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Journal of Human Lactation
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Exploring the Influence of Psychological Factors on Breastfeeding Duration, Phase 1: Perceptions of Mothers and Clinicians

Maxine O'Brien, BSc Hons Psych, PhD

University of Queensland School of Medicine, Rural Clinical Division, Toowoomba, Qld, obrienm{at}usq.edu.au, m.obrien7{at}uq.edu.au

Elizabeth Buikstra, BSc Hons Psych, PhD

Centre for Rural and Remote Mental Health Queensland, Cairns, Qld

Tony Fallon, BSc Hons Psych, PhD

Northern Rivers University Department of Rural Health, University of Sydney, Lismore, NSW

Desley Hegney, BA Hons, PhD, RN

University of Queensland and Blue Care, Brisbane, Qld

Breastfeeding duration rates in Australia are low, prompting a search for modifiable factors capable of increasing the duration of breastfeeding. In this study, participants were asked which psychological factors they believed influence breastfeeding duration. Participants included 3 groups of mothers who had breastfed for varied lengths of time (n = 17), and 1 group of breastfeeding clinicians (n = 4). The nominal group technique was employed, involving a structured group meeting progressing through several steps. Analyses included collation of individual and group responses, group comparisons, and a thematic analysis of group discussions. Forty-five psychological factors thought to influence the duration of breastfeeding were identified. Factors considered most important included the mother's priorities and mothering self-efficacy, faith in breast milk, adaptability, stress, and breastfeeding self-efficacy. In addition to informing the design of phase 2 of this study, these results add to our knowledge of this emerging research area. J Hum Lact. 25(1):55-63.

Key Words: breastfeeding • breastfeeding duration • psychological factors • mental health • transition to motherhood

This version was published on February 1, 2009

Journal of Human Lactation, Vol. 25, No. 1, 55-63 (2009)
DOI: 10.1177/0890334408326071
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