In Jordan, the rate of exclusive breastfeeding is declining. The trend variation in breastfeeding practice is determined by different factors including antenatal women’s attitude and planning which are affected by their awareness and the support they receive. This study aims to assess knowledge, attitude, support, and planning of breastfeeding among Jordanian women. A face-to-face cross-sectional semi-structured questionnaire survey was conducted among healthy women in the antenatal clinic and postpartum ward at three hospitals in Northern Jordan during the period August 2019 to December 2019. Data were collected about demographic characteristics, women’s knowledge and attitude towards breastfeeding, antenatal and postnatal support and counseling, and feeding planning. Customized scales were utilized to assess knowledge and attitude. Factors associated with planning to breastfeed were reported. 660 women completed the survey questionnaire. The majority were 20 to 35 years of age, 10% were primiparous, and 30% were employed. 78% were knowledgeable about breastfeeding benefits and aware of WHO recommendations. 72% had a positive attitude towards breastfeeding. More than half received support from their husbands to breastfeed their infants, while less than 20% received any counseling from their obstetric providers. 97% reported their intention to breastfeed, and more than half indicated their willingness to breastfeed exclusively. With multivariable logistic regression modelling, predictors of EBF planning include: primiparity (AOR 1.79; 95% CI 1.1, 3.25), positive attitude (AOR 1.80; 95% CI 1.05, 3.1) and positive husband’s support (AOR 1.92; 95% CI 1.18, 3.15). Barriers include women’s employment (AOR 0.43; 95% CI 0.26, 0.70) and low birthweight (AOR 0.46; 95% CI 0.25, 0.84). Jordanian women are highly knowledgeable about breastfeeding benefits, and they exhibit a positive attitude towards breastfeeding resulting in a very high percentage intending to breastfeed their infants. Limited counseling about breastfeeding is a major gap in antenatal care. As intentions might not reflect the actual practice after delivery, gaps and barriers affecting the determinants of successful breastfeeding should be identified, and corrective tools should be implemented accordingly. Allocating a specific time for antenatal or postnatal counseling and support is expected to promote breastfeeding practice in our population.

中文翻译：

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母乳喂养的知识，态度，动机和计划：约旦妇女中的横断面研究。

在约旦，纯母乳喂养率正在下降。母乳喂养实践的趋势变化取决于多种因素，包括产前妇女的态度和计划，这些因素受其意识和所获得支持的影响。本研究旨在评估约旦妇女的母乳喂养知识，态度，支持和计划。在2019年8月至2019年12月期间，在约旦北部的三家医院的产前诊所和产后病房中对健康女性进行了面对面的半截面问卷调查。收集了有关人口统计学特征，女性知识的数据以及对母乳喂养，产前和产后支持和咨询以及喂养计划的态度。使用定制的量表来评估知识和态度。据报告与母乳喂养计划有关的因素。660名妇女完成了调查问卷。多数年龄在20至35岁之间，有10％为初产，有30％受雇。78％的人了解母乳喂养的好处，并了解WHO的建议。72％的人对母乳喂养持积极态度。超过一半的人从丈夫那里得到了母乳喂养的支持，而不到20％的人接受了产科医生的任何咨询。97％的人表示有母乳喂养的意向，一半以上的人表示仅愿意母乳喂养。通过多变量logistic回归建模，EBF计划的预测因素包括：初产（AOR 1.79; 95％CI 1.1，3.25），积极态度（AOR 1.80; 95％CI 1.05，3.1）和丈夫的积极支持（AOR 1.92; 95％CI 1.18） ，3.15）。障碍包括妇女的就业（AOR 0.43; 95％CI 0.26，0.70）和低出生体重（AOR 0.46; 95％CI 0.25，0.84）。约旦妇女对母乳喂养的益处非常了解，她们对母乳喂养表现出积极的态度，因此有很大比例的人打算母乳喂养婴儿。有关母乳喂养的咨询有限，是产前保健的主要差距。由于意图可能无法反映分娩后的实际做法，因此应确定影响成功母乳喂养决定因素的差距和障碍，并应采取相应的纠正工具。分配特定时间进行产前或产后咨询和支持，有望促进我们这一群体的母乳喂养实践。约旦妇女对母乳喂养的益处非常了解，她们对母乳喂养表现出积极的态度，因此有很大比例的人打算母乳喂养婴儿。有关母乳喂养的咨询有限，是产前保健的主要差距。由于意图可能无法反映分娩后的实际做法，因此应确定影响成功母乳喂养决定因素的差距和障碍，并应采取相应的纠正工具。分配特定时间进行产前或产后咨询和支持，有望促进我们这一群体的母乳喂养实践。约旦妇女对母乳喂养的益处非常了解，她们对母乳喂养表现出积极的态度，因此有很大比例的人打算母乳喂养婴儿。有关母乳喂养的咨询有限，是产前保健的主要差距。由于意图可能无法反映分娩后的实际做法，因此应确定影响成功母乳喂养决定因素的差距和障碍，并应采取相应的纠正工具。分配特定时间进行产前或产后咨询和支持，有望促进我们这一群体的母乳喂养实践。有关母乳喂养的咨询有限，是产前保健的主要差距。由于意图可能无法反映分娩后的实际做法，因此应确定影响成功母乳喂养决定因素的差距和障碍，并应采取相应的纠正工具。分配特定时间进行产前或产后咨询和支持，有望促进我们这一群体的母乳喂养实践。有关母乳喂养的咨询有限，是产前保健的主要差距。由于意图可能无法反映分娩后的实际做法，因此应确定影响成功母乳喂养决定因素的差距和障碍，并应采取相应的纠正工具。分配特定时间进行产前或产后咨询和支持，有望促进我们这一群体的母乳喂养实践。