The Effect of Kangaroo Mother Care, Provided in the Early Postpartum Period, on the Breastfeeding Self-Efficacy Level of Mothers and the Perceived Insufficient Milk Supply

Abstract

The aim of this study was to determine the effect of kangaroo mother care, provided in the early postpartum period, on the breastfeeding self-efficacy level and the perceived insufficient milk supply. This study was conducted as the quasi-experimental design. The population of the study consisted of the mothers and their infants, to whom they gave birth in a university hospitals located in either eastern or western Turkey, between December 2016 and June 2017. In this study, mothers and their infants were randomly assigned to the experimental group (kangaroo mother care, n = 30) and the control group (n = 30). This study included 2500 to 4000 g birth weight infants who had no serious health problems and no sucking problems. The Introductory Information Form, the Breastfeeding Self-Efficacy Scale, and the Perception of Insufficient Milk Questionnaire were used to collect the data. In this study, kangaroo mother care was provided as a nursing intervention for the mothers in the experimental group twice a day until they were discharged. Any other application was not performed in the control group's mothers apart from the routine application. Ethical principles were adhered in all stages of the study. The breastfeeding self-efficacy mean score (65.50 ± 3.95) of the mothers who performed kangaroo mother care was higher than the mean score of the mothers who did not perform kangaroo mother care (55.50 ± 7.00) (P < .001). In addition, mothers in the experimental group (46.60 ± 3.40) perceived their milk more sufficiently than mothers in the control group (30.17 ± 11.37) (P < .001). In the study, a statistically significant correlation was determined between breastfeeding self-efficacy levels of mothers in the experimental group and the perceived insufficient milk supply (P ˂ .05). In the study, kangaroo mother care increased breastfeeding self-efficacy perception of the mothers and reduced the perceived insufficient milk supply. This shows that kangaroo mother care can potentially have an important effect on breastfeeding perceptions.

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“…Dari 8 penelitian yang ditinjau, empat penelitian menggunakan studi desain cross sectional (Katuuk & Kundre, 2018;Soleha et al, 2019;Dewi, 2020;Damanik, 2020), dua penelitian menggunakan studi desain kuasi-eksperimental (Ozdemir et al, 2019;Rahmi et al, 2020), satu penelitian menggunakan studi desain case control (Alhadar & Umaternate, 2017) dan satu penelitian menggunakan studi desain pra-eksperimental (Fatmawati et al, 2019).…”

“…Dari 8 penelitian yang direview, tujuh penelitian menggunakan intervensi dengan perawatan payudara seperti senam payudara dan menjaga kebersihan (Alhadar & Umaternate, 2017;Katuuk & Kundre, 2018;Soleha et al, 2019;Fatmawati et al, 2019;Rahmi et al, 2020;Dewi, 2020;Damanik, 2020). Satu penelitian menggunakan intervensi kangaroo mother care (Ozdemir et al, 2019).…”

“…Dari 8 penilitian tersebut, secara keseluruhan penilitian menunjukkan tingkat efektif yang baik fokus terhadap perawatan payudara yang dilakukan oleh ibu sehingga meningkatkan pengetahuan ibu dan melancarkan produksi ASI ibu (Alhadar & Umaternate, 2017;Katuuk & Kundre, 2018;Ozdemir et al, 2019;Soleha et al, 2019;Fatmawati et al, 2019;Rahmi et al, 2020;Dewi, 2020;Damanik, 2020).…”

“…Secara total, literature review ini terdiri dari 8 artikel yang melaporkan hasil signifikan antara lain: Perawatan payudara dengan senam payudara sangat efektif dalam melancarkan produksi ASI ibu (Alhadar & Umaternate, 2017;Soleha et al, 2019;Fatmawati et al, 2019;Rahmi et al, 2020;Damanik, 2020), Pengetahuan perawatan payudara yang dimiliki oleh ibu dikategorikan baik dan efektif dalam melancarkan produksi ASI ibu selama proses menyusui http://ejournal.stikesbuleleng.ac.id/index.php/Midwinerslion | 416 (Katuuk & Kundre, 2018) dan Kangaroo mother care (KMC) memiliki pengaruh terhadap persepsi ibu dalam neyusui dan KMC termasuk metode yang efektif (Ozdemir et al, 2019).…”

“…Sebagai tambahan informasi, metode seperti KMC (kangaroo mother care) dapat diterapkan untuk terciptanya hubungan yang semakin erat antara ibu dan bayi sehingga hal ini berpengaruh terhapad psikis ibu dan juga anak yang efektif. KMC juga mempengaruhi pengetahuan ibu dalam perawatan payudara menjadi kebiasaan menjaga kebersihan sebelum bersentuhan dengan bayi dalam proses memberikan ASI yang benar-benar eksklusif (Ozdemir et al, 2019).…”