title: [Is self-confidence a factor for successful breastfeeding?].
abstract: BACKGROUND
  Maternal self-confidence and self-efficacy in breastfeeding are recognized as factors positively associated with the initiation and duration of breastfeeding.
  
  
  OBJECTIVE
  To evaluate the importance of this association using the Breast Feeding Self-Efficacy Scale (BSES).
  
  
  METHODS
  This prospective study was conducted in 2012 in the Jeanne-de-Flandre maternity department in the Lille University Hospital (France). During their time in the maternity department, breastfeeding mothers who participated in the study completed the BSES, a brief self-assessment of their feelings of self-efficacy relating to breastfeeding. They then received follow-up telephone interviews at 1 and 3 months postpartum.
  
  
  RESULTS
  One hundred and forty-nine mothers were included in the study. Breastfeeding rates were 86.5% at 1 month and 60% at 3 months. The BSES score of mothers who continued to breastfeed at 1 and 3 months was significantly higher than the score of mothers who had already weaned their children, with an AUROC of 0.72 at 3 months. This confirmed the reliability of the BSES for predicting adherence to breastfeeding. The BSES score of mothers who had previously breastfed was significantly higher than for those breastfeeding for the first time. The threshold score for the BSES was determined as 116/165.
  
  
  CONCLUSIONS
  It is important that mothers who lack confidence in their ability to breastfeed be identified early, whether on the maternity ward or even before this point. The value of BSES-based breastfeeding support intervention needs to be evaluated through randomized trials.
authors.affiliation: Service de pédiatrie et néonatologie, hôpital de Tourcoing, 59200 Tourcoing, France.
authors.forename: M
authors.initials: M
authors.lastname: Dégrange
authors.affiliation: Service des urgences pédiatriques, hôpital Roger-Salengro, CHRU de Lille, 59000 Lille, France.
authors.forename: M
authors.initials: M
authors.lastname: Delebarre
authors.affiliation: Service de gastro-nutrition pédiatrique, hôpital Jeanne-de-Flandre, CHRU de Lille, 59000 Lille, France.
authors.forename: D
authors.initials: D
authors.lastname: Turck
authors.affiliation: Service de pédiatrie en maternité, hôpital Jeanne-de-Flandre, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France.
authors.forename: B
authors.initials: B
authors.lastname: Mestdagh
authors.affiliation: Unité de réanimation néonatale, service médecine néonatale, hôpital Jeanne-de-Flandre, CHRU de Lille, 59000 Lille, France; EA 4489, faculté de médecine de Lille, 59000 Lille, France.
authors.forename: L
authors.initials: L
authors.lastname: Storme
authors.affiliation: EA 4489, faculté de médecine de Lille, 59000 Lille, France; Service d'obstétrique, hôpital Jeanne-de-Flandre, CHRU de Lille, 59000 Lille, France.
authors.forename: P
authors.initials: P
authors.lastname: Deruelle
authors.affiliation: Service de pédiatrie en maternité, hôpital Jeanne-de-Flandre, CHRU de Lille, avenue Eugène-Avinée, 59037 Lille cedex, France; EA 4489, faculté de médecine de Lille, 59000 Lille, France. Electronic address: t-rakza@chru-lille.fr.
authors.forename: T
authors.initials: T
authors.lastname: Rakza
mesh_terms: D000328:Adult; D001942:Breast Feeding / Q000523:psychology* / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D009035:Mothers / Q000523:psychology*; D011446:Prospective Studies; D012649:Self Concept; D020377:Self Efficacy; D013997:Time Factors