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Health Education on Self-Efficacy in Breastfeeding Mothers: Literature Review


Mother's milk is the first food for newborns and is the main nutrition for babies. Efficacy is important in breastfeeding, because it is used as a parameter of the mother's ability to breastfeed. Knowledge is one of the mother's self-efficacy factors for breastfeeding. Objective: The purpose of this study was to determine whether there is an effect of health education on lactation management on breastfeeding self-efficacy in mothers. Method: The research design used is a literature review, starting with topic selection, then searching through several databases, namely Google Scholar and Science Direct by entering key-words. Results and conclusions: From 163 articles, we selected 9 relevant articles to identify the effect of health education on breastfeeding self-efficacy in mothers. Breastfeeding education interventions increase breastfeeding self-efficacy, infant feeding attitudes, and rates of exclusive breastfeeding. Self-efficacy in breastfeeding mothers through a health education approach encourages mothers through self-management to follow a plan (eg, tests, treatment, procedures, behavior change) that is formulated in collaboration with health professionals such as during health education.


  1. Dodt RCM, Joventino ES, Aquino PS, Almeida PC, Ximenes LB. An experimental study of an educational intervention to promote maternal self-efficacy in breastfeeding. Rev Lat Am Enfermagem. 2015;23(4):725–32.
  2. Jackson KT, Dennis CL. Lanolin for the treatment of nipple pain in breastfeeding women: a randomized controlled trial. Matern Child Nutr. 2017;13(3).
  3. Bai YK, Lee S, Overgaard K. Critical Review of Theory Use in Breastfeeding Interventions. J Hum Lact. 2019;35(3):478–500.
  4. Laliberté C, Dunn S, Pound C, Sourial N, Yasseen AS, Millar D, et al. A randomized controlled trial of innovative postpartum care model for mother-baby dyads. PLoS One. 2016;11(2).
  5. Ansari S, Abedi P, Hasanpoor S, Bani S. The Effect of Interventional Program on Breastfeeding Self-Efficacy and Duration of Exclusive Breastfeeding in Pregnant Women in Ahvaz, Iran. Int Sch Res Not. 2014;2014:1–6.
  6. Chan MY, Ip WY, Choi KC. The effect of a self-efficacy-based educational programme on maternal breast feeding self-efficacy, breast feeding duration and exclusive breast feeding rates: A longitudinal study. Midwifery. 2016;36:92–8.
  7. Brockway M, Benzies K, Hayden KA. Interventions to Improve Breastfeeding Self-Efficacy and Resultant Breastfeeding Rates: A Systematic Review and Meta-Analysis: 2017;33(3):486–99.
  8. Brockway M, Benzies K, Hayden KA. Interventions to Improve Breastfeeding Self-Efficacy and Resultant Breastfeeding Rates: A Systematic Review and Meta-Analysis. J Hum Lact. 2017;33(3):486–99.
  9. Tseng JF, Chen SR, Au HK, Chipojola R, Lee GT, Lee PH, et al. Effectiveness of an integrated breastfeeding education program to improve self-efficacy and exclusive breastfeeding rate: A single-blind, randomised controlled study. Int J Nurs Stud. 2020;111:103770.
  10. Suárez-Cotelo M del C, Movilla-Fernández MJ, Pita-García P, Arias BF, Novío S. Breastfeeding knowledge and relation to prevalence. Rev da Esc Enferm. 2019;53:1–9.
  11. Mizrak B, Ozerdogan N, Colak E. The Effect of Antenatal Education on Breastfeeding Self-Efficacy. Int J Caring Sci. 2017;10(1):503–11.
  12. Gharaei T, Amiri-Farahani L, Haghani S, Hasanpoor-Azghady SB. The effect of breastfeeding education with grandmothers’ attendance on breastfeeding self-efficacy and infant feeding pattern in Iranian primiparous women: A quasi-experimental pilot study. Int Breastfeed J. 2020;15(1):1–11.
  13. Shafaei FS, Mirghafourvand M, Havizari S. The effect of prenatal counseling on breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding: A randomized controlled clinical trial. BMC Womens Health. 2020;20(1):1–11.
  14. Piro SS, Ahmed HM. Impacts of antenatal nursing interventions on mothers’ breastfeeding self-efficacy: An experimental study. BMC Pregnancy Childbirth. 2020;20(1):1–12.
  15. Antoñanzas-Baztan E, Pumar-Méndez MJ, Marín-Fernández B, Redín-Areta MD, Belintxon M, Mujika A, et al. Design, implementation and evaluation of an education course to promote professional self-efficacy for breastfeeding care. Nurse Educ Pract. 2020;45(May):102799.
  16. Chipojola R, Chiu HY, Huda MH, Lin YM, Kuo SY. Effectiveness of theory-based educational interventions on breastfeeding self-efficacy and exclusive breastfeeding: A systematic review and meta-analysis. Int J Nurs Stud. 2020;109:103675.

How to Cite

Machmudah, M., & Yunitasari, E. (2021). Health Education on Self-Efficacy in Breastfeeding Mothers: Literature Review. Bali Medical Journal, 10(3), 1066–1076.




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Machmudah Machmudah
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BMJ Journal

Esti Yunitasari
Google Scholar
BMJ Journal