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

Background: The Dietary Habits and Nutrition Knowledge Questionnaire (DHNKQ) is a validated assessment tool that provides information about the nutritional practices of collegiate athletes as an integral support to sports performance. This psychometric study aims to translate and validate the DHNKQ for the Filipino collegiate population to come up with the DHNKQ-FIL using various psychometric protocols consolidated into two phases. Methods: The first phase involved the translation of the tool into Filipino and testing for face and content validity through a focus group discussion by an expert committee and was finalized with the administration of a pre-test to 30 collegiate athletes for final modification purposes. The second phase tested the validated DHNKQ-FIL on a new set of 30 collegiate athletes for internal consistency and reliability testing, statistically analyzed using Cronbach’s α and intraclass correlation coefficient, respectively. Results: The DHNKQ-FIL used modern Filipino terminologies, more appropriate for the modern Filipino collegiate athlete. Item Content Validity Index (I-CVI) had scores of 90% and above in semantic, idiomatic, experiential, and conceptual equivalence for both sections. Food guides and choices, along with the usage of medical jargon, were identified areas for modification in the validity testing. Pre-test subjects considered the questionnaire appropriate and applicable for Filipino athletes after cognitive interview. The pilot test showed scale reliability scores of 0.68 or “Questionable” for dietary habits section and 0.81 or “Good” for nutritional knowledge. Test-retest reliability had a score of 0.79 or “Acceptable” for dietary habits and 0.60 or “Questionable” for nutrition knowledge. Conclusion The acceptable scores for the translation, validation, and reliability of the DHNKQ-FIL makes it a valid tool for assessing dietary habit and nutritional knowledge among Filipino collegiate athletes.
Feeding Behavior

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

No abstract available.
Breast Feeding* ; Breast*

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

No abstract available.
Breast Feeding* ; Food Hypersensitivity*

Feeding Behavior ; Humans ; Students

No abstract available.
Feeding and Eating Disorders* ; Eating*