The exclusive breastfeeding rate in Malaysia is very low. However in recent years the awareness of breastfeeding among mothers has increased. A preliminary qualitative research was carried out on these motivated mothers. The objective of this study was to understand the challenges encountered by breastfeeding mothers and to explore the support and motivation received by them. Information from the motivated mothers was obtained from focus group discussion. Some obstacles faced by the mothers were lack of knowledge on breastfeeding and lack of support from health professionals, parents and siblings. Facilities to express breast milk while at work were not readily available. The main motivation to breastfeed came from the mother herself and support from the husband. A holistic approach must be used to help mothers to continue breastfeeding. This includes breastfeeding promotion and education, setting up more Baby Friendly Hospitals, availability of breastfeeding support groups and provision of enough breastfeeding facilities at work and public places.
Breast Feeding

No abstract available.
Breast Feeding*

Objective: To determine the impact of Mother-Baby Friendly Hospital Initiative (MBFHI) implementation on the success of breastfeeding practices among patients who gave birth in a tertiary hospital. Methodology: Seventy-one postpartum patients who have no contraindications to breastfeeding were recruited from September-November 2017. Outcome variables regarding on the success of breastfeeding initiation on the first hour postpartum and hospital stay were measured. Participants were followed-up by phone call at 3 and 6-months postpartum to determine their practice on exclusive breastfeeding. Results: The exclusive breastfeeding (EBF) rates at first hour postpartum, during hospital stay, 3 and 6 months were 91.5%, 81.7%, 65.9%, and 45.5%, respectively. The participants who had cesarean delivery and vaginal delivery were 19 (26.8%) and 52 (73.2%) respectively. There was no significant association between the route of delivery and successful breastfeeding at first hour (p = 0.179). At first hour postpartum, majority of the infants who did not initiate breastfeeding was due to respiratory distress. At 6 months, only 39% (26 out of 66) did proper breastfeeding. There were 26 out of 66 (39%) subjects who have work at 6 months, and among these, 12 subjects were not able to collect and store milk due to unavailability of lactation clinic at their workplace. Overall, approximately half of the subjects who initiated EBF were not able to continue EBF until 6 months due to inadequate milk production and resumption of work. Conclusion Half of mothers exclusively breastfed up to 6 months, regardless of age, parity and route of delivery. The main determinants of EBF cessation at 6-month postpartum include inadequate milk production, resumption of work and inability to collect milk. To promote successful EBF among mothers in the Philippines, interventions should focus on strengthening the breastfeeding policy implementation in the workplace and communities to promote, protect and maintain breastfeeding.
Breast Feeding

PURPOSE

Exclusive breastfeeding is the clinical standard that provides maximum health benefits for mothers and infants. However, the transition to home post-delivery may pose challenges for postpartum women. This study aimed to determine the relationship between breastfeeding knowledge, self-efficacy and readiness for hospital discharge among postpartum mothers.

This cross-sectional research utilized a descriptive correlational design and purposive sampling method to recruit postpartum mothers aged 18 years and above who gave birth through normal spontaneous delivery or cesarean section in Silliman University Medical Center from December 2022 to February 2023. Sociodemographic and perinatal characteristics were obtained through self-administered questionnaires. Data was collected using the Breastfeeding Knowledge (BK) Scale, the Breastfeeding Self-Efficacy Scale Short Form (BSES-SF), and the Readiness for Hospital Discharge Scale (RHDS). Statistical analyses were performed using Jamovi software.

A sample of 119 postpartum mothers qualified for the study with a mean maternal age of 30.49 years and a mean gestational age of 38.25 weeks. The majority were married, college graduates, and employed. About half of the sample were primigravid and primiparous. Most were delivered via normal spontaneous delivery (69.75%) and exclusive breastfeeding was preferred (63.87%). The postpartum mothers had good breastfeeding knowledge (56.30%), were frequently confident to breastfeed (M=3.81; 95% CI [3.62, 4.00]), and were slightly ready for hospital discharge (M=7.87; 95% CI [7.55, 8.19]). Chi-square correlations 2 revealed a significant relationship between educational attainment and breastfeeding knowledge (X [4, N=11] = 14.70, p < 0.05). 2 2 2 Gestational age (X [2, N=119] = 6.96, p < 0.05), employment status, (X [2, N=119] = 6.00, p < 0.05), gravidity (X [2, N=119] = 14.31, 2 2 p < 0.05), parity (X [2, N=119] = 7.08, p < 0.05) and infant feeding style (X [2, N=119] = 12.24, p < 0.05) had a significant relationship to 2 2 breastfeeding self-efficacy. Additionally, gravidity, (X [2, N=119] = 11.19, p < 0.05) and parity, (X [2, N=119] = 5.08, p < 0.05) were both associated with readiness for hospital discharge. Spearman rank order correlation revealed a significant positive relationship between breastfeeding self-efficacy and readiness for hospital discharge, r (117) =0.553, p=0.000.

Self-efficacy to breastfeed was linked to an increased likelihood of exclusively breastfeeding. Postpartum mothers with greater confidence in their ability to breastfeed were more prepared for hospital discharge. When transitioning to home after delivery, it is important to consider specific sociodemographic and perinatal characteristics to tailor-fit teaching plans on breastfeeding, thus improving breastfeeding knowledge and self-efficacy when caring for postpartum women.

No abstract available.
Breast Feeding* ; Breast*

No abstract available.
Breast Feeding* ; Breast* ; Iron*

No abstract available.
Breast Feeding ; Breast

No abstract available.
Breast Feeding* ; Breast* ; Statistics as Topic*

No abstract available.
Breast Feeding* ; Food Hypersensitivity*

PURPOSE: This study was done to identify the effects of individual postpartum breast-feeding education on adaptation, attitude and practice of breast-feeding in primiparas. METHODS: A quasi-experimental nonequivalent design was used to examine the effects of individual postpartum breast-feeding education among primiparas. The data were analyzed using chi2-test, Fisher's exact test and paired t-test. RESULTS: There was a significant difference in breast-feeding adaptation (t=-12.94, p<.001), breast-feeding attitude (t=-2.71, p=.011) and breast-feeding practice (chi2=16.47, p<.001) between the group education (experimental group I) and individual education after group education (experimental group II). CONCLUSION: The results indicate that individual education on breast-feeding compared to group education has more positive effects on increasing breast-feeding adaptation, attitude and practice in primiparas. This result also indicates that many primiparas should be given opportunities of various types of education to improve breast-feeding practice such as individual approaches and postpartum breast-feeding education programs.
Breast Feeding ; Postpartum Period