{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T03:44:45Z","timestamp":1785815085877,"version":"3.56.0"},"reference-count":0,"publisher":"University of the Philippines Manila","issue":"14","license":[{"start":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T00:00:00Z","timestamp":1785456000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Philipp"],"abstract":"<jats:p>Background. Breastfeeding is being advocated by several groups, including the World Health Organization, because\u00a0of the favorable effects on the mother and her child. The success of breastfeeding has been challenging for postcesarean\u00a0mothers due to several factors that contribute to breastfeeding failure and low breastfeeding self-efficacy.\u00a0Studies revealed several factors associated with breastfeeding, and it indicates that breastfeeding cesarean mothers\u00a0are connected with various aspects independently. This study will fill the knowledge gap by collecting data to identify\u00a0which of these factors has the greatest impact on breastfeeding failure and mothers\u2019 self-efficacy. Hence, nurses\u00a0should be equipped with appropriate knowledge and skills to help promote breastfeeding among cesarean mothers.\nObjectives. The study aimed to identify the factors associated with breastfeeding failure and measure the breastfeeding\u00a0self-efficacy of mothers who delivered through cesarean section based on demographic, socioeconomic, healthcare\u00a0utilization, and child profile. The results were used to develop appropriate instructional materials that will promote\u00a0breastfeeding among post-cesarean mothers.\nMethods. A quantitative-descriptive case-control design was utilized. The study was conducted from October 2023\u00a0to January 2024 in two Municipalities of Mountain Province. A systematic random sampling was utilized. The study\u00a0included 181 post-cesarean mothers who fit the inclusion criteria. Data were collected through a questionnaire and\u00a0analyzed using frequency, percentage, and logistic regression through odds ratio.\nResults. Post Cesarean mothers who are older, multigravida, visits health facilities often, and those who delivered\u00a0an infant with normal birth weight garnered high breastfeeding self-efficacy while young mothers less than 24\u00a0years old, first-time cesarean mothers, working, mothers who attended less than four prenatal check-ups, mothers\u00a0who delivered an infant less than 2.5 kilograms and more than 3.5 kilograms, and lastly, an infant with four hours\u00a0and above waking hours at night are associated with low breastfeeding self-efficacy. Cesarean mothers who failed\u00a0in breastfeeding are young mothers less than 24 years old (p &lt;0.046), working cesarean mothers, and with low\u00a0breastfeeding self-efficacy (p &lt;0.001). An instructional material was developed as an outcome of the study to help\u00a0promote breastfeeding among cesarean mothers.\nConclusion. Mothers who are older, more experienced,\u00a0visit health facilities more often, and whose infant with\u00a0normal birth weight are more efficacious in providing\u00a0nutrition to infants until six months, while young, firsttime\u00a0mothers have low breastfeeding self-efficacy and\u00a0need assistance in making sure that breastfeeding is\u00a0performed correctly. Significant factors associated with\u00a0breastfeeding failure that require attention from healthcare\u00a0professionals include young mothers less than\u00a024 years old, working cesarean mothers, and mothers\u00a0with low breastfeeding self-efficacy.<\/jats:p>","DOI":"10.47895\/amp.v60i14.12748","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T03:00:13Z","timestamp":1785812413000},"source":"Crossref","is-referenced-by-count":0,"title":["Breastfeeding Self-efficacy and Factors Associated with Failure in Breastfeeding among Cesarean Mothers: A Case-control Study"],"prefix":"10.47895","volume":"60","author":[{"given":"Ivy M.","family":"Pawid, MSN, RN","sequence":"first","affiliation":[{"name":"Saint Louis University, Baguio City, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryll M.","family":"Bandaay, PhD, RN","sequence":"additional","affiliation":[{"name":"Saint Louis University, Baguio City, Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27557","published-online":{"date-parts":[[2026,7,31]]},"container-title":["Acta Medica Philippina"],"original-title":[],"link":[{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/download\/12748\/7214","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/download\/12748\/7214","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T03:00:15Z","timestamp":1785812415000},"score":1,"resource":{"primary":{"URL":"https:\/\/actamedicaphilippina.upm.edu.ph\/index.php\/acta\/article\/view\/12748"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,31]]},"references-count":0,"journal-issue":{"issue":"14","published-online":{"date-parts":[[2026,7,31]]}},"URL":"https:\/\/doi.org\/10.47895\/amp.v60i14.12748","relation":{},"ISSN":["2094-9278","0001-6071"],"issn-type":[{"value":"2094-9278","type":"electronic"},{"value":"0001-6071","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7,31]]}}}