Perceived Insufficient Milk as a Barrier to Optimal Infant Feeding: Examples From Bolivia

McCann, Margaret F.; Bender, Deborah E.

doi:10.1017/s0021932005007170

Cited by 23 publications

(26 citation statements)

References 22 publications

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“…Our finding about the phenomenon of breast milk insufficiency is consistent with previous research that has been conducted across diverse cultural norms and practices, socio‐economic status of mothers and rural and urban contexts (McCann & Bender 2006; Sacco et al. 2006).…”

Section: Discussionsupporting

confidence: 91%

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Mother's perceptions and experiences of infant feeding within a community‐based peer counselling intervention in South Africa

Nor

Ahlberg

Doherty

et al. 2011

Maternal & Child Nutrition

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Exclusive breastfeeding (EBF) has the potential to significantly reduce infant mortality, but is frequently not practiced in low-income settings where infants are vulnerable to malnutrition and infections including human immunodeficiency virus (HIV). This study explores mothers' experiences of infant feeding after receiving peer counselling promoting exclusive breast or formula feeding. This qualitative study was embedded in a cluster randomized peer counselling intervention trial in South Africa that aimed to evaluate the effect of peer counselling on EBF. Participants were selected from the three districts that were part of the trial reflecting different socio-economic conditions, rural-urban locations and HIV prevalence rates. Seventeen HIV-positive and -negative mothers allocated to intervention clusters were recruited. Despite perceived health and economic benefits of breastfeeding, several barriers to EBF remained, which contributed to a preference for mixed feeding. The understanding of the promotional message of 'exclusive' feeding was limited to 'not mixing two milks': breast or formula and did not address early introduction of foods and other liquids. Further, a crying infant or an infant who did not sleep at night were given as strong reasons for introducing semi-solid foods as early as 1 month. In addition, the need to adhere to the cultural practice of 'cleansing' and the knowledge that this practice is not compatible with EBF appeared to promote the decision to formula feed in HIV-positive mothers. Efforts to reduce barriers to EBF need to be intensified and further take into account the strong cultural beliefs that promote mixed feeding.

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Section: Discussionsupporting

confidence: 91%

“…2010). One of the most common reasons frequently cited by mothers in many communities throughout the world is the perception of breast milk insufficiency (Dykes & Williams 1999; McCann & Bender 2006; Sacco et al. 2006).…”

mentioning

confidence: 99%

Mother's perceptions and experiences of infant feeding within a community‐based peer counselling intervention in South Africa

Nor

Ahlberg

Doherty

et al. 2011

Maternal & Child Nutrition

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“…For example: many societal and environmental factors such as cultural norms, hospital, home, work and community environments have been shown to impact on the rate of successful breastfeeding [12]. Another commonly reported reason for unsuccessful breastfeeding or early weaning is perceived low or insufficient breast milk supply [13]. Poor breastfeeding technique or latching leading to ineffectual milk removal, deficient mammary gland tissue and maternal hormonal imbalances can all contribute to insufficient supply of milk [14,15].…”

Section: Introductionmentioning

confidence: 99%

Perspectives and attitudes of breastfeeding women using herbal galactagogues during breastfeeding: a qualitative study

Sim

Hattingh

Sherriff

et al. 2014

BMC Complement Altern Med

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BackgroundSome herbal galactagogues have gained reputation and recognition by the public and health professionals as alternative approaches to increase breast milk supply. This study explores the perspectives and attitudes of breastfeeding women towards the use of herbal galactagogues while breastfeeding, their experiences, and why and how they have chosen an alternative option over conventional treatments to enhance breastfeeding performance.MethodsThis exploratory research was conducted through in-depth semi-structured interviews with women living in Perth, Western Australia, who were using one or more herbal galactagogues during breastfeeding. Purposeful and subsequent snowball sampling methods were employed to recruit participants. All interviews, facilitated by an interview guide, were audio-recorded, then transcribed verbatim. Thematic analysis was used to analyse qualitative data to construct themes and subthemes.ResultsThe perspectives and attitudes of the 20 participants are classified under three main headings: i) use of herbal medicines during breastfeeding, ii) available herbal medicines resources, and iii) level of breastfeeding support received. Throughout the interviews, participants described how their perseverance and determination to breastfeed, as well as concerns over breastfed infants’ safety with conventional treatments, influenced their choice of therapy. A sense of self-efficacy and autonomy over their own health needs was seen as influential to their confidence level, supported self-empowerment and provided reassurance throughout the breastfeeding journey. There was also a desire for more evidence-based information and expectations of health professionals to provide credible and reliable information regarding the use of herbal medicines during breastfeeding.ConclusionsThis study has enhanced our understanding of the perspectives and attitudes of breastfeeding women towards the use of herbal medicines, in particular galactagogues, while breastfeeding. The positive attitudes of breastfeeding women identified in this study highlight the need for further research into evaluating the safety and efficacy of commonly used herbal galactagogues, whilst the negative views on breastfeeding education should be taken into consideration when implementing or improving breastfeeding-related health policies.

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“…Despite women’s experience of insufficient breast milk production, only about five percent have a biological factor making them unable to produce enough breast milk [7,8]. Most women who experience insufficient breast milk production provide infant formula, but some women choose to latch the baby on to stimulate the breast or to seek advice from health professionals [42,43]. Dykes and Williams reported that women with experience of insufficient breast milk were dissatisfied with incorrect and conflicting advice from health professionals, and it had negative consequences for their ability to breastfeed [44].…”

Section: Discussionmentioning

confidence: 99%

Process-oriented training in breastfeeding for health professionals decreases women’s experiences of breastfeeding challenges

2014

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BackgroundThe World Health Organization recommends promoting exclusive breastfeeding for six months. Women often end breastfeeding earlier than planned, however women who continue to breastfeed despite problems often experience good support and counselling from health professionals. The aim of this study was to evaluate the effects of a process-oriented training in breastfeeding support counselling for midwives and child health nurses, on women’s satisfaction with breastfeeding counselling, problems with insufficient breast milk and nipple pain in relation to exclusive breastfeeding shorter or longer than 3 months.MethodsAn intervention through process-oriented training for health professionals regarding support in childbearing and breastfeeding took part in the south west of Sweden. This study was conducted in Sweden, in 2000 - 2003. Ten municipalities were paired, and within each pair, one was randomly assigned to the group of five intervention (IG) municipalities and one to the group of five control municipalities. Primiparas (n = 540) were invited to participate in a longitudinal study to evaluate the care they received. A survey was distributed at 3 days, 3 months and 9 months postpartum. Data collection for control group A (n = 162) started before the intervention was initiated. Data for control group B (n = 172) were collected simultaneously with the intervention group (IG) (n = 206). Women were also divided into two groups depending on whether they exclusive breastfed < 3 months or ≥ 3 months.ResultsWomen in IG were more satisfied with the breastfeeding counselling (p = 0.008) and felt the breastfeeding counselling was more coherent (p = 0.002) compared to control groups, when exclusive breastfeeding was < 3 months. In addition fewer women in the IG, among the group exclusively breastfeeding < 3 months, had problems with insufficient breast milk compared to the control groups (p = 0.01).ConclusionA process-oriented training for health professionals in support influenced women’s ability to solve breastfeeding problems such as the experience of insufficient breast milk production. Women with exclusive breastfeeding lasting ≥ 3 months more often had breastfeeding duration in line with their planned breastfeeding duration, compared to women who had breastfeeding duration < 3 months.Trial registrationACTRN12611000354987

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Perceived Insufficient Milk as a Barrier to Optimal Infant Feeding: Examples From Bolivia

Cited by 23 publications

References 22 publications

Mother's perceptions and experiences of infant feeding within a community‐based peer counselling intervention in South Africa

Mother's perceptions and experiences of infant feeding within a community‐based peer counselling intervention in South Africa

Perspectives and attitudes of breastfeeding women using herbal galactagogues during breastfeeding: a qualitative study

Process-oriented training in breastfeeding for health professionals decreases women’s experiences of breastfeeding challenges

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