scholarly journals Comparing breastfeeding experiences between mothers spending the traditional Chinese confinement period in a confinement centre and those staying at home: a cohort study

2020 ◽  
Author(s):  
Siew Cheng Foong ◽  
May Loong Tan ◽  
Wai Cheng Foong ◽  
Jacqueline J Ho ◽  
Fairuz Fadzilah Rahim

Abstract Background Ethnic Chinese mothers in Malaysia adhere to 30 days of traditional post-partum practices (the “confinement period”) aimed at recuperation after delivery. Recently there has been an emergence of confinement centres (CCs) where mothers stay and receive traditional confinement care. Ethnic Chinese mothers have low breastfeeding rates. There are concerns that practices in CCs could contribute to this but no data exists. We described mother’s breastfeeding experience at CCs and identify areas for potential improvement in breastfeeding support.Methods Ethnic Chinese mothers intending to breastfeed their healthy infants were recruited post-delivery between August and October 2017 then, at 1 and 6 months, were telephone interviewed about their experience. For every participant going to a CC, another mother going home was recruited. Chi-square test was used to compare groups and multiple logistic regression was used to assess the effect of confinement place on exclusive breastfeeding. Results Of 187 mothers, 88(47%) went to CCs. Significantly more were primipara and fewer had previous breastfeeding experience. Response rates for the 1- and 6- month interviews were 88%(CC) versus 97%(home); and 77%(CC) versus 87%(home).Exclusive breastfeeding rates were similar between the groups: 62%(CC) versus 56%(home) at 1 month (p=0.4); and 37%(CC) versus 42%(home) at 6 months (p=0.5). Multiple logistic regression did not show that CCs were a factor affecting exclusive breastfeeding rates at 1 month, (adjusted odds ratio(aOR) 1.7, 95% confidence interval(CI) 0.9, 3.3), or 6 months (aOR 0.9, 95% CI 0.4, 1.7). However, significantly more CC participants only fed expressed breast milk. Despite 66% of CC participants reporting that their centre supported breastfeeding, only 6(8%) CC participants compared to 66(69%) of home participants slept with their baby (p<0.001). The proportion encountering breastfeeding difficulties were similar between groups. CC participants sought help for breastfeeding problems mainly from CC staff and support groups while home participants obtained help from friends and healthcare professionals. Conclusion Breastfeeding rates appeared to be similar at CCs and home but there were gaps in how CCs supported breastfeeding. Targeted training to CC staff to support breastfeeding may result in better outcomes for mothers staying in CCs. Trial registration National Medical Research Register NMRR-17-1174-36384S1

2020 ◽  
Author(s):  
Siew Cheng Foong ◽  
May Loong Tan ◽  
Wai Cheng Foong ◽  
Jacqueline J Ho ◽  
Fairuz Fadzilah Rahim

Abstract Background Ethnic Chinese mothers in Malaysia adhere to 30 days of traditional post-partum practices (the “confinement period”) aimed at recuperation after delivery. Recently there has been an emergence of confinement centres(CCs) where mothers stay and receive traditional confinement care. Ethnic Chinese mothers have low breastfeeding rates. There are concerns that practices in CCs could contribute to this but no data exists. We described mother’s breastfeeding experience at CCs and identify areas for potential improvement in breastfeeding support.Methods Ethnic Chinese mothers intending to breastfeed their healthy infants were recruited post-delivery, then telephone interviewed about their experience 1 and 6 months later. For every participant going to a CC, another mother going home was recruited. Chi-square test was used to compare groups and multiple logistic regression was used to assess the effect of confinement place on exclusive breastfeeding. Results Of 187 mothers, 88(47%) went to CCs. Significantly more were primigravida and fewer had previous breastfeeding experience. Response rates for the 1- and 6- month interviews were 88%(CC) versus 97%(home); and 77%(CC) versus 87%(home).Exclusive breastfeeding rates were similar between the groups: 62%(CC) versus 56%(home) at 1 month (p=0.4); and 37%(CC) versus 42%(home) at 6 months (p=0.5). Multiple logistic regression did not show that CCs were a factor affecting exclusive breastfeeding rates at 1 month, (adjusted odds ratio(aOR) 1.7, 95% confidence interval(CI) 0.9, 3.3), or 6 months (aOR 0.9, 95% CI 0.4, 1.7). However, significantly more CC participants only fed expressed breast milk. Despite 66% of CC participants reporting that their centre supported breastfeeding, only 6(8%) CC participants compared to 66(69%) of home participants slept with their baby (p<0.001). The proportion encountering breastfeeding difficulties were similar between groups. CC participants sought help for breastfeeding problems mainly from CC staff and support groups while home participants obtained help from friends and healthcare professionals. Conclusion Breastfeeding rates appeared to be similar at CCs and home but there were gaps in how CCs supported breastfeeding. Targeted training to CC staff to support breastfeeding may result in better outcomes for mothers staying in CCs. Trial registration National Medical Research Register NMRR-17-1174-36384S1


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Siew Cheng Foong ◽  
May Loong Tan ◽  
Wai Cheng Foong ◽  
Jacqueline J. Ho ◽  
Fairuz Fadzilah Rahim

Abstract Background Ethnic Chinese mothers in Malaysia adhere to 30 days of traditional postpartum practices (the “confinement period”) aimed at recuperation after delivery. Recently there has been an emergence of confinement centres (CCs) where mothers stay and receive traditional confinement care. Ethnic Chinese mothers have low breastfeeding rates. There are concerns that practices in CCs could contribute to this but no data exists. We described mothers’ breastfeeding experiences at CCs and identified areas for potential improvement in breastfeeding support. Methods Ethnic Chinese mothers intending to breastfeed their healthy infants were recruited post-delivery between August and October 2017 then, at 1 and 6 months, they were telephone interviewed about their experience. For every participant going to a CC after the birth, another mother going home (“home”) for her confinement was recruited. Chi-square test was used to compare groups and multiple logistic regression was used to assess the effect of confinement place on exclusive breastfeeding. Results Of 187 mothers, 88 (47%) went to CCs. Significantly more were primipara and fewer had previous breastfeeding experience. Response rates for the 1- and 6- month interviews were 88% (CC) versus 97% (home); and 77% (CC) versus 87% (home) respectively. Exclusive breastfeeding rates were similar between the groups: 62% (CC) versus 56% (home) at 1 month (p = 0.4); and 37% (CC) versus 42% (home) at 6 months (p = 0.5). Multiple logistic regression did not show that CCs were a factor affecting exclusive breastfeeding rates at 1 month, (adjusted odds ratio [aOR] 1.7, 95% confidence interval [CI] 0.9, 3.3), or 6 months (aOR 0.9, 95% CI 0.4, 1.7). However, significantly more CC participants only fed expressed breast milk. Despite 66% of CC participants reporting that their centre supported breastfeeding, only 6 (8%) CC participants compared to 66 (69%) of home participants roomed-in with their baby (p < 0.001). The proportion encountering breastfeeding difficulties were similar between groups. CC participants sought help for breastfeeding problems mainly from CC staff and support groups while home participants obtained help from friends and healthcare professionals. Conclusions Breastfeeding rates appeared to be similar at CCs and at home during the confinement period, but there were gaps in how CCs supported breastfeeding. Targeted training to CC staff to support breastfeeding may result in better outcomes for mothers staying in CCs.


2020 ◽  
Author(s):  
Siew Cheng Foong ◽  
May Loong Tan ◽  
Wai Cheng Foong ◽  
Jacqueline J Ho ◽  
Fairuz Fadzilah Rahim

Abstract BackgroundEthnic Chinese mothers in Malaysia adhere to 30 days of traditional postpartum practices (the “confinement period”) aimed at recuperation after delivery. Recently there has been an emergence of confinement centres (CCs) where mothers stay and receive traditional confinement care. Ethnic Chinese mothers have low breastfeeding rates. There are concerns that practices in CCs could contribute to this but no data exists. We described mother’s breastfeeding experience at CCs and identify areas for potential improvement in breastfeeding support.MethodsEthnic Chinese mothers intending to breastfeed their healthy infants were recruited post-delivery between August and October 2017 then, at 1 and 6 months, were telephone interviewed about their experience. For every participant going to a CC, another mother going home was recruited.Chi-square test was used to compare groups and multiple logistic regression was used to assess the effect of confinement place on exclusive breastfeeding. We defined exclusive breastfeeding according to the World Health Organisation’s definition which means no other food or drink, not even water, except breast milk (including milk expressed or from a donor).Results Of 187 mothers, 88(47%) went to CCs. Significantly more were primipara and fewer had previous breastfeeding experience. Response rates for the 1- and 6- month interviews were 88%(CC) versus 97%(home); and 77%(CC) versus 87%(home).Exclusive breastfeeding rates were similar between the groups: 62%(CC) versus 56%(home) at 1 month (p=0.4); and 37%(CC) versus 42%(home) at 6 months (p=0.5). Multiple logistic regression did not show that CCs were a factor affecting exclusive breastfeeding rates at 1 month, (adjusted odds ratio(aOR) 1.7, 95% confidence interval(CI) 0.9, 3.3), or 6 months (aOR 0.9, 95% CI 0.4, 1.7). However, significantly more CC participants only fed expressed breast milk. Despite 66% of CC participants reporting that their centre supported breastfeeding, only 6(8%) CC participants compared to 66(69%) of home participants slept with their baby (p<0.001). The proportion encountering breastfeeding difficulties were similar between groups. CC participants sought help for breastfeeding problems mainly from CC staff and support groups while home participants obtained help from friends and healthcare professionals.ConclusionBreastfeeding rates appeared to be similar at CCs and home but there were gaps in how CCs supported breastfeeding. Targeted training to CC staff to support breastfeeding may result in better outcomes for mothers staying in CCs.


2020 ◽  
Author(s):  
Siew Cheng Foong ◽  
May Loong Tan ◽  
Wai Cheng Foong ◽  
Jacqueline J Ho ◽  
Fairuz Fadzilah Rahim

Abstract BackgroundEthnic Chinese mothers in Malaysia adhere to 30 days of traditional post-partum practices (the “confinement period”) aimed at recuperation after delivery. Recently there has been an emergence of confinement centres (CCs), where mothers stay and receive traditional confinement care. Ethnic Chinese mothers have low breastfeeding rates. There are concerns that practices in CCs could contribute to this but no data exists. We describe mother’s breastfeeding experience at CCs and identify areas for potential improvement in breastfeeding support.MethodsEthnic Chinese mothers intending to breastfeed their healthy infants were recruited post-delivery, then telephone interviewed about their experience 1 and 6 months later. For every participant going to CCs, another mother going home was recruited. Chi-square test was used to compare groups and multiple logistic regression was used to assess the effect of confinement place on exclusive breastfeeding. Results Of 187 mothers, 88(47%) went to CCs. Significantly more were primigravida and fewer had previous breastfeeding experience. Response rates for one- and 6- month interviews were 87.5% (CC) vs 97% (home); and 77.3% (CC) versus 86.7% (home).Exclusive breastfeeding rates at 1 and 6 months were similar between the groups. Multiple logistic regressiondid not show that CCs were a factor affecting exclusive breastfeeding rates at 1 month (adjusted odds ratio (aOR) 1.66, 95% confidence interval(CI) 0.85 to 3.28) or 6 months (aOR 0.86, 95% CI 0.44 to 1.70). However, significantly more CC participants only fed expressed breastmilk. Despite 66% of CC participants reporting that their centre supported breastfeeding, only 6(8%) CC participants compared to 66(69%) of home participants slept with their baby. The proportion encountering breastfeeding difficulties were similar between groups. CC participants sought help for breastfeeding problems mainly from CC staff and support groups while home participants obtained help from friends and healthcare professionals. ConclusionsContrary to current perceptions, breastfeeding experience and breastfeeding rates were similar at CCs and home but there were gaps in how CCs supported breastfeeding. Targeted training to CC staff to support breastfeeding may result in better outcomes for mothers staying in CCs. Trial registrationNational Medical Research Register NMRR-17-1174-36384S1


2020 ◽  
Vol 4 (2) ◽  
pp. 242-252
Author(s):  
Besti Verawati ◽  
Nopri Yanto ◽  
Indrawati Indrawati ◽  
Yufi Permata Dewi

Sidomulyo Health Center working area of 33.7%. One of the factors that influence the low level of exclusive breastfeeding is the lack of encouragement and support from family and the environment. Support from the environment can be realized by forming a breastfeeding support group (KP-ASI). The purpose of this study was to analyze the factors that cause the unsuccessfulness of exclusive breastfeeding through breastfeeding support groups (KP-ASI) at Sidomulyo Health Center Pekanbaru. Methode: This type of research is quantitative with cross sectional method. This research was conducted on 02 June - 17 June 2020 at Puskesmas Sidomulyo Pekanbaru with a sample size of 25 KP-ASI members and 25 infant mothers. The technique of collecting interview data using a questionnaire. The analysis used was univariate and bivariate with the Chi Square test. Result: The results of univariate analysis showed that most 13 people (52%) had good motivation, most of the availability of infrastructure, 14 people (56%) were in the inadequate category and supervision, namely 13 people (52%) were in the poor category The results showed a p value of 0.028 for the motivation variable, 0.070 for the variable availability of infrastructure and 0.025 for the monitoring variable. Conclusion: The conclusion is there is a relationship between motivation and supervision with the practice of exclusive breastfeeding. Meanwhile, seen from the p value> 0.05 for the variable availability of infrastructure, there is no relationship between the availability of infrastructure and the practice of exclusive breastfeeding


2021 ◽  
Vol 6 (1) ◽  
pp. 1
Author(s):  
Dwi Nur Octaviani ◽  
Sugianto Sugianto ◽  
Masmuni Wahda Aisya ◽  
Nurhayati Mahmud

Exclusive breastfeeding is giving only breast milk without giving other food and drinks to babies from birth to 6 months of age, except for drugs and vitamins. The purpose of this study was to determine the effect of breastfeeding support groups (KP-ASI) on the success of exclusive breastfeeding. The research method used is quantitative descriptive analytic which is cross sectional. The independent variable is the breastfeeding support group (KP-ASI), while the dependent variable is the success of exclusive breastfeeding. Case samples are mothers who have babies aged 6-24 months. The results of the study were based on the Chi-square statistical test, the results obtained were p = 0.001 (p <0.05), meaning that there was a significant relationship between breastfeeding support groups (KP-ASI) on the success of exclusive breastfeeding. Conclusion Breastfeeding Support Groups (KP-ASI) have a very big influence on the success of exclusive breastfeeding; most of who are assisted makes it to the exclusive breastfeeding stage.


2021 ◽  
Vol 9 (B) ◽  
pp. 1717-1726
Author(s):  
Yusni Podungge ◽  
Endah Yulianingsih ◽  
Hasnawatty S. Porouw ◽  
Elsa Saraswati ◽  
Magdalena Martha Tompunuh ◽  
...  

BACKGROUND: The high rate of stunting cases is a serious nutritious problem that still persists in Indonesia. The problem is potentially impactful on the quality of the country’s human resources. AIM: This present study aimed to analyze the determinant factors of stunting cases in 24–59-month-old children in the working area of Puskesmas or Community Health Center in Kota Tengah, Gorontalo. METHOD: The case-control survey analytical research involved a case population of 34 people and a control population of 34 people. All the participants were 24–59 months old. All case populations were treated as the research subject, while the control population was calculated based on the formula. A simple random sampling technique was employed to acquire the sample in the control group. The study involved independent variables of birth length, birth weight, provision of exclusive breastfeeding, and the number of siblings. Meanwhile, the dependent variable was the stunting cases in 24–59-month-old children. The data were analyzed by Chi-square (χ2) and multiple logistic regression statistical tests. RESULTS: The bivariate analysis that used the Chi-square suggested that the birth length (0.001) < (0.05), birth weight (0.003) < (0.05), and provision of exclusive breastfeeding (0.000) < (0.05) were the factors of stunting cases. Meanwhile, parity (1.72) > (0.05) was not a factor of stunting. Moreover, the multivariate analysis involving multiple logistic regression tests indicated that the provision of exclusive breastfeeding (0.006) served as the determinant factor of stunting cases. CONCLUSIONS: The provision of exclusive breastfeeding is the most significant determinant factor of stunting cases.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Isabel Rodríguez-Gallego ◽  
Fatima Leon-Larios ◽  
Cecilia Ruiz-Ferrón ◽  
Maria-de-las-Mercedes Lomas-Campos

Abstract Background In 2003, the World Health Organization recommended exclusive breastfeeding (EB) during the newborn’s first 6 months of life and, if possible, during the first 2 years. However, EB rates resist these recommendations. In developed countries, only 1 out of 3 babies is breastfed during its first 6 months of life, and great differences between areas and countries can be observed. Only 35% of the newborns receive breastfeeding at 3–4 months of age. There are diverse strategies described in the literature that have proven their efficiency in improving breastfeeding rates. It has also been proven that professional support is an effective tool to extend any kind of breastfeeding; besides, it has been observed that mother-to-mother support also increases breastfeeding initiation, sustainment, and exclusive duration. The overall aim of the study is to assess the impact of the support groups on the sustainment of exclusive breastfeeding until 6 months after birth. Methods/design This study is a cluster-random multicentric clinical trial with a control group and an intervention group, without blinding because it is impossible to mask the intervention. A randomization by centres of primary health (clusters) will be carried out. The women allocated to the intervention or control group will be randomized with a simple randomization sampling. The participants’ breastfeeding rate will be followed up at the first 10 days, and at 2, 4, and 6 months of their newborn’s life. Discussion There is a need to assess the impact of mother support groups on exclusive breastfeeding. This study aims to analyse the outcomes related to the support received and to identify what should the structure of these groups be; in other words, to describe factors related to a better breastfeeding experience in order to help women increase breastfeeding rates. Trial registration The trial is prospectively recorded at the ISRCTN registry (Trial ID: ISRCTN17263529). Date recorded: 17/06/2020.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 964-964
Author(s):  
Nicole Cunningham ◽  
Kathleen Rasmussen

Abstract Objectives Tompkins County has a high rate of breastfeeding initiation (92.4% in 2017) but has less success in metrics of exclusive breastfeeding and breastfeeding continuation. We sought to determine barriers to exclusive breastfeeding for 6 mo as well as to identify interventions to improve support for mothers in Tompkins County, NY. Methods Focus groups and interviews were conducted with mothers (n = 15) who had breastfed within the last 3 y and professionals (n = 10) who work with lactating women. Participants were recruited through flyers sent in local mailing lists and placed in community spaces around the Ithaca area. All participants lived or worked in Tompkins County. Results Mothers reported early cessation of breastfeeding for a number of reasons including perceived insufficient milk production and a need to return to unsupportive workplaces. Despite a wide availability of breastfeeding support resources in the Ithaca area of Tompkins County, resources were uncoordinated and underutilized. Mothers were aware of some of the available resources, but had difficulties sorting through varied information sources and identifying programs that were a good fit for their individual needs. Furthermore, many mothers, such as those who complemented breastfeeding with formula, reported worrying that local mothers’ groups or lactation support groups would be judgmental. This fear of judgment or embarrassment led many women to avoid seeking support at these venues that may have been useful to them. Conclusions Improved coordination of messaging and centralization of resource information is essential to increasing breastfeeding success across Tompkins County. An overall shift in messaging to reframe breastfeeding as one of many forms of nurturing, rather than just a food source, may be effective at reducing shame and judgment while encouraging mothers to overcome their challenges. Funding Sources Alan D. Mathios Research and Service Grant, Cornell University.


2020 ◽  
Vol 11 (2) ◽  
pp. 74-83
Author(s):  
JoAnne Silbert-Flagg ◽  
Deborah Busch ◽  
Joycelyne Absolu Bataille

ObjectiveThe study aims were to identify maternal perceptions about the influence of a hospital-based breastfeeding peer support group in addressing breastfeeding concerns, assisting them to achieve their breastfeeding goals, and providing additional benefits.MethodsA descriptive, cross-sectional, online survey was conducted with a convenience sample of women who attended a hospital's breastfeeding support group. Participants reported their breastfeeding concerns and breastfeeding goals prior to and after their attendance at the breastfeeding support group. Changes in reported breastfeeding concerns and breastfeeding goals were analyzed with chi-square statistics.ResultsAfter participating in the support group session, survey participants (N = 100) expressed less concern about latching (81%–66%), mother's milk production (77%–62%), breastfeeding while apart from infant (75%–65%), and all other reported breastfeeding concerns. Overall, participants reported the support group successfully addressed their concerns (92%, n = 89), provided adequate time for responses to their questions (87%, n = 87), and assisted them to achieve their breastfeeding goals (91%, n = 88). Over 90% of participants planned to exclusively breastfeed through 6 months.ConclusionHospital-based breastfeeding support groups can successfully address mothers’ key breastfeeding concerns and support extended duration of breastfeeding.


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