A Decade of Breastfeeding Self-Efficacy Research: A Bibliometric Analysis using VOSviewer

Luluk Fajria Maulida, Revi Gama Hatta Novika, Nurul Jannatul Wahidah, Rufidah Maulina, Siti Nurhidayati, Atriany Nilam Sari, Fadhila Tsania Richa

Abstract

Introduction : A mother’s confidence in her ability to breasfeed, known as breastfeeding self efficacy (BSE) is a key predictor of exclusive breastfeeding duration. This study aimed to analyze the development of BSE research and provide insights for researchers and policymakers to improve future studies.

Method : This bibliometric analysis was conducted using data from the Scopus database, one of the largest sources of peer reviewed literature. Articles were retrieved on August 7, 2024, using the keywords “Breastfeeding” AND “Self” AND “Efficacy.” A total of 1,006 documents were identified. After applying inclusion criteria (English language, article or review type, published between 2014 and 2023, open access, and final publication stage), 413 documents were selected for analysis. Data were analyzed using VOSviewer version 1.6.20 based on publication year, journal source, author, country of origin, and keywords.

Results : Research on BSE has shown a consistent upward trend over the past decade, with the highest number of publications in 2023 (82 articles). The United States was the most productive country, followed by Brazil, Canada, the United Kingdom, China, and Indonesia. Most articles were published in journals focusing on lactation physiology, breastfeeding challenges, and evidence based interventions. The most cited studies emphasized the importance of partner support, coparenting, and breastfeeding safety during the COVID-19 pandemic. Keyword analysis revealed several underexplored areas, particularly the role of midwives, formula use, and BSE in mothers of preterm infants

Conclusion : This study highlights the growing global attention to breastfeeding self-efficacy as a key factor in improving maternal and child health, and points to the need for further research on underexplored areas, including the role of midwives and the impact of alternative feeding practices, to support more effective interventions and policies.

Keywords

breastfeeding self-efficacy; bibliometric analysis; maternal health

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References

  1. Liu L, Wu Y, Xian X, Feng J, Mao Y, Balakrishnan S, et al. In-Hospital Formula Feeding Hindered Exclusive Breastfeeding: Breastfeeding Self-Efficacy as a Mediating Factor. Nutrients. 2023 Dec 12;15(24):5074.
  2. Susilawati. Perbedaan Self Efficacy Pada Ibu Post Partum Dan Post Sectio Caesarea Di RSUD Sekarwangi Kabupaten Sukabumi. Jurnal Ilmiah Keperawatan. 2019;2(2):42–52.
  3. Rahmadani E, Sutrisna M. Hubungan Breastfeeding Self Efficacy Ibu Terhadap Puskesmas Kandang Kota Bengkulu. Research & Learning in Nursing Science. 2022;6(2):64–9.
  4. 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 Sep;109:103675.
  5. Ngo LTH, Chou HF, Gau ML, Liu CY. Breastfeeding self-efficacy and related factors in postpartum Vietnamese women. Midwifery. 2019 Mar;70:84–91.
  6. Chumaira RL, Anggorowati A, Zubaidah Z. Faktor-faktor yang mempengaruhi efikasi diri ibu dan praktik menyusui di kalangan ibu yang bekerja: A literature review. Holistik Jurnal Kesehatan. 2024 Mar 9;18(1):26–35.
  7. Abbass-Dick J, Stern SB, Nelson LE, Watson W, Dennis CL. Coparenting Breastfeeding Support and Exclusive Breastfeeding: A Randomized Controlled Trial. Pediatrics. 2015 Jan 1;135(1):102–10.
  8. Kurdi MS, Kurdi MS. Analisis Bibliometrik dalam Penelitian Bidang Pendidikan: Teori dan Implementasi. Journal on Education. 2021 Aug 30;3(4):518–37.
  9. Ahmadinezhad GS, Karimi FZ, Abdollahi M, NaviPour E. Association between postpartum depression and breastfeeding self-efficacy in mothers: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2024 Apr 12;24(1):273.
  10. Titaley CR, Dibley MJ, Ariawan I, Mu’asyaroh A, Alam A, Damayanti R, et al. Determinants of low breastfeeding self-efficacy amongst mothers of children aged less than six months: results from the BADUTA study in East Java, Indonesia. Int Breastfeed J. 2021 Dec 19;16(1):12.
  11. Titaley CR. Knowledge and Breastfeeding Experience are Associated with High Levels of Exclusive Breastfeeding Self-Efficacy in Pregnant Women from Dobo, Maluku. Jurnal PROMKES. 2022 Sep 15;10(2):157–63.
  12. Mulyanto A, Wardani D, Yogaswara SP, Rukhaida I. Pemetaan Tren Riset dalam Manajemen Pendidikan: Studi Bibliometrik dengan VOSviewer (2019-2023). Jurnal Manajemen Pendidikan Dasar, Menengah dan Tinggi. 2025;6(2):140–53.
  13. Ghaheri BA, Cole M, Fausel SC, Chuop M, Mace JC. Breastfeeding Improvement Following Tongue-Tie and Lip-Tie Release : A Prospective Cohort Study. Laryngoscope. 2017;(May):1217–23.
  14. Francis DO, Krishnaswami S, Mcpheeters M. Treatment of Ankyloglossia and Breastfeeding Outcomes : A Systematic Review. Pediatrics. 2015;135(6).
  15. Coates R, Ayers S, Visser R De. Women ’ s experiences of postnatal distress : a qualitative study. BMC Pregnancy Childbirth. 2014;1–14.
  16. Emond A, Ingram J, Johnson D, Blair P, Whitelaw A, Copeland M, et al. Randomised controlled trial of early frenotomy in breastfed infants with mild – moderate tongue-tie. Arch Dis Child Fetal Neonatal Ed. 2014;189–95.
  17. Tuthill EL, Mcgrath JM, Cusson RM, Young SL. HHS Public Access. journal of human lactation. 2017;32(1):35–45.
  18. Monberg M, Jørgine M, Kirstine M, Boe D. Early breastfeeding problems: A mixed method study of mothers experiences. Sexual & Reproductive Healthcare. 2018;
  19. Probiotic supplementation and associated infant gut microbiome and health : a cautionary retrospective clinical comparison. Sci Rep. 2018;(October 2017):1–16.
  20. Halperin SA, Ye L, Mackinnon-cameron D, Smith B, Cahn PE, Ruiz-palacios GM, et al. Articles Final efficacy analysis , interim safety analysis , and immunogenicity of a single dose of recombinant novel coronavirus vaccine ( adenovirus type 5 vector ) in adults 18 years and older : an international , multicentre , randomised , double-blin. Lancet. 2022;399:237–48.
  21. Riad A, Jouzov A, Üstün B, Lagov E, Jank P, Pokorn A, et al. COVID-19 Vaccine Acceptance of Pregnant and Lactating Women ( PLW ) in Czechia : An Analytical Cross-Sectional Study. Int J Environ Res Public Health. 2021;18(24).
  22. Pérez SS, Richter L, Rhodes EC, Compte MV, Fiedler AH, Nyhan K, et al. Risk factors for self ‐ reported insufficient milk during the first 6 months of life : A systematic review. Matern Child Nutr. 2022;18(December 2021).
  23. Pezley L, Cares K, Duffecy J, Koenig MD, Maki P, Young AO, et al. Efficacy of behavioral interventions to improve maternal mental health and breastfeeding outcomes : a systematic review. Int Breastfeed J. 2022;17(1):1–24.
  24. Tran V, Reese A, Tomeka M, Duffany KOC, Douglass F, Pérez R. Barriers and facilitators to exclusive breastfeeding among Black mothers : A qualitative study utilizing a modified Barrier Analysis approach. Matern Child Nutr. 2023;(August 2022).
  25. Ghasemi V 1 MS 2 MB 3 MSGN 1 ZJ 4 HN 5, Simbar M, Banaei M, Saei Ghare Naz M, Jahani Z. The Effect of Interventions on Breastfeeding Self-efficacy by Using Bandura’s Theory in Iranian Mothers: A Systematic Review. Journal of Pediatric Perspectives. 2019;7(8):9939–54.
  26. Otsuka K, Taguri M, Dennis CL, Wakutani K, Awano M, Yamaguchi T, et al. Effectiveness of a Breastfeeding Self-efficacy Intervention: Do Hospital Practices Make a Difference? Matern Child Health J. 2014 Jan 1;18(1):296–306.
  27. Rodríguez-Gallego I, Corrales-Gutierrez I, Gomez-Baya D, Leon-Larios F. Effectiveness of a Postpartum Breastfeeding Support Group Intervention in Promoting Exclusive Breastfeeding and Perceived Self-Efficacy: A Multicentre Randomized Clinical Trial. Nutrients. 2024 Mar 28;16(7):988.
  28. Halperin SA, Ye L, MacKinnon-Cameron D, Smith B, Cahn PE, Ruiz-Palacios GM, et al. Final efficacy analysis, interim safety analysis, and immunogenicity of a single dose of recombinant novel coronavirus vaccine (adenovirus type 5 vector) in adults 18 years and older: an international, multicentre, randomised, double-blinded, placebo-controlled phase 3 trial. The Lancet. 2022 Jan;399(10321):237–48.
  29. FITRI AZ. Gambaran Breasfeeding Self-efficacy dan Pengetahuan Ibu Dalam Pemberian ASI di RSKDIA Pertiwi dan Siti Fatimah Makassar. https://repository.unhas.ac.id/id/eprint/24028/3/R011181311_skripsi_31-10-2022%201-2.pdf. 2022. p. 1–43.
  30. Lumbantoruan M, Br. Brahmana N, Aritonang J, Garamba K. BREASTFEEDING SELF-EFFICACY DALAM PERSIAPAN MENYUSUI DI BPM MARIANA TAHUN 2024. JURNAL HEALTH REPRODUCTIVE. 2024 Jun 24;9(1):33–6.

DOI: https://doi.org/10.13057/smj.v8i2.106552

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