehp.jehp_708_21","article-title":"Effectiveness of Breastfeeding Education Compared to Standard Hospital Information on Exclusive Breastfeeding among Mothers: A Systematic Review","volume":"11","author":"Rohini","year":"2022","journal-title":"J. Educ. Health Promot."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1097\/01.NMC.0000334900.22215.ec","article-title":"Prenatal Breastfeeding Education and Breastfeeding Outcomes","volume":"33","author":"Rosen","year":"2008","journal-title":"MCN Am. J. Matern. 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