Factors Related to Perceived Insufficient Milk Supply Among First-time Mothers
Keywords:
Perceived insufficient milk supply, Infant breastfeeding behavior, Knowledge of breastfeeding, First-time mothersAbstract
Breastfeeding benefits all infants, mothers, society, and nation. Insufficient milk supply is a major cause for cessation of breastfeeding. The perception of insufficient milk affects the success of breastfeeding by lowering mothers’ confidence and causing unsatisfactory in breastfeeding in which lead to discontinue breastfeeding before the intended period. This descriptive correlational research aimed to determine the factors related to perceived insufficient milk supply among first-time mothers which consisted of infant breastfeeding behavior and knowledge of breastfeeding. The samples included 85 first-time postpartum mothers who were admitted at the obstetric wards during January to May 2017; 39 mothers from Maharaj Nakorn Chiang Mai Hospital and 46 mothers from Chiang Mai Health Promotion Center Region 1. The participants were selected on the basis of inclusion criteria. The instruments used were: an Infant Breastfeeding Assessment tool (IBFAT) developed by Matthews (1988) and revised by Chitkow (1999), a Breastfeeding Knowledge Questionnaire developed by Anuntakulnthee (2015), and the H & H Lactation Scale developed by Hill & Humenick (1996) translated into Thai by Srimoragot, Kantaruksa, and Chaloumsuk. Descriptive statistics and Spearman’s correlation coefficient were used to analyze the data.
Results of the study indicated that:
- First-time mothers perceived efficiency of infant breastfeeding behavior at a high level(42.40%), a moderate level (40.00%), and not effective (17.60%). First-time mothers had knowledge of breastfeeding at a high level (89.40%) and a moderate level (10.60%). First-time mothers had a perception of sufficient milk supply at 98.80% and insufficient milk supply at 1.20%.
- Infant breastfeeding behaviorwas moderately negatively associated with perception of insufficient milk supply in first-time mothers (r = -.34, p < .01).
- Knowledge of breastfeedingwas moderately negatively associated with perception of insufficient milk supply in first-time mothers (r = -.36, p < .01).
The findings of this study can be used as fundamental data for the planning of efficacious nursing care to promote breastfeeding.
References
Antenatal Clinic. (2006). Quality assurance project-promotion of breastfeeding, antenatal clinic, outpatient services and emergency patients. Maharaj Nakorn Chiang Mai Hospital, Faculty of Medicine, Chiang Mai University. (in Thai)
Anuntakulnthee, N. (2015). Factors predicting maternal perception of milk insufficiency in adolescent mothers (Master’s thesis). Mahidol University, Thailand. (in Thai)
Chapman, D. J., & Pérez-Escamilla, R. (2000). Maternal perception of the onset of lactation is a valid, public health indicator of lactogenesis stage II. The Journal of Nutrition, 130(12), 2972-2980. Retrieved from http://jn.nutrition.org
Chitkow, L. (1999). Effects of the administration of narcotic analgesic drugs to the mother during the first stage labor on the behavior and length of time of the first successful breast feeding among neonates during the early neonatal period (Master’s thesis). Mahidol University, Thailand. (in Thai)
Department of Health-Ministry of Public Health. (2016). Strategic plan for the development of health and environmental health promotion according to the national health development plan during the 12th national economic and social development plan. (in Thai) Retrieved from http://www.anamai.moph.go.th
Hill, P. D., & Humenick, S. S. (1989). Insufficient milk supply. The Journal of Nursing Scholarship, 21(3), 145-148. doi: 10.1111/j.1547-5069.1989.tb00120.x
Hill, P. D., & Humenick, S. S. (1996). Development of the H & H lactation scale. Nursing Research, 45(3), 136-140. Retrieved from http://ovidsp.tx.ovid.com.
Horta, B. L., & Victora, C. G. (2013). Long-term effects of breastfeeding: A systematic review. Retrieved from http://www.who.int
Huang, Y. Y., Lee, J. T., Huang, C. M., & Gau, M. L. (2009). Factors related to maternal perception of milk supply while in the hospital. Journal of Nursing Research, 17(3), 179-188. doi: 10.1097/JNR.0b013e3181b25558
Jansangsri, V., Kantaruksa, K., & Baosoung, C. (2014). Effectiveness of implementing clinical practice guidelines for promoting the early initiation of breastfeeding, Maharaj Nakorn Chiang Mai Hospital. Nursing Journal, 20(1), 1-12. (in Thai)
Kantaruksa, K., Baosoung, C., Sansiriphun, N., Waramukpaisith, S., Khumhaeng, A., & Jansangsri, V. (2011). Development of clinical practice guidelines for promoting the early initiation of breastfeeding, Maharaj Nakorn Chiang Mai Hospital. Nursing Journal, 39(4), 62-73. (in Thai)
Leeming, D., Williamson, I., Johnson, S., & Lyttle, S. (2015). Making use of expertise: A qualitative analysis of the experience of breastfeeding support for first time mothers. Maternal & Child Nutrition, 11(4), 687-702. doi: 10.1111/mcn.12033
Lin, S. S., Chien, L. Y., Tai, C. J., & Lee, C. F. (2008). Effectiveness of a prenatal education programme on breastfeeding outcomes in Taiwan. Journal of Clinical Nursing, 17(3), 296-303. doi: 10.1111/j.1365-2702.2006.01927.x
Lin, S. Y., Lee, J. T., Yang, C. C., & Gau, M. L. (2011). Factors related to milk supply perception in women who underwent cesarean section. Journal of Nursing Research, 19(2), 94-101. doi: 10.1097/JNR.0b013e31821988e9
Lowdermilk, D. L., Perry, S. E., Cashion, K., & Alden, K. R. (2016). Maternity & women's health care (11th ed.). St. Louis, Mo: Elsevier.
Matthews, M. K. (1988). Developing an instrument to assess infant breastfeeding behaviour in the early neonatal period. Midwifery, 4(4), 154-165. doi: http://dx.doi.org/10.1016/S0266-6138(88)80071-8
Moore, E. R., Bergman, N., Anderson, G. C., & Medley, N. (2016). Early skin to skin contact for mothers and their healthy newborn infants. The Cochrane Library. doi:10.1002/14651858.CD003519.pub4
Obstetric Department. (2006). Mother and child bond project Maharaj Nakorn Chiang Mai Hospital. Obstetric Department, Obstetrics and Gynecology Nursing, Maharaj Nakorn Chiang Mai Hospital, Faculty of Medicine, Chiang Mai University. (In Thai)
Otsuka, K., Dennis, C. L., Tatsuoka, H., & Jimba, M. (2008). The relationship between breastfeeding self efficacy and perceived insufficient milk among Japanese mothers. Journal of Obstetric, Gynecologic & Neonatal Nursing, 37(5), 546-555. doi: 10.1111/j.1552-6909.2008.00277.x
Polit, D. F. (2010). Statistics and data analysis for nursing research (2nd ed.). Boston: Pearson.
Regional Health Promotion Center 1. (2016). Legal development training for breastfeeding preparation Regional Health Promotion Center 1, Public health department in Chiang Mai, Thailand. (in Thai)
Semenic, S., Loiselle, C., & Gottlieb, L. (2008). Predictors of the duration of exclusive breastfeeding among first time mothers. Research in Nursing & Health, 31(5), 428-441. doi: 10.1002/nur.20275
The National Economic and Social Development Plan (2012). The National Economic and Social Development Plan No.11. (in Thai) Retrieved from http://www.nesdb.go.th
World Health Organization [WHO]. (2011). Exclusive breastfeeding. Retrieved from http://www.who.int
Downloads
Published
How to Cite
Issue
Section
License
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
