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Background: Breast milk is a valuable nutrition for newborns. Angthong Hospital has been promoting breastfeeding among new mothers. In Thailand, the duration of breastfeeding declined. At present, the government has carried out major initiatives to promote good breastfeeding practices and policies under Maternal and Child Health in the Eight National Economic and Social Development Plan, which ended in 2001. The goal of the promotion. protection and support of breastfeeding is to empower and enable women to increase the proportion of breastfeed exclusively for about the first 4 months to 30%, but only 16.3% of them practiced exclusively breastfeeding and 28.4% were found to use combined feeding e.g. breast and bottle feeding. Angthong Public health office have a policy which follow the assignment of Health Department to promote breastfeeding and maintain of standard for breastfeeding. Angthong Hospital complice with the policy and has been promoting breastfeeding among.
Objective: This descriptive study aimed to evaluate the success in breastfeeding in Angthong Hospital. Methods: The study included 430 postpartum women who delivered their babies in Angthong Hospital during May to August 2008. Data was collected by interviewing women with structured questionnaires and observing their breastfeeding activities at 2 hrs. and 2 days postpartum, respectively. The descriptive statistics included number, rate, mean and standard deviation, The chi-square test was used to test hypotheses at the significant level of a = 0.05 by using SPSS/version 11.5.
Results: The results showed that only 37.7% of woman succeeded in breastfeeding with a LATCH score >7 at 2 hours postpartum. The success rate was 94.0% at 2 days postpartum. Latching between mouth and nipple was correct in 49.3% of women at 2 hours postpartum and increased to 98.1% at 2 days postpartum, the sound of suckling was distinct in 10.2% of women at 2 hours postpartum which increased to 86% of women at 2 days postpartum, the holding position of babies during breastfeeding was correct in 15.6% of women 2 hours postpartum which increased to 48.4% at 2 days postpartum. The only factor which was significantly associated with the success in breastfeeding was the type of delivery.
Conclusion: The success in breastfeeding increases with time during the postpartum period. Vaginal delivery resulted in more successful breastfeeding than caesarean section. Therefore, unnecessary caesarean section should be avoided. Dissemination of knowledge with proper practice of breastfeeding should be promoted for more success in breastfeeding.
Riodan J. The biologic specificity of breast milk. In: Riordan J, Auerbach KG, eds. Breastfeeding and Human Lactation. Boston: Jones & Bartlett Publrs; 1993.
American Academy of Pediatrics. Nutrition Committee of the Canadian Paediatric Society and the Committee on Nutrition of the American Academy of Pediatrics. Breast-feeding. A commentary in celebration of the International Year of the Child, 1979. Pediatrics. 1978;62(4):591-601.
American Academy of Pediatrics: Committee on Nutrition. On the feeding of supplemental foods to infants. Pediatrics. 1980;65(6):1178-1181.
Angkatavanich J. Breast milk composition. In: Milk and Infant Foods. Bangkok: Department of Information Technology, Faculty of Pharmacy, Mahidol University; 1995:65-94.
Sangsupawanich P. Breastfeeding and Allergies. In: Chitinand S, Chatranon W, Sawasdivorn S, eds. Breastfeeding: Knowledge to Practice. Bangkok: Bangkok Wetchasan Printing House; 2003:38-41.
Wacharasindhu S. Breastfeeding as Obesity Prevention. In: Chitinand S, Chatranon W, Sawasdivorn S, eds. Breastfeeding: Knowledge to Practice. Bangkok: Bangkok Wetchasan Printing House; 2003:47-9.
World Health Organization. Protecting, Promoting and Supporting Breastfeeding: the Special Role of Maternity Services: a Joint WHO/UNICEF Statement. Switzerland, Geneva: WHO; 1989.
Suthutvoravut S. Health Benefits for the Breastfeeding Mother. In: Chitinand S, Chatranon W, Sawasdivorn S, eds. Breastfeeding: Knowledge to Practice. Bangkok: Bangkok Wetchasan Printing House; 2003:50-5.
Kenedy KI. Fertility, Sexuality and Human Lactation. In: Riordan J, Auerbach KG, eds. Breastfeeding and Human Lactation. Boston: Jones & Bartlett; 1993:429-55.
Labbok MH, Hight-Laukaran V, Peterson AE, Fletcher V, von Hertzen H, Van Look PF. Multicenter study of the Lactational Amenorrhea Method (LAM): I. Efficacy, duration, and implications for clinical application. Contraception. 1997;55(6):327-336. doi:10.1016/s0010-7824(97)00040-1.
Baumslag N. Breastfeeding: the Passport to Life. New York: NGO Committee of UNICEF; 1989.
Boonprakob W. Breastfeeding and Bonding. In: Chitinand S, Chatranon W, Sawasdivorn S, eds. Breastfeeding: Knowledge to Practice. Bangkok: Bangkok Wetchasan Printing House; 2003:22-9.
Lauwer J, Shinskie D. Counseling the Nursing Mother. London: Jones and Bartlett; 1999.
Saadeh R; World Health Organization, Regional Office for Europe, Nutrition Unit. WHO Global Data Bank on Breastfeeding. Geneva: Nutrition Unit, World Health Organization; 1996.
World Health Organization; UNICEF. Global Strategy for Infant and Young Child Feeding. Geneva: World Health Organization; 2003.
Kanchana S. Breastfeeding Promotion in Thailand. In: Chitinand S, Chatranon W, Sawasdivorn S, eds. Breastfeeding: Knowledge to Practice. Bangkok: Bangkok Wetchasan Printing House; 2003:331-7. Available from: http://d1.scribdassets.com/docs/i7id0tvwjvwqnzqbwly.pdf?t=1234854016.
Riordan J. Breastfeeding and Human Lactation. 3rd ed. Sudbury, Mass: Jones and Bartlett; 2005:618.
Riordan JM, Koehn M. Reliability and validity testing of three breastfeeding assessment tools. J Obstet Gynecol Neonatal Nurs. 1997;26(2):181-187. doi:10.1111/j.1552-6909.1997.tb02131.x.
Schlomer JA, Kemmerer J, Twiss JJ. Evaluating the association of two breastfeeding assessment tools with breastfeeding problems and breastfeeding satisfaction. J Hum Lact. 1999;15(1):35-39. doi:10.1177/089033449901500110.
Riordan J, Gross A, Angeron J, Krumwiede B, Melin J. The effect of labor pain relief medication on neonatal suckling and breastfeeding duration. J Hum Lact. 2000;16(1):7-12. doi:10.1177/089033440001600103.
Patlakfah W. Breastfeeding Practice of Mothers Participating in Baby Friendly Hospital Project at Thungphotaley Hospital Kamphaengphet Province [master's thesis]. Bangkok: Mahidol University; 1997. Available from: https://archive.lib.cmu.ac.th/full/T/2540/mph0940wp_abs.pdf.
Rajbhandari R. Impact of Maternity Leave on Duration of Breastfeeding [master's thesis]. Bangkok: Mahidol University; 1994.
Apichatvorapong C. The Relationship between Stress and Its Related Factors Influencing Exclusive Breastfeeding among Working Mother [master's thesis]. Bangkok: Mahidol University; 2004.
Silpcharu T. Research and Statistical Data Analysis Using SPSS. 9th ed. Bangkok: Business R & D; 2008.
Kuan LW, Britto M, Decolongon J, Schoettker PJ, Atherton HD, Kotagal UR. Health system factors contributing to breastfeeding success. Cincinnati, USA: Children's Hospital Medical Center; 2003.
Kaunang YM. Factors influencing breastfeeding practice of mothers in North Sulawesi Province, Indonesia [master's thesis]. Bangkok: Mahidol University; 1994.
Katebamrongporn W. Factors associated with Acknowledge to Level of Ready in Breastfeeding at Rajavithi Hospital [master's thesis]. Bangkok: Mahidol University; 2003.
Kearney MH, Cronenwett LR, Reinhardt R. Cesarean delivery and breastfeeding outcomes. Birth. 1990;17(2):97-103. doi:10.1111/j.1523-536x.1990.tb00708.x.
Kurinij N, Shiono PH. Early formula supplementation of breast-feeding. Pediatrics. 1991;88(4):745-750.
Vestermark V, Høgdall CK, Birch M, Plenov G, Toftager-Larsen K. Influence of the mode of delivery on initiation of breast-feeding. Eur J Obstet Gynecol Reprod Biol. 1991;38(1):33-38. doi:10.1016/0028-2243(91)90204-x.