Factors Related to Perceived Insufficient Milk Supply Among First-time Mothers


  • Manassawee Srimoragot raduate Student of Nursing Science program in Midwifery, Faculty of Nursing, Chiang Mai University
  • Kannika Kantaruksa Faculty of Nursing, Chiang Mai University
  • Nonglak Chaloumsuk Faculty of Nursing, Chiang Mai University


Perceived insufficient milk supply, Infant breastfeeding behavior, Knowledge of breastfeeding, First-time mothers


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: 

  1. 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%. 
  2. Infant breastfeeding behaviorwas moderately negatively associated with perception of insufficient milk supply in first-time mothers (r = -.34, p < .01). 
  3. 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. 


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Research Article