What Hinders Twin Mothers From Breastfeeding - A Qualitative Study of Chinese Women

Abstract Objective To explore the difficulties of twin mothers in breastfeeding and the factors that promote breastfeeding, so as to develop interventions to improve the breastfeeding rate of twin mothers. Methods Semi-structured interviews were used to interview women with twin pregnancy experience. Results We found that twin pregnancy itself was an obstacle to breastfeeding. Lack of breastfeeding knowledge guidance, separation of mother and newborns, poor maternal and child health conditions and the convenience of breast milk substitutes also hindered the implementation of breastfeeding for women with twin pregnancy. On the other hand, the emotional support of family members, proper breastfeeding guidance, sufficient breast milk production and economic pressure were the main factors that promote the breastfeeding of women with twin pregnancy. Conclusion To promote the breastfeeding of women with twin pregnancy needs the support of family, society and policy. Breastfeeding education should be extended to prenatal care and the primary caregiver of the new mother, and timely guidance should be provided after delivery to achieve satisfactory breast milk production.

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Pengaruh Pemberian Teknik Marmet Terhadap Produksi Asi Pada Ibu Post Partum Di Bpm Wilayah Kerja Puskesmas Sukorame Kota Kediri

Jurnal Ilmu Kesehatan ◽

10.32831/jik.v5i2.134 ◽

1970 ◽

Vol 5 (2) ◽

pp. 46

Author(s):

Astri Dwi Ningrum ◽

Ira Titisari ◽

Finta Isti Kundarti ◽

Arika Indah Setyarini

Keyword(s):

Public Health ◽

Breast Milk ◽

Health Center ◽

Milk Production ◽

Post Partum ◽

Control Group ◽

Public Health Center ◽

Breast Milk Production ◽

Breastfeeding Rate ◽

Medical Person

The decrease of breast milk production of postpartum mother in the early breast feeding process that become a problem for mother to provide breast milk early on her baby. Based on a preliminary study of the lowest exclusive breastfeeding rate coverage in the Kediri city is at Sukorame Public Health Center. This is because many postpartum mothers who felt less that give their milk formula or food other than breast milk in early lactation. The breast milk production could be stimulated by the use of intervention marmet technique. The purpose of this study was to investigate the influence of giving marmet technique to the breast milk production of the postpartum mother. This study is a quasi-experimental research design with post-test only control group design. The population in this study were all post partum mothers who met the inclusion criteria for the study in BPM working area of Sukorame Public Health Center Kediri City. The sampling technique is consecutive sampling with a sample of 26 respondents. Data collection was done by dividing into 2 groups: the experimental group and the control group and to assess the breast milk production using the observation sheet of breast milk production. Data analysis technique used is the Fisher Exact Test Test. The results obtained p value count (0.0074) < = (0.05) then H0 is rejected, meaning that there is the effect of giving marmet technique to the breast milk production. The conclusion of this study was the Marmet technique affects breast milk production of post partum mother. Giving Marmet technique can be applied to help the adequacy of breast milk production. Suggestions researchers is that all medical person can continue to support the improvement of service quality by taking into account maternal postpartum milk production that can impact the breastfeeding process. Keywords: marmet technique, breast milk production, post partum

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Vulnerable families and costly formula: a qualitative exploration of infant formula purchasing among peri-urban Peruvian households

International Breastfeeding Journal ◽

10.1186/s13006-021-00356-6 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Jessica D. Rothstein ◽

Peter J. Winch ◽

Jessica Pachas ◽

Lilia Z. Cabrera ◽

Mayra Ochoa ◽

...

Keyword(s):

Breast Milk ◽

Infant Formula ◽

Exclusive Breastfeeding ◽

Infant Health ◽

Health Providers ◽

Breastfeeding Education ◽

Vulnerable Families ◽

Breast Milk Substitutes ◽

Milk Substitutes ◽

Qualitative Exploration

Abstract Background Substantial evidence exists surrounding the health risks of breast milk substitutes (BMS) in place of exclusive breastfeeding among infants < 6 months of age in resource-poor settings. Yet, mothers’ experiences of selecting and purchasing BMS brands have not been well studied to date. This qualitative study explored the factors influencing BMS purchasing practices, along with the consequences of those decisions, in peri-urban Lima, Peru. Methods We conducted in-depth interviews (IDIs) with 29 mothers who had begun mixed-feeding their infants during the first 6 months of life. Interviews explored participants’ reasons for initiating infant formula use and their experiences of selecting, purchasing, and providing BMS to their children. Audio recordings were transcribed, coded, and key themes and illustrative vignettes were identified. Results The primary reported reasons for initiating infant formula use included having received a recommendation for infant formula from a healthcare provider, concerns about an infant’s weight gain, and the perception of insufficient breast milk. Mothers tended to initially purchase the BMS brand that had been recommended by a doctor, which was often more expensive than the alternatives. The costs of BMS, which escalated as infants grew, often disrupted the household economy and generated significant stress. While some mothers identified alternatives allowing them to continue purchasing the same brand, others chose to switch to less expensive products. Several mothers began to feed their infants follow-on formula or commercial milk, despite their awareness that such practices were not recommended for infants under 6 months of age. The approval of family members and the absence of an infant’s immediate adverse reaction influenced mothers’ decisions to continue purchasing these products. Conclusions The high costs of BMS may deepen existing socio-economic vulnerabilities and generate new risks for infant health. The continued dedication of resources towards breastfeeding education and support is critical, and strategies would benefit from underscoring the long-term financial and health consequences of infant formula use, and from strengthening women’s self-efficacy to refuse to initiate infant formula when recommended. In addition, health providers should be trained in counseling to help women to relactate or return to exclusive breastfeeding after cessation.

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Services Provided for Lactating Mothers at Lactation Management Clinic in Selected Tertiary Level Hospitals

Journal of Preventive and Social Medicine ◽

10.3329/jopsom.v38i2.47867 ◽

2020 ◽

Vol 38 (2) ◽

pp. 68-73

Author(s):

Tarannum Tasnim ◽

ANM Shamsul Islam ◽

Mehedi Hasan Azad ◽

Farhana Sharmin

Keyword(s):

Breast Milk ◽

Milk Production ◽

Public Awareness ◽

Cross Sectional Study ◽

Dietary Advice ◽

Tertiary Level ◽

Cross Sectional ◽

Breast Milk Production ◽

Lactating Mothers ◽

Structured Questionnaire

Background: Children are the precious gift from the Almightily Allah and breast milk is an ideal product given to the human being by nature to fulfill all requirements of the offspring until they are matured enough to take adult food. Objective: To assess the services provided for lactating mothers at lactation management centre in selected tertiary level hospitals. Materials and Methods: This cross sectional study was conducted among 100 Lactating mothers who were selected conveniently and were interviewed by pre-tested semi-structured questionnaire and an observational checklist. Collected data were processed and analyzed using SPSS (Statistical Packages for Social Science) software. Results: Lactation management centre (LMC) is supervised by a consultant and separate room is allotted in both out-patient and in-patient departments. Mothers came with lactation problems were more likely in the first month of the baby (73%) and feeling of not enough milk production was common (49%).Highly significant relationship was found between breast problems of lactating mother and age of child (p<0.001). About 84% respondents received practical demonstration on position and attachment of the baby during lactation. About 91% respondents got dietary advice for enough breast milk production, 75% got dietary advice regarding their child’s weaning food chart and69% got health education. Maximum mothers were informed about LMC by doctor & nurse (82%). Conclusion: Information about LMC services should be disseminated across the country. Lactating mothers should be familiarized with LMC and public awareness should be enhanced for effective management of breastfeeding problem to promote, protect and support the breastfeeding. JOPSOM 2019; 38(2): 68-73

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EFFECT OF THE COMBINATION OF WOOLWICH AND EFFLURAGE MASSAGE ON BREAST MILK PRODUCTION AMONG NORMAL POSTPARTUM WOMEN

Journal of Critical Reviews ◽

10.31838/jcr.07.04.106 ◽

2020 ◽

Vol 7 (04) ◽

Keyword(s):

Breast Milk ◽

Milk Production ◽

Postpartum Women ◽

Breast Milk Production

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BREAST MILK SUBSTITUTES AND ADVERTISING

The Medical Journal of Australia ◽

10.5694/j.1326-5377.1980.tb135056.x ◽

1980 ◽

Vol 1 (10) ◽

pp. 495-495

Keyword(s):

Breast Milk ◽

Breast Milk Substitutes ◽

Milk Substitutes

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Domperidone and maternal milk volume in mothers of premature newborns

Paediatrica Indonesiana ◽

10.14238/pi57.1.2017.18-22 ◽

2017 ◽

Vol 57 (1) ◽

pp. 18 ◽

Cited By ~ 2

Author(s):

Tengku Ellya Fazilla ◽

Guslihan Dasa Tjipta ◽

Muhammad Ali ◽

Pertin Sianturi

Keyword(s):

Placebo Group ◽

Breast Milk ◽

Milk Production ◽

Controlled Trial ◽

Maternal Milk ◽

Premature Newborns ◽

Breast Milk Production ◽

Days Of Therapy ◽

Significant Difference ◽

Milk Volume

Background Mothers of premature newborns often have difficulty giving adequate breast milk volume to their infants. Domperidone is an antagonist of peripheral dopamine receptors and believed to increase breast milk production. In Indonesia, no study has been done to date on the effect of domperidone on maternal milk production in mothers of premature newborns. Objective To evaluate the effect of domperidone on milk production in mothers of premature newborns who failed to lactate.Methods A randomized controlled trial was conducted from July to December 2012 in the Perinatology Unit, Haji Adam Malik Hospital, Medan. Mothers of premature newborns were given lactation counseling for 7 days in order to increase their milk production. Mothers who failed to lactate after that time were enrolled in the study. Fifty subjects were assigned to receive either domperidone or a placebo for 7 days. Milk volume was measured every 2 hours (from 7 am to 9 pm), in the 24 hours before starting therapy, and on the 7th and 10th days (the 10th day being 3 days after stopping therapy). Results This study involved 25 mothers in the domperidone groups and 25 others in placebo group. After 7 days of therapy, mean breast milk volume was significantly higher in the domperidone group than in the placebo group [181.6 (SD 80.2) vs. 72.4 (SD 57.8) mL, respectively; 95%CI of differences 69.36 to 148.93; P=0.0001]. At day 10, breast milk production remained significantly higher in the domperidone group. Furthermore, in the domperidone group, no significant difference in mean breast milk volumes was noted between the 7th and 10th days (P=0.65). Conclusion In mothers of premature newborns who failed to lactate, domperidone therapy for 7 days causes significantly higher milk production compared to placebo.

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