The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: a cross-sectional study

Sandhi, Ayyu; Lee, Gabrielle T.; Chipojola, Roselyn; Huda, Mega Hasanul; Kuo, Shu‐Yu

doi:10.1186/s13006-020-00310-y

Cited by 55 publications

(44 citation statements)

References 41 publications

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“…Perceived insufficient milk supply is one of the most common reasons for breastfeeding cessation, which was similar to the results in a previous study. Women with a higher level of perceived milk supply were more likely to exclusively breastfeed (Sandhi et al, 2020). The current findings strengthen the understanding of the importance of maternal psychological factors related to breastfeeding (attitude, self‐efficacy, PIMS and postpartum depression).…”

Section: Discussionmentioning

confidence: 99%

Development of a breastfeeding duration risk nomogram for use in postpartum Chinese women

Huang

et al. 2021

Research in Nursing & Health

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Previous studies have investigated influencing factors of early discontinuation of breastfeeding, but few studies have developed an easy‐to‐use tool to identify risk of breastfeeding cessation at 6 months after birth. This research team aimed to develop and validate an exclusive breastfeeding duration risk nomogram in Chinese mothers. A longitudinal cohort survey was conducted. Data were collected from 394 postpartum women in three hospitals in Hubei Province, China from December 2017 to December 2018. The LASSO regression model was used to screen for optimized factors in an exclusive breastfeeding duration model. Multivariable logistic regression was applied to construct a prediction model. Discrimination and calibration were assessed using a C‐index and calibration curve, and internal validity was established using bootstrapping validation. Factors integrated in the prediction risk nomogram were monthly household income (odds ratio [OR] = 1.31, 95% confidence interval [CI]: [0.95, 1.80]), experiences of breastfeeding (OR = 1.23, 95% CI: [0.92, 1.63]), attitude (OR = 1.72, 95% CI: [0.94, 3.16]), self‐efficacy (OR = 2.45, 95% CI: [1.40, 4.29]), perceived insufficient milk supply (OR = 0.12, 95% CI: [0.06, 0.25]) and postpartum depression (OR = 0.06, 95% CI: [0.02, 0.17]). The model displayed good discrimination with a C‐index of 0.87 (95% CI: [0.84, 0.91]) and good calibration. The C‐index interval validation was confirmed to be 0.86. This study resulted in the development of a novel nomogram with good accuracy to aid healthcare professionals in assessing the probability of a mother discontinuing exclusive breastfeeding at the breast before 6 months.

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Section: Discussionmentioning

confidence: 99%

Development of a breastfeeding duration risk nomogram for use in postpartum Chinese women

Huang

et al. 2021

Research in Nursing & Health

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“…This finding is consistent with previous studies in Turkey and Mexico, which reported that the perception of insufficient milk was prevalent in postpartum mothers who did not practice exclusive breastfeeding. 17 The reasons that were often argued by mothers with the perception of breast milk insufficiency include fussy babies, crying after breastfeeding, and bad weight gain. Thus, mothers believed and considered that these conditions are signs that their breast milk cannot meet the needs of their babies.…”

Section: ) Perception Of Insufficient Breast Milkmentioning

confidence: 99%

“…28 in Indonesian culture, mothers tend to believe that small breasts produce smaller amounts of breast milk and older mothers' breast milk is of lower quality. 17 A Study in Kanigoro, Blitar, in 2013, showed that treatment such as counseling could provide changes in individual attitudes. Maternal knowledge of exclusive breastfeeding affected the mother's attitude.…”

Section: ) Perception Of Insufficient Breast Milk Frommentioning

confidence: 99%

The Relationship Between Maternal Psychology, Family, and Culture With Perception of Breast Milk Insufficiency in Breastfeeding Mothers of Sumur Batu Public Health Center, Lampung Indonesia

Muhani

Wulandari

Arayastuti

et al. 2020

MJPHM

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This study aims to get an overview of the perception of breast milk insufficiency seen from maternal psychological factors, family factors, and culture factors. Qualitative research used a phenomenological approach using source and method of triangulation techniques. Data were collected by using in-depth interviews with seven main informants of mother and husband or family (perception of breast milk insufficiency) and four key informants, i.e. program holders of Sumur Batu Public Health Center and cadres. Focus Group Discussions (FGD) was conducted with five mothers to collect information about the perception of breast milk insufficiency. The reason for mothers not exclusively breastfeeding was that mothers had felt that their breast milk was low and it had not met the needs of their baby. Psychological factors that affected the mother’s perception of breast milk insufficiency were lack of confidence about the adequacy and content of breast milk. The family had contributions in making decisions about giving nutrition to babies. The habit of giving formula milk had become a culture in the community. Creating innovative programs in educating the public by involving families, doing collaboration across sectors by the establishment of breastfeeding support groups, and the implementation of assertive rules for health workers/agencies that do not promote exclusive breastfeeding.

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“…HMI is not clearly defined in the literature, but it can be measured by volumetric milk outputs, infant weight gain, glucose levels, stool and urine output, muscle tone, and alertness [ 2 ]. Perceived insufficient milk (PIM) supply is well-defined in the literature as the state in which a mother perceives that she has an inadequate supply of milk to meet an infant’s needs [ 5 ]. Insufficient milk supply is a prevalent concern in 60–90% of women in low- and middle-income countries (LMICs) [ 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Healthcare worker perspectives on mother’s insufficient milk supply in Malawi

et al. 2022

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Background Human milk insufficiency is a significant barrier to implementing breastfeeding, and it is identified as a prevalent concern in 60–90% of mothers in low-and-middle-income countries. Breastmilk insufficiency can lead to hypoglycemia, hypernatremia, nutritional deficiencies, and failure to thrive in newborns and infants. Studies investigating the impact of breastfeeding interventions to improve milk production highlight inconsistencies between healthcare workers and mothers perceived support, as well as gaps in practical knowledge and training. The aim of this study was to determine perceptions surrounding human milk insufficiency from Malawian healthcare workers. Methods This study is a secondary analysis of 39 interviews with healthcare workers from one tertiary and three district hospitals in Malawi employing content analysis. Interviewed healthcare workers included nurses, clinical officers, midwives, and medical doctors. An inclusive coding framework was developed to identify themes related to human milk insufficiency, which were analyzed using an iterative process with NVivo12 software. Researchers focused on themes emerging from perceptions and reasons given by healthcare workers for human milk insufficiency. Results Inability to produce adequate breastmilk was identified as a prevalent obstacle mothers face in the early postpartum period in both district and tertiary facilities in Malawi. The main reasons given by participants for human milk insufficiency were mothers’ perceived normalcy of milk insufficiency, maternal stress, maternal malnutrition, and traditional beliefs around food and eating. Three focused solutions were offered by participants to improve mother’s milk production – improving education for mothers and training for healthcare providers on interventions to improve mother’s milk production, increasing breastfeeding frequency, and ensuring adequate maternal nutrition pre- and post-partum. Conclusion Health care workers perspectives shed light on the complexity of causes and solutions for human milk insufficiency in Malawi. This research highlights that a respectful professional relationship between health care workers and mothers is an essential bridge to improving communication, detecting human milk insufficiency early, and implementing appropriate interventions. The results of this study may help to inform research, clinical practice, and education in Malawi to improve human milk production.

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The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: a cross-sectional study

Cited by 55 publications

References 41 publications

Development of a breastfeeding duration risk nomogram for use in postpartum Chinese women

Development of a breastfeeding duration risk nomogram for use in postpartum Chinese women

The Relationship Between Maternal Psychology, Family, and Culture With Perception of Breast Milk Insufficiency in Breastfeeding Mothers of Sumur Batu Public Health Center, Lampung Indonesia

Healthcare worker perspectives on mother’s insufficient milk supply in Malawi

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