title: Parenting self-efficacy and perception of insufficient breast milk.
abstract: OBJECTIVE
  Insufficient breast milk is a major reason why mothers give up breastfeeding and may be related to low levels of maternal confidence. This study explored the relationship between parenting self-efficacy (PES) and perception of insufficient breast milk.
  
  
  METHODS
  Cross-sectional descriptive correlational study.
  
  
  METHODS
  Four private primary care pediatric practices in the northern United States.
  
  
  METHODS
  Sixty breastfeeding mothers of infants ages 1 to 11 weeks.
  
  
  METHODS
  Mothers were recruited during well-baby pediatric visits. They returned completed questionnaires by mail. Data were analyzed using descriptive statistics, t tests, and multiple regression analysis.
  
  
  METHODS
  The Perception of Insufficient Milk (PIM) questionnaire, an investigator-developed instrument.
  
  
  RESULTS
  There was a significant correlation (r = .487, p < .01) between the self-efficacy and perceived insufficient milk scores. Regression analysis revealed that 23% of the variance in PIM was explained by PES, after maternal age, education, and parity had been taken into account.
  
  
  CONCLUSIONS
  Although further research is needed to refine the measurement of perceived insufficient milk and differentiate breastfeeding self-efficacy from general parenting self-efficacy, nursing interventions to enhance self-efficacy may improve mothers' confidence in the adequacy of their milk supply.
authors.affiliation: Boston College, Chestnut Hill, MA 02467-3812, USA. mccartdw@bc.edu
authors.forename: D E
authors.initials: DE
authors.lastname: McCarter-Spaulding
authors.forename: M H
authors.initials: MH
authors.lastname: Kearney
mesh_terms: D000328:Adult; D001942:Breast Feeding / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016389:Maternal-Child Nursing; D008895:Milk, Human / Q000502:physiology*; D010465:Perception; D011247:Pregnancy; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D014481:United States