Maternal Perception of Adequacy of Mother’s Milk Among Mothers Giving Birth at a Teaching Hospital in Sri Lanka

Rodrigo, Ranmali; Rodrigo, Asiri; Liyanage, Nisansala; Hatahagoda, Wathsala; Hewavitharana, Uthpala

doi:10.1177/0890334418773304

Cited by 6 publications

(10 citation statements)

References 26 publications

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“…The SRIM risk factors very consistently identified were low maternal education (five of six studies examining this risk factor) (Gokceoglu & Kucukoglu, 2017; Menekseet al, 2021; Robert et al, 2014; Rodrigo et al, 2019; Segura‐Millán et al, 1994), primiparity (five of nine studies) (Brownell et al, 2012; Hillervik‐Lindquist, 1992; Keemer, 2013; Kent et al, 2021; Kirkland & Fein, 2003), maternal employment (three of three studies) (Chuang et al, 2007; Sahin et al, 2013; Sun‐Hee, 2019), and younger maternal age (five of six studies) (Amine et al, 1989; Brown et al, 2014; Gokceoglu & Kucukoglu, 2017; López et al, 2013; Rodrigo et al, 2019). On the other hand, having a high household income was found to be a protective factor for SRIM in four out of five studies (Gokceoglu & Kucukoglu, 2017; Herrera, 2008; Li et al, 2008; Sahin et al, 2013).…”

Section: Resultsmentioning

confidence: 99%

Risk factors for self‐reported insufficient milk during the first 6 months of life: A systematic review

Segura‐Pérez

Richter

Rhodes

et al. 2022

Maternal & Child Nutrition

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The objective of this systematic review was to identify multifactorial risk factors for self-reported insufficient milk (SRIM) and delayed onset of lactation (DOL). The review protocol was registered a priori in PROSPERO (ID# CDR42021240413). Of the 120 studies included (98 on SRIM, 18 on DOL, and 4 both), 37 (31%) studies were conducted in North America, followed by 26 (21.6%) in Europe, 25 (21%) in East Asia, and Pacific, 15 (12.5%) in Latin America and the Caribbean, 7 (6%) in the Middle East and North Africa, 5 (4%) in South Asia, 3 (2.5%) in Sub-Saharan Africa, and 2 (1.7%) included multiple countries. A total of 79 studies were from highincome countries, 30 from upper-middle-income, 10 from low-middle-income countries, and one study was conducted in a high-income and an upper-middleincome country. Findings indicated that DOL increased the risk of SRIM. Protective factors identified for DOL and SRIM were hospital practices, such as timely breastfeeding (BF) initiation, avoiding in-hospital commercial milk formula supplementation, and BF counselling/support. By contrast, maternal overweight/obesity, caesarean section, and poor maternal physical and mental health were risk factors for DOL and SRIM. SRIM was associated with primiparity, the mother's interpretation of the baby's fussiness or crying, and low maternal BF self-efficacy. Biomedical factors including epidural anaesthesia and prolonged stage II labour were associated with DOL. Thus, to protect against SRIM and DOL it is key to prevent unnecessary caesarean sections, implement the Baby-Friendly Ten Steps at maternity facilities, and provide BF counselling that includes baby behaviours.

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Section: Resultsmentioning

confidence: 99%

Risk factors for self‐reported insufficient milk during the first 6 months of life: A systematic review

Segura‐Pérez

Richter

Rhodes

et al. 2022

Maternal & Child Nutrition

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“…Importantly, mothers should be confident that they can produce enough milk to meet the needs of their babies even in the first few days after delivery (McGuire, 2018 ). In order to reinforce mothers' breastfeeding self‐efficacy, it is necessary to provide mothers and their family members with breastfeeding knowledge in the prenatal period, including breastfeeding techniques, breastfeeding benefits, normal patterns of infant breastfeeding behaviour, physiology of breast milk production, resolution of breastfeeding problems, etc., (Demirci et al, 2020 ; Lauwers & Swisher, 2010 ; Rodrigo et al, 2018 ; Safon et al, 2017 ). If a mother is concerned that her baby is not getting sufficient breast milk, health professionals can use more reliable parameters to evaluate her baby, such as the number of wet diapers and stools (American Academy of Pediatrics, 2005 ), infant alertness, skin colour, muscle tone, and consistent weight gain and growth (Amir, 2006 ; Neifert, 2004 ; Shrago et al, 2006 ).…”

Section: Discussionmentioning

confidence: 99%

“…Currently, perceived insufficient milk supply (PIMS) is one of the main reasons given for formula supplementation and breastfeeding discontinuation (Gatti, 2008 ; Peacock‐Chambers et al, 2017 ; Rodrigo et al, 2018 ). PIMS is the mother's belief that the quality or quantity of her breast milk is insufficient to meet the infant's hunger or nutritional needs (Hill & Aldag, 1993 ; McCarter‐Spaulding & Kearney, 2001 ).…”

Section: Introductionmentioning

confidence: 99%

The rates and factors of perceived insufficient milk supply: A systematic review

Huang

Liu

et al. 2021

Maternal & Child Nutrition

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Perceived insufficient milk supply (PIMS) is one of the major reasons for discontinued breastfeeding. We aimed to estimate the rates and evaluate related factors of PIMS.We searched four databases for relevant articles published from January 2000 to March 2021. We then performed a meta-analysis of the pooled data to estimate the rates and related factors of PIMS using Stata 15.0. Descriptive analyses of textual data were performed to summarise the related factors of PIMS if data could not be synthesised quantitatively. The quality of included studies was assessed using Newcastle-Ottawa scale (NOS), AHRQ checklist or Consolidated Criteria for Reporting Qualitative Research (COREQ). Overall, 27 studies were included in this review. At different periods after delivery, approximately 50% of mothers reported PIMS as the reason for stopping breastfeeding, while for breastfeeding mothers, the incidence of PIMS ranged from 10% to 25%. Breastfeeding initiation (OR 4.22, 95% CI 1.57-11.34) and breastfeeding knowledge (OR 7.10, 95%CI 2.00-25.26) were two factors influencing PIMS. Besides, PIMS had a strong negative relationship with breastfeeding self-efficacy (r = À0.57); moderate negative association with infant suck ability (r = À0.46) and planned breastfeeding duration (r = À0.45); and a moderate positive correlation with formula supplementation (r = 0.42). Descriptive analyses revealed that infant crying was reported to be a sign of PIMS, and inadequate intake of energy/liquids was a reported cause of it. This review identified a high proportion of women reporting PIMS, particularly among those who stopped breastfeeding.Deliberate interventions were needed to improve breastfeeding for mothers at risk.

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“…Studies on postnatal distress and breast milk production suggested that the postnatal mood may be indirectly related to milk secretion by influencing oxytocin release [82,83]. Postnatal depression was associated with reduced length of exclusively breastfeeding period [84] and women with postnatal distress had higher risks of PIM [18,84]. However, no difference of breast milk volume was observed between women with and without perinatal depression [84].…”

Section: Hypotheses Of the Mechanism Of Saccharomyces Cerevisiae Yeast-based Supplement On Breast Milk Productionmentioning

confidence: 99%

“…Women's perception of milk supply may be influenced by health professionals, family, and friends. If these people questioned the mother's milk supply, the mother would perceive her milk supply as inadequate [18].…”

Section: Introductionmentioning

confidence: 99%

Saccharomyces cerevisiae Yeast-Based Supplementation as a Galactagogue in Breastfeeding Women? A Review of Evidence from Animal and Human Studies

2021

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Perceived insufficient milk production (PIM) adversely affects breastfeeding duration. Women sometimes use galactagogues with the intent to increase breast milk production and support lactation. Saccharomyces cerevisiae yeast-based supplement (SCYS) is an inactive form of Saccharomyces cerevisiae yeast (SCY) either obtained from the fermentation process or grown on molasses. Anecdotal evidence suggests SCYS is a galactagogue. SCYS is promoted on the internet as a galactagogue in various forms and doses. Dietary supplementation with SCYS during gestation and lactation significantly increases milk yield in ruminants. No human study has evaluated efficacy of SCYS as a galactagogue. SCYS is rich in B vitamins, beta-glucan, mannan oligosaccharides and bioavailable chromium; these may impact breast milk production or composition, thus may alleviate PIM. The safety of taking SCYS during lactation is not well studied. Studies have reported contamination of SCYS with ochratoxin A (OTA) as well as minor side effects from SCYS. Studies are needed to evaluate the efficacy of SCYS on breast milk production and composition and to assess the safety of taking SCYS during lactation in humans.

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Maternal Perception of Adequacy of Mother’s Milk Among Mothers Giving Birth at a Teaching Hospital in Sri Lanka

Abstract: Sri Lankan family members should be educated further about normal patterns of milk production during the postpartum period. The authors recommend that PIM be included in screening tools for postpartum depression in Sri Lanka.

Cited by 6 publications

References 26 publications

Risk factors for self‐reported insufficient milk during the first 6 months of life: A systematic review

Risk factors for self‐reported insufficient milk during the first 6 months of life: A systematic review

The rates and factors of perceived insufficient milk supply: A systematic review

Saccharomyces cerevisiae Yeast-Based Supplementation as a Galactagogue in Breastfeeding Women? A Review of Evidence from Animal and Human Studies

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