A Survey for Understanding of Breastfeeding among Mothers with Chronic Hepatitis B Infection.
- Author:
Kwang Hee LEE
1
;
Jong Hyun KIM
;
Jin Han KANG
;
Jae Kyun HUR
;
Dae Kyun KOH
;
Sook Kyung PARK
;
Youngtaek KIM
;
Kyung SEO
Author Information
1. Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Korea. jh00mn@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Breastfeeding;
Chronic hepatitis B infection;
Perinal Prophylaxis failure;
Healthcare personnel
- MeSH:
Breast Feeding;
Centers for Disease Control and Prevention (U.S.);
Community Health Centers;
Decision Making;
Delivery of Health Care;
Hepatitis B, Chronic;
Hepatitis, Chronic;
Humans;
Infant;
Korea;
Mothers;
Postal Service;
Surveys and Questionnaires;
Thinking
- From:Korean Journal of Pediatric Infectious Diseases
2009;16(2):191-198
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Breastfeeding should be recommended for infants born to mothers with chronic hepatitis B Infection after postexposure prophylaxis. However, high proportion of these mothers are reluctant to engage in breastfeeding in Korea. This survey was taken to identify the cause of that reluctance. Method:Questionnaires were given to mothers with chronic hepatitis B infection who were registered at the 'Hepatitis B Perinatal Transmission Prevention Program' operated by Korea Center for Disease Control and Prevention. They visited a community health center for blood sample collection and signed a consent paper. The questionnaires were sent to the mothers. Result:Among 839 mailed questionnaires, 114 were returned marked 'address unknown'. The overall reply rate was 17% (n=125). Among responders, 52% (n=62) were breastfeeding and 48% (n=60) were formula-feeding. The most influential factor for breastfeeding was the mother's own decision (75%) and the obstetrician's recommendation (17%). For formula- feeding mothers, their decisions were influenced by obstetricians (57%), and by their own thinking (28%). The relationship between breastfeeding and perinatal prophylaxis failure was recognized as 45% 'related' and 50% 'not-related'. A total of 91% of breastfeeding mothers replied that they will breast-feed again. Among formula-feeding mothers, 78% answered that they will breast-feed if they were known that 'there is no direct relationship between breastfeeding and perinatal prophylaxis failure'. Conclusion:Despite the fact that there is no direct relationship between breastfeeding and perinatal prophylaxis failure, many were reluctant to breast-feed. Healthcare professionals have influence over the mothers for decision making. It will be necessary to educate healthcare personnel so that they can make a conceptual change as well as to promote the fact to the general public.
