scholarly journals The Effect of “Insufficient Milk Supply” Concept Intervention on Mother's Perception of Breast Milk Production

2016 ◽  
Vol 1 (1) ◽  
pp. 71
Author(s):  
Mekar Dwi Anggraeni ◽  
Lutfatul Latifah ◽  
Ima Rismawati
Keyword(s):  
Exclusive Breastfeeding ◽  
Intervention Program ◽  
Intervention Group ◽  
World Health Organisation ◽  
T Test ◽  
World Health ◽  
Milk Supply ◽  
Breast Milk Production ◽  
Breastfeeding Rate ◽  
Insufficient Milk

Background: World Health Organisation (WHO) recommends every mother to provide exclusive breastfeeding for their infants because of its benefits. However the exclusive breastfeeding rate in Indonesia was only 35%in 2013. One of the main factors affecting low exclusive breastfeeding rate was maternal perception of having low breastmilk supply. There were no previous studies examining the effect of "Insufficient Milk Supply" concept intervention on mother’s perception of low breastmilk production. This research was an innovation in nursing.Aim: To investigate the effect of intervention program based on “Insufficient Milk Supply” concept on mother’s perception of low breastmilk supply.Methods: This study was a quasy experiment pretest-posttest. Postpartum mothers were provided an intervention using a module based on the concept of "Insufficient Milk Supply". The perception of breastmilk production was measured using the Nine-items of Lactation Scale. Data were analyzed using independent t test and paired t test.Results: The t test assumptions were examined and yielded that the data were normally distributed and the variances were homogeneous. The results showed there were significant differences between the scores of pre- and post-test in the intervention group (t = -9,03, p < 0.001).Conclusion: This study offers evidence that Insufficient Milk Supply can be used in nursing practice as a concept to improve the perception of the mother's breastmilk supply.

scholarly journals Evaluation of the impact of breastfeeding support groups in primary health centres in Andalusia, Spain: a study protocol for a cluster randomized controlled trial (GALMA project)

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Isabel Rodríguez-Gallego ◽  
Fatima Leon-Larios ◽  
Cecilia Ruiz-Ferrón ◽  
Maria-de-las-Mercedes Lomas-Campos
Keyword(s):  
Support Groups ◽  
Exclusive Breastfeeding ◽  
Intervention Group ◽  
World Health ◽  
Control Group ◽  
Breastfeeding Initiation ◽  
Primary Health ◽  
Breastfeeding Rate ◽  
Breastfeeding Rates ◽  
The Impact

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.

scholarly journals Effect of Banana Inflorescence (Musa Paradisiaca L.) on Breast Milk Production

2020 ◽  
Vol 10 (2) ◽  
pp. 117-123
Author(s):  
Sri Wulan ◽  
Desri Meriahta Br Girsang
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Exclusive Breastfeeding ◽  
Univariate Analysis ◽  
T Test ◽  
World Health ◽  
Bivariate Analysis ◽  
Control Group ◽  
Control Group Design ◽  
Breast Milk Production

The World Health Organization (WHO) recommends that babies get exclusive breastfeeding during the first 6 months, but many breastfeeding mothers are unable to give their milk because of lack of milk production. Based on the profile of the Republic of Indonesia Ministry of Health, 2017 the achievement of babies receiving exclusive breastfeeding in the North Sumatra region is still relatively low, only reaching 45.74%, the figure is far below compared to other provinces such as West Nusa Tenggara reaching 87.35%, West Sumatra 68.32 %, South Sumatra 60.36%, DKI Jakarta 67.40% and Riau province 57.65%. The purpose of this study was to determine the effect of banana inflorescence on milk production. This research used  the Eksperimen method with Pretest-Posttest With Control Group design, with the technique of taking Simple Random sampling with a sample size of 20 people, 10 experimental groups and 10 control groups. Data collection began in May-June 2020 using observation sheets and measuring cups (cc). This research used the univariate analysis with Paired T-Test and Bivariate Analysis with Independent T Test, with a significance level of 95%. The results showed an in the Eksperimen group who were given a 459 cc banana infloresence decoction and an average value in the Control group 310 cc which meant there were differences in milk production around 149 cc and p. 0.01 (0.05). Conclusion  banana inflorescence influence to  breast milk production in nursing mothers 0-6 months old.

scholarly journals The effectiveness of using a WeChat account to improve exclusive breastfeeding in Huzhu County Qinghai Province, China: protocol for a randomized control trial

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Qiong Wu ◽  
Yiwen Huang ◽  
Michelle Helena van Velthoven ◽  
Wei Wang ◽  
Suying Chang ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Rural Areas ◽  
Controlled Trial ◽  
Severe Disease ◽  
Intervention Group ◽  
Mobile Technologies ◽  
World Health ◽  
Control Group ◽  
Qinghai Province ◽  
Breastfeeding Rate

Abstract Background An exclusive breastfeeding rate in the first 6 months of life of at least 50% is one of the six World Health Organization global nutrition targets for 2025. However, the exclusive breastfeeding rate in China is quite low and decreasing which makes it urgent to explore effective ways to reverse the current downward trend. As mobile technologies have rapidly developed, mobile communication apps such as WeChat (one of the largest social networking platforms in China) are well accepted and have the potential to improve health behaviors in a convenient way. The current paper describes the study protocol of a WeChat intervention that aims to promote breastfeeding in rural areas in China. Methods The study is designed as a randomized controlled trial in rural Qinghai Province, China. Women who are 14–36 weeks pregnant will be randomized to routine antenatal and postnatal care, or routine care plus the WeChat breastfeeding education. pregnant women with a severe disease and complications of pregnancy or HIV-1 will be excluded. Breastfeeding knowledge and promotion information will be delivered to the intervention group through a WeChat official account from 3 months pregnancy to 6 months postpartum. The outcome assessments are conducted at baseline through face-to-face interviews, and at one week, 1 month, 3 months and 6 months postpartum by telephone interviews. The primary outcome is difference in the exclusive breastfeeding rate at 1 month, 3 months, and 6 months postpartum between the intervention group and the control group. Secondary outcomes include the overall duration of any and exclusive breastfeeding across the first 6 months postpartum; mothers’ knowledge of breastfeeding; the proportion of early initiation of breastfeeding; and the timing of the introduction of solid food to infants. Intention-to-treat-analysis will be used. Survival analysis will be used to compare the overall duration of any and exclusive breastfeeding between groups. Discussion This study is the first effort to promote exclusive breastfeeding through WeChat in China. Our results will provide scientific evidence for the effect of health education through WeChat on breastfeeding. Thereby this may offer a comprehensive intervention to promote exclusive breastfeeding in China and other settings. Trial registration Chinese Clinical Trial Registry –ChiCTR1800017364. Registered 26 July 2018. http://www.chictr.org.cn/showproj.aspx?proj=29325

The effect of positive thinking training on the quality of life of parents of adolescent with thalassemia

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Adeleh Sadeghloo ◽  
Parna Shamsaee ◽  
Elham Hesari ◽  
Golbanhar Akhondzadeh ◽  
Hamid Hojjati
Keyword(s):  
Quality Of Life ◽  
Emotional Health ◽  
Intervention Group ◽  
T Test ◽  
World Health ◽  
Positive Thinking ◽  
Significant Difference ◽  
And Control ◽  
Paired T Test

Abstract Introduction Thalassemia, as the most common chronic hereditary blood disorder in humans, can impose many adverse effects on parents and their affected children. On the other hand, positive thinking is the method or the result of a positive focus on a constructive issue, so by teaching positive thinking, we can improve physical and social function, and promote emotional health and overall quality of life. The aim of this study was to determine the effect of positive thinking training on the quality of life of parents of adolescents with thalassemia. Methods This quasi-experimental study was performed on 52 parents of adolescents with thalassemia who attended Taleghani Hospital in Golestan province, Iran in 2017. Samples were randomly assigned into two groups of intervention and control. The positive thinking training (based on the theory of Martin Seligman) was carried out in the intervention group in 10 (45–60 min) sessions over a 5-week period. Data collection tools in this study were the World Health Organization (WHO) quality of life questionnaire (WHOQOL-BREF) and a demographic information questionnaire. Data were analyzed by SPSS-16 software using independent t-test, the paired t-test and a covariance test. Results The results of paired t-test showed a significant difference in the score of quality of life in intervention group before and after the intervention (p < 0.001). However, this test did not show any significant difference in the control group (p = 0.11). The covariance test, after removing the pre-test score, showed a significant difference between the intervention and control groups in terms of the score of quality of life, so that 13% of the changes after the intervention were due to the intervention (p = 0.009, η = 0.13). Conclusion The positive thinking training increased the quality of life of parents of adolescents with thalassemia. Therefore, using this program can be an effective way of improving the quality of life of parents. Thus, positive thinking training is suggested to be used as an effective strategy for increasing the quality of life of parents with ill children.

scholarly journals Dengue-free community as an approach for understanding the value and challenges of inter-agencies partnerships in an intervention program

2017 ◽  
Vol 4 (6) ◽  
pp. 1819 ◽  
Author(s):  
Hidayatulfathi Othman ◽  
Saiful Azlan Nordin ◽  
Norazimah Abdul Rashid ◽  
Mohamed Badrul Hisham Abas ◽  
Rozita Hod ◽  
...  
Keyword(s):  
Intervention Program ◽  
Local Level ◽  
World Health Organisation ◽  
Control Area ◽  
Social Mobilization ◽  
World Health ◽  
Community Approach ◽  
Before And After ◽  
Dengue Prevention ◽  
Dengue Control

Background: One of the key requirements for accomplishing a mutual goal is the formation of partnerships. ‘Partnership’ is an ill-defined concept, subject to multiple interpretations and frequently used interchangeably with alliance, coalition, network and collaboration among other terms. World Health Organisation had emphasized dengue prevention and control as a top priority, thus an inter agencies strategy and intervention study was launched to document the effectiveness of a local-level inter agencies approach and partnerships.Methods: The Free-Dengue Community approach, which involved stakeholder partnerships between parties such as the Ministry of Health, Ministry of Science, Technology, Local Municipalities, Health District Offices and National University of Malaysia, was developed as an inter-agencies plan for dengue prevention, of which the core objective was to design and implement activities for communication and social mobilization. In the control area, routine dengue control activities continued without additional input.  Entomological indices were compared within and between the areas before and after the 12 week intervention period.Results: The approach consolidated the inter-agencies partnerships whereby the dengue cases in the localities had dropped and via this study, the module of Dengue-Free Community was mapped and documented. The result also highlighted the contributions made by each of the partner in bringing down the dengue cases in the selected localities. Furthermore, the number of ovitrap index also decreasing proving that the approach is effective. The community kit and home-kit provided to the community also helped in reducing the number of Aedes eggs in the intervention program.Conclusions: The partnership using the Dengue-Free Community approach achieved its aim of increasing the level of cooperation between the authorities to support social mobilization, and results shed light on how to tackle the challenges of inter-agency partnerships and the required approach for a better understanding of the levels at which individuals operate within such partnerships. 

scholarly journals Determinants of breastfeeding practice in Pujehun district, southern Sierra Leone: a mixed-method study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Dorothee van Breevoort ◽  
Francesca Tognon ◽  
Arne Beguin ◽  
Amara S. Ngegbai ◽  
Giovanni Putoto ◽  
...  
Keyword(s):  
Breast Milk ◽  
Sierra Leone ◽  
Exclusive Breastfeeding ◽  
Mixed Method ◽  
Critical Role ◽  
World Health ◽  
Mixed Method Study ◽  
Breastfeeding Rate ◽  
Breastfeeding Practice ◽  
Determinants Of Breastfeeding

Abstract Background It is well established that exclusive breastfeeding can play a critical role in reducing child morbidity and mortality. Limited research has been done thus far on the practice and perceptions of breastfeeding in Sierra Leone, where more than 10 % of children die before the age of five. This study aimed to gain understanding into and explore both matters in order to develop recommendations for effective strategies to promote breastfeeding practice in Pujehun District, Southern Sierra Leone. Methods This exploratory mixed-method study included a cross-sectional survey of 194 mothers, semi-structured interviews and focus group discussions. Logistic regression analysis was used calculated odds ratios of factors associated with primarily breastfeeding practice, defined as ‘Children under six months of age who are fed with breast milk only and children older than six months of age that were exclusively breastfed up to six months’, based on recall from birth. Exclusive breastfeeding rate was based on breastfeeding practice 24 h prior to the survey. Qualitative data was analysed through a deductive approach, using a pre-determined framework on determinants of breastfeeding. Results This study revealed an exclusive breastfeeding rate of 62.8% (95% CI 53.9, 71.7); dropping from 74% in the 0–1-month age group to 33% in the 4–5 months group. Triangulation of qualitative and quantitative data revealed enabling factors for primarily breastfeeding practice included mothers receiving support during their first breastfeed, pregnant women being provided with information on the benefits of the practice, counselling by nurses, support from husbands, and women’s awareness of how their friends and family members fed their own babies. The main barriers were a lack of encouragement by husbands, women’s perception that their infants’ stools were abnormal or that they were not producing enough breast milk. Conclusions Although the exclusive breastfeeding may have risen over recent years, a gap remains compared to World Health Organization recommendations. According to the breastfeeding determinants identified in this study, promotion of counselling by a nurse, encouragement of husbands’ support, and improve knowledge of mothers on breastfeeding are recommended to be incorporated in the design of future health programs.

scholarly journals The Effect of Oxytocin Massage on Increasing Milk Production

2020 ◽  
Vol 3 (2) ◽  
pp. 18
Author(s):  
Kartini Kartini ◽  
Atnesia Ajeng ◽  
Fitri Suaningsih
Keyword(s):  
Milk Production ◽  
Intervention Group ◽  
Sampling Technique ◽  
World Health ◽  
Control Group ◽  
Additional Information ◽  
Risk Of Death ◽  
Breast Milk Production ◽  
Health Organization ◽  
Whole Spine

Introduction Based on the research of the World Health Organization (WHO) at 2012 in six developing countries, the risk of death from infants aged 9-12 months increased by 40% if not breastfed, whereas infants under 2 months of increase reached 48%. Exclusive breastfeeding can reduce child mortality by 13%. Breast milk production is influenced by the hormone prolactin, while expenditure is influenced by the hormone oxytocin. Massage oxytocin is one solution to overcome the lack of launch production of milk in the whole spine (vertebrae) bone costae to the fifth-sixth and an attempt to stimulate the hormones prolactin and oxytocin after labour.Research Methodology The research uses quasi-experiment and samples taken as many as 30 people postpartum mothers who gave birth in a health center Balaraja, 15 people used as the control group, and 15 people used as the intervention group. The sampling technique in this research used Accidental Sampling.The results of the research there was a significant effect of massage oxytocin to increase milk production P = 0.000, no significant effect of massage oxytocin to increase BB baby P = 0.000, no significant effect of massage oxytocin with frequency BAK baby P = 0.679, there was no significant effect of massage oxytocin-the frequency of bowel baby P = 0.075.The conclusion from this research is there a massage effect of oxytocin on lactation and infant BB and no massaging effect of oxytocin on the frequency of bladder and bowel baby. Her recommendation is expected this research can be useful to add insight and knowledge and can be used as additional information for researchers in the future regarding oxytocin massage and for further research are expected to increase the number of samples to be research

scholarly journals Effectiveness of WeChat for Improving Exclusive Breastfeeding in Huzhu County China: Randomized Controlled Trial

10.2196/23273 ◽  
2020 ◽  
Vol 22 (12) ◽  
pp. e23273
Author(s):  
Qiong Wu ◽  
Yiwen Huang ◽  
Zijun Liao ◽  
Michelle Helena van Velthoven ◽  
Wei Wang ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Pregnant Women ◽  
Exclusive Breastfeeding ◽  
Controlled Trial ◽  
Intervention Group ◽  
Mobile Technologies ◽  
Control Group ◽  
Randomized Controlled ◽  
Breastfeeding Rate ◽  
Significant Difference

Background The benefits of breastfeeding for both infants and mothers have been well recognized. However, the exclusive breastfeeding rate in China is low and decreasing. Mobile technologies have rapidly developed; communication apps such as WeChat (one of the largest social networking platforms in China) are widely used and have the potential to conveniently improve health behaviors. Objective This study aimed to assess the effectiveness of using WeChat to improve breastfeeding practices. Methods This 2-arm randomized controlled trial was conducted among pregnant women from May 2019 to April 2020 in Huzhu County, Qinghai Province, China. Pregnant women were eligible to participate if they were aged 18 years or older, were 11 to 37 weeks pregnant with a singleton fetus, had no known illness that could limit breastfeeding after childbirth, used WeChat through their smartphone, and had access to the internet. A total of 344 pregnant women were recruited at baseline, with 170 in the intervention group and 174 in the control group. Women in the intervention group received breastfeeding knowledge and promotion information weekly through a WeChat official account from their third month of pregnancy to 6 months postpartum. The primary outcome of exclusive and predominant breastfeeding rate was measured 0-1 month, 2-3 months, and 4-5 months postpartum. Results At 0-1 month postpartum, the exclusive breastfeeding rate was significantly higher in the intervention group than that in the control group (81.1% vs 63.3%; odds ratio [OR] 2.75, 95% CI 1.58-4.78; P<.001). Similarly, mothers in the intervention group were more likely to provide predominantly breast milk (OR 2.77, 95% CI 1.55-4.96; P<.001) and less likely to give dairy products to their children (OR 0.40, 95% CI 0.21-0.75; P=.005). There was no statistically significant difference for exclusive breastfeeding rate 2-3 months (P=.09) and 4-5 months postpartum (P=.27), though more children in the intervention group were exclusively breastfed than those in the control group 2-3 months postpartum (intervention: 111/152, 73.0%; control: 96/152, 63.2%) and 4-5 months postpartum(intervention: 50/108, 46.3%; control: 46/109, 42.2%). Conclusions This study is the first effort to promote exclusive breastfeeding through WeChat in China, which proved to be an effective method of promoting exclusive breastfeeding in early life. WeChat health education can be used in addition to local breastfeeding promotion programs. Trial Registration Chinese Clinical Trial Registry ChiCTR1800017364; http://www.chictr.org.cn/showproj.aspx?proj=29325 International Registered Report Identifier (IRRID) RR2-10.1186/s12889-019-7676-2

scholarly journals WeChat-based intervention to support breastfeeding for Chinese mothers: protocol of a randomised controlled trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Li Tang ◽  
Andy H. Lee ◽  
Colin W. Binns ◽  
Lian Duan ◽  
Yi Liu ◽  
...  
Keyword(s):  
Randomised Controlled Trial ◽  
Exclusive Breastfeeding ◽  
Intervention Program ◽  
Controlled Trial ◽  
Control Group ◽  
Worst Case ◽  
Breastfeeding Rate ◽  
Maternity Hospitals ◽  
Breastfeeding Rates ◽  
Randomised Controlled

Abstract Background Exclusive breastfeeding for the first 6 months of life is the optimal way to feed infants. However, recent studies suggest that exclusive breastfeeding rates in China remain low and are well below the recommended target. There has been evidence that a lack of awareness of, or exposure to, breastfeeding information is associated with poor breastfeeding practices. WeChat, the most widely used social networking platform in China, has shown some potential to promote health behaviours. We thus hypothesised that a breastfeeding intervention program delivered via WeChat would achieve at least a 10% increase in exclusive breastfeeding prevalence at 6 months compared to the control group. Methods A two-arm, parallel, multicentre randomised controlled trial of 1000 pregnant women will be conducted at four maternity hospitals of Chengdu, China. Eligible women who consent to participate in the trial will be recruited at 28–30 weeks of gestation, and randomly allocated to either the intervention group (participants receive breastfeeding-related information from WeChat) or the control group (participants receive non-breastfeeding information from WeChat) using a central randomisation system on a 1:1 ratio at each participating site. The primary outcomes are exclusive breastfeeding rate and full breastfeeding rate at 6 months postpartum. All randomised participants will be included in the outcome analyses with missing data being imputed based on the best-case and worst-case scenarios. Multilevel mixed regression models will be used in the primary analyses to assess the effectiveness of intervention program on the breastfeeding rates. Discussion This trial uses the most widely used social media program as a means of delivering messages to mothers to increase exclusive breastfeeding in China. Increasing exclusive breastfeeding will contribute to meeting the health and environmental goals of the Sustainable Development Guidelines. Trial registration ClinicalTrials.gov, NCT04499404. Registered 5 August 2020—Retrospectively registered, https://clinicaltrials.gov/show/NCT04499404

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