In a new study 92 percent of new moms reported at least one breastfeeding concern three days after birth. The most predominant concern, in 52 percent of mothers, was infant feeding at the breast, which refers to the behavior of the baby, such as not "latching on" properly. Other common concerns included breastfeeding pain (44 percent of mothers) and milk quantity (40 percent of mothers).
"Breastfeeding problems were a nearly universal experience in the group of first-time mothers in our study, with some of the most common problems also being the most strongly associated with stopping breastfeeding," says Laurie Nommsen-Rivers, PhD, a researcher in the Perinatal Institute at Cincinnati Children's Hospital Medical Center and lead investigator of the study. "Priority should be given to enacting strategies for lowering the overall occurrence of breastfeeding problems and, in particular, targeting support for mothers with infant feeding or milk quantity concerns within the first week after leaving the hospital."
The study is published online in the journal Pediatrics. Researchers included Kathryn Dewey, PhD, and Caroline Chantry, MD, at the University of California Davis Medical Center, and Erin Wagner, a clinical research coordinator at Cincinnati Children's.
The researchers conducted a series of six interviews with 532 first-time mothers, beginning in pregnancy and also at three, seven 14, 30 and 60 days after giving birth. The researchers received reports of thousands of breastfeeding problems and concerns. Those concerns reported at interviews conducted at days three and seven postpartum were strongly associated with subsequently stopping breastfeeding, according to Dr. Nommsen-Rivers.
"This may be related to the fact that these interviews captured a time when there is often a gap between hospital and community lactation support resources," she says. "Our findings indicate helping mothers meet their breastfeeding goals requires a two-pronged approach: Strengthening protective factors, such as prenatal breastfeeding education and peer support, and ensuring that any concerns that do arise are fully addressed with professional lactation support, especially in those first few days at home."
The 8 percent of mothers who did not report any breastfeeding problems or concerns at day three seemed to have protective factors that prevented them from experiencing concerns that led to formula use, says Dr. Nommsen-Rivers. These factors include prenatal self-confidence about breastfeeding, youth, unmedicated vaginal birth and strong social support.
The study was supported by grants from the National Institutes of Health (NIH HD063275-01A1) and (MC 04294).
CDC Guide to Strategies to Support Breastfeeding Mothers and Babies, which contains evidence-based examples of how healthcare providers and communities can support breastfeeding http://www.cdc.gov/breastfeeding/resources/guide.htm
CDC Breastfeeding Report Card: http://www.cdc.gov/breastfeeding/data/reportcard.htm
Surgeon General's Call to Action to Support Breastfeeding: http://www.cdc.gov/breastfeeding/promotion/calltoaction.htm
The Office of Women's Health links to local breastfeeding resources: http://www.womenshealth.gov/breastfeeding/finding-support-and-information/index.html
About Cincinnati Children's
Cincinnati Children's Hospital Medical Center ranks third in the nation among all Honor Roll hospitals in U.S.News and World Report's 2013 Best Children's Hospitals ranking. It is ranked #1 for cancer and in the top 10 for nine of 10 pediatric specialties. Cincinnati Children's, a non-profit organization, is one of the top two recipients of pediatric research grants from the National Institutes of Health, and a research and teaching affiliate of the University of Cincinnati College of Medicine. The medical center is internationally recognized for improving child health and transforming delivery of care through fully integrated, globally recognized research, education and innovation. Additional information can be found at http://www.cincinnatichildrens.org. Connect on the Cincinnati Children's blog, via Facebook and on Twitter.
More articles from Health and Medicine:
Targeted treatment can significantly reduce relapse in children with AML leukemia
09.12.2013 | Children's Mercy Hospital
Extensive variability in olfactory receptors influences human odor perception
09.12.2013 | Monell Chemical Senses Center
In power electronics systems bonded connections create the central electrical connections between adjoining surfaces.
The quality of these bonded connections is one of the main factors that determines the reliability and availability of drive systems in electric vehicles, and hence constitutes a major design challenge for German auto manufacturers aiming to electrify their vehicles.
Now the partners participating in the RoBE (Robust Bonds in ...
International team of scientists develops new feedback method for optimizing the laser pulse shapes used in the control of chemical reactions
In many ways, traditional chemical synthesis is similar to cooking. To alter the final product, you can change the ingredients or their ratio, change the method of mixing ingredients, or change the temperature or pressure of the environment of the ingredients.
Like an accomplished chef, chemists have become very skilled ...
A genetic defect protects mice from infection with influenza viruses
A new study published in the scientific journal PLOS Pathogens points out that mice lacking a protein called Tmprss2 are no longer affected by certain flu viruses.
The discovery was made by researchers from the Helmholtz Centre for Infection Research (HZI) in Braunschweig in collaboration with colleagues from Göttingen and ...
The Light: Global study gets underway with online user survey
Light has a fundamental impact on our sense of well-being and performance. In cooperation with Zumtobel, a supplier of lighting solutions, Fraunhofer IAO has launched a global user survey of lighting quality in offices. The objective is to identify the best lighting conditions for a variety of spaces and lighting ...
Quantum entanglement, a perplexing phenomenon of quantum mechanics that Albert Einstein once referred to as “spooky action at a distance,” could be even spookier than Einstein perceived.
Physicists at the University of Washington and Stony Brook University in New York believe the phenomenon might be intrinsically linked with wormholes, hypothetical features of space-time that in popular science fiction can provide a much-faster-than-light shortcut from one part of the universe to another.
But here’s the catch: One couldn’t actually ...
09.12.2013 | Materials Sciences
09.12.2013 | Life Sciences
09.12.2013 | Studies and Analyses
05.12.2013 | Event News
04.12.2013 | Event News
12.11.2013 | Event News