Breastfeeding Ability Research Articles

Different Levels of Salivary Free N-Acetylneuraminic Acid (Sialic Acid) Between Children With Autism Spectrum Disorder and Health Ones.

The objective of this investigation is to explore the potential correlation between salivary free Sias and ASD. This case-control study enrolled 141 children with ASD and 123 age-matched healthy controls. Utilising an enzymatic assay, we determined the free Sias in saliva. Using the CARS, the behavioural symptoms of children with ASD were evaluated and ranked from mild to severe. A feeding questionnaire was developed and completed by 108 children with ASD and 114 controls. The level of salivary free Sias was significantly lower in the control group than in the ASD group (p < 0.001). The diagnostic value of salivary free Sias for ASD has a sensitivity of 54.6%, specificity of 97.6%, and an area under the ROC curve of 0.803. The level of salivary free Sias, total breastfeeding time, and time of adding solid food are significantly different between the two controls and ASD who completed the feeding questionnaire. ASD children were found to be associated with a high level of Sias (OR 1.007, 95% CI 1.005-1.010) and a reduced total breastfeeding duration (OR 0.887, 95% CI 0.887-0.949) in a subsequent multivariate analysis. The rate of various primary feeding patterns after birth is significantly different between the ASD and control group (p < 0.001). The data suggests that free salivary Sias has the potential to be utilised as a biomarker for the diagnosis of ASD. However, a well-designed prospective study is necessary to reach a more definitive conclusion about breastfeeding's ability to protect against ASD.

Pavlik Harness Treatment for Infantile Hip Dysplasia Lowers Breastfeeding Self-efficacy.

Breastfeeding is recommended exclusively until at least 6 months of age by the American Academy of Pediatrics. For mothers of children with hip dysplasia (DDH), Pavlik harness treatment may impact breastfeeding. The aim of this study was to assess how Pavlik harness treatment may impact breastfeeding by evaluating patient-reported outcomes (PRO) associated with breastfeeding. This was a prospective cohort study of mothers of patients treated in a Pavlik harness for DDH at <3 months of age. Controls were recruited from patients evaluated for DDH who had normal ultrasounds. Patients with neuromuscular/developmental conditions were excluded. The validated beginning breastfeeding survey-cumulative (BBS-C), breastfeeding self-efficacy scale-short form (BSES-SF), and patient health questionnaire-8 (PHQ8) were administered to mothers at the initial clinic appointment and 2, 4, 6 weeks postbaseline. A total of 29 cases and 29 controls were enrolled. There were no differences in baseline demographics or socioeconomic/educational status between maternal cohorts. There were similarly no differences in demographics or birth characteristics between children except presenting age was lower in the DDH cohort (30.7±22.1 vs. 58.7±21.4d, P<0.001). PROs were similar at enrollment. Six weeks after harness initiation, 76% of the DDH cohort were still breastfeeding (vs. 89% of controls, P=0.303), and 52% (vs. 77%, P=0.052) reported breastfeeding >80% of the time. Mothers of 13% of DDH patients reported that the Pavlik usually/always negatively impacted their breastfeeding ability at 6 weeks. The DDH cohort had lower BBS-C problem scores at 4 (17.6±6.4 vs. 20.8±3.7, P=0.045) and 6 weeks (17.2±6.2 vs. 20.2±3.3, P=0.029). BSES-SF scores were additionally lower among the DDH group at 2 (47.6±11.8 vs. 54.1±10.2, P=0.047) and 4 weeks (48.5±13.0 vs. 55.6±10.3, P=0.040). There were no differences in PHQ-8 scores. Pavlik harness treatment for DDH was associated with lower patient-reported breastfeeding efficacy PROs. Pavlik harness treatment did not lead to earlier breastfeeding cessation 6 weeks after harness initiation. Lower breastfeeding efficacy for these mothers may justify early education regarding effective breastfeeding methods in a harness. Level II-prospective therapeutic cohort study.

Ability to Breastfeed After Breast Reduction.

Breast reduction surgery is increasingly performed in reproductive age women, raising concerns for potential breastfeeding implications. We evaluated breastfeeding outcomes in patients that underwent reduction mammaplasty with one of three pedicle types and subsequently conceived and delivered at our institution. The primary objective was to determine the impact of reduction mammaplasty on breastfeeding success. The secondary objective was to explore other factors influencing breastfeeding success. Twenty patients were included. Patients' charts were queried for demographics, comorbidities, pregnancy outcomes, and surgical details. The independent samples T test was utilized to analyze continuous variables. The Pearson's Chi-squared or Fisher's exact test was used for categorical variables. Of the twenty patients who attempted breastfeeding after reduction mammaplasty in the study's timeframe, 11 (55%) were successful. Breastfeeding success was not significantly affected by the type of pedicle chosen for the procedure, the tissue excision weight, age at breast reduction, time between surgery and pregnancy, age at pregnancy, BMI, smoking status, chronic hypertension, pre-gestational diabetes, preterm delivery, delivery method, or neonatal birthweight. Delivering a small for gestational age infant significantly reduced the chance of breastfeeding success (p=0.05). In our study, the ability to breastfeed was not significantly affected by a history of breast reduction surgery, regardless of pedicle type, tissue excision weight, or demographic factors. OBGYNs and plastic surgeons should engage in shared decision making with potential surgical patients and counsel them that while the literature is overall reassuring, there is a potential impact on breastfeeding ability given that milk-producing breast parenchyma will have been removed. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

The effect of motivational interview-based breastfeeding education on breastfeeding motivation, success, self-efficacy perceptions, and exclusive breastfeeding duration after cesarean section: a randomized controlled trial.

The aim of this study was to investigate the effect of motivational interview-based breastfeeding education on breastfeeding motivation, breastfeeding success, self-efficacy perceptions, and exclusive breastfeeding duration in primiparous mothers after cesarean section. A parallel-group randomized controlled experimental study. Mothers were randomly assigned to an intervention group (IG; n = 39) and a control group (CG; n = 37). IG was provided with four sessions of motivational interview-based breastfeeding education, while CG did not receive any motivational interview-based education. The research data were collected by using 'Introductory Information Form', 'Breastfeeding Self-Efficacy Scale-Short Form', 'LATCH Breastfeeding Assessment Tool', 'The Primipara Breastfeeding Motivation Scale', and 'Importance and Confidence-Sufficiency Rulers'. In addition, in the follow-ups except for the pretest, mothers were asked about exclusive breastfeeding. The study was registered at ClinicalTrials database (NCT05562245). Group × time interactions in mothers, breastfeeding self-efficacy, breastfeeding success, the value ascribed to breastfeeding, breastfeeding self-effectiveness, and confidence sufficiency in breastfeeding ability were statistically significant (P < 0.05). A motivational interviewing-based breastfeeding education provided to mothers increased their breastfeeding self-efficacy, the value ascribed to breastfeeding, and confidence sufficiency in breastfeeding ability. Therefore, motivational interviewing can contribute to mothers' positive experience of breastfeeding.

Part II: Enhancing Breastfeeding Experience and Self-Efficacy in Opioid-Dependent Breastfeeding Mothers—Results From the PeriWell Intervention

Objective:The PeriWell project integrates the Positive Direction Model and the Tri-Core Breastfeeding Model into a virtual support program tailored to peripartum mothers in substance use recovery. PeriWell addresses the unique challenges this population faces by offering tailored, wraparound support. This manuscript, part of a two-part series, highlights the project’s outcomes, demonstrating significant implications for maternal health practices by fostering an environment of empowerment and lactation wraparound support.Methods:This longitudinal quality improvement (QI) project spanned 24 months (2019–2021) during the COVID-19 pandemic. It involved 15 peripartum mothers in substance use recovery engaging in a virtual, single-site program. The project was approved as a QI initiative by the Institutional Review Board (IRB reference 2018-19, #89), ensuring ethical adherence and participant safety. Participants provided voluntary consent and were recruited from obstetrics and gynecology offices in Upstate New York. To evaluate participants’ confidence and belief in their breastfeeding abilities, we received author permission and utilized the validated Breastfeeding Self-Efficacy Scale-Short Form (Dennis &amp; Faux, 1999; Dennis, 2010), guiding the tailored support provided.Results:Results indicated a significant increase in prenatal breastfeeding confidence correlated with the PeriWell approach (r= .782,n= 14,p&lt; .001). Participants reported improved self-confidence in latching techniques and a greater appreciation of the time commitment required for successful breastfeeding. Correlational relationships provided valuable insight to enhance and amplify breastfeeding support. The findings advocate for the inclusion of targeted specialized interventions in maternal care to better meet the needs of expecting individuals.Conclusion:Cultivating a supportive peripartum environment is fundamental to maternal-child healthcare, and the PeriWell project demonstrated the efficacy of integrating tailored, virtual peripartum and breastfeeding support for expecting and postpartum mothers in substance use recovery. This quality improvement project improved maternal and infant health outcomes, such as breastfeeding self-efficacy, and highlighted the importance and value of specialized, wraparound lactation support for vulnerable populations. These findings underscore the need for continued innovation in maternal health services, particularly through empowerment and promoting breastfeeding success in recovery settings.

HUBUNGAN FAMILY SUPPORT DAN BREASTFEEDING SELF EFFICACY PADA IBU MENYUSUI PMB YULI BAHRIAH

Breast milk (ASI) is considered the best and most important food for babies up to 6 months of age without the addition of other foods. The success of breastfeeding is very dependent on the support provided, both from the family and from the mother's self-efficacy in breastfeeding. The mother's condition can also influence breastfeeding success, such as confidence in her breastfeeding ability (breastfeeding self-efficacy). This study aims to determine the relationship between family support and breastfeeding self-efficacy (breastfeeding self-efficacy) with the success of providing exclusive breastfeeding to breastfeeding mothers at PMB Yuli Bahriah. The method used is quantitative by designcross-sectional, and the sample consisted of 20 breastfeeding mothers in the PMB Yuli Bahriah Kertapati work area in 2024. Data collection was carried out using a questionnaire with specific questions regardingfamily support and the success of exclusive breastfeeding.Breastfeeding self-efficacy measured using a scaleBreastfeeding Self-Efficacy (BSE) and analyzed by testchi-square. The research results show that there is a significant relationship betweenfamily support, breastfeeding self-efficacy, and the success of exclusive breastfeeding. Family support plays an important role in the success of exclusive breastfeeding, because it helps babies and families understand the importance of breastfeeding. Mothers also need to increase their self-confidence and motivation to breastfeed as well as knowledge about correct breastfeeding techniques through health service counseling.

Resisting stigma: the role of online communities in young mothers’ successful breastfeeding

BackgroundBreastfeeding initiation and continuation rates are shaped by complex and interrelated determinants across individual, interpersonal, community, organisational, and policy spheres. Young mothers, however, face a double burden of stigma, being perceived as immature and incompetent in their mothering and breastfeeding abilities. In this study, we aimed to understand the experiences of young mothers who exclusively breastfed for six months and beyond and explore their experiences of stigma and active resistance through social media.MethodsIn 2020, in-depth telephone interviews about breastfeeding experiences were conducted with 44 young mothers under age 25 in Aotearoa New Zealand who breastfed for six months or longer. Participants were recruited via social media. Interviews were audio-recorded, transcribed and analysed thematically.ResultsAnalysis yielded four themes on young mothers’ negotiation of breastfeeding and support. The first three themes revealed young mothers’ encounters with socio-cultural contexts. They faced negative judgments about maturity and competence, adverse guidance to supplement or cease breastfeeding, and an undermining of their breastfeeding efforts. The fourth theme showed how young mothers sought alternative support in online environments to avoid negative interactions. Online spaces provided anonymity, convenience, experiential knowledge and social connections with shared values. This facilitated identity strengthening, empowerment and stigma resistance.ConclusionOur research highlights the importance of online communities as a tool for young mothers to navigate and resist the societal stigmas surrounding breastfeeding. Online spaces can provide a unique structure that can help counteract the adverse effects of social and historical determinants on breastfeeding rates by fostering a sense of inclusion and support. These findings have implications for the development of breastfeeding promotion strategies for young mothers and highlight the potential of peer support in counteracting the negative impacts of stigma. The research also sheds light on the experiences of young mothers within the health professional relationship and the effects of stigma and cultural health capital on their engagement and withdrawal from services. Further research should examine how sociocultural barriers to breastfeeding stigmatise and marginalise young mothers and continue to reflect on their socio-political and economic positioning and how it can exacerbate inequities.

Efektifitas Tindakan Frenektomy Pada Bayi Tongue Tie Dengan Kemampuan Menyusu

Tongue tie cases at the Columbia Asia Surgical Hospital in Semarang in the last two years have experienced an increase, where in 2021 there were 438 cases and in 2022 there were 447 cases. Tongue tie babies have a poor breastfeeding mechanism, this is caused by limited tongue movement, so tongue tie babies cannot attach properly when breastfeeding. These conditions result in the maximum intake of breast milk not being obtained and the mother feeling uncomfortable due to sore nipples which can cause premature cessation of breastfeeding. This study aims to analyze the effectiveness of frenectomy in tongue tie babies with breastfeeding ability. This research is a type of quasi-experimental research with a one group pretest-posttest design. The population in this study were tongue-tie babies without complications who were still being hospitalized at the Columbia Asia Surgical Hospital in Semarang. Using a purposive sampling technique, a sample of 30 babies was obtained. The instruments used in this study were LATCH and ATLFF scores. Data analysis was performed using univariate analysis and bivariate analysis. The results of the study showed that the Frenectomy procedure was effective in increasing the ability to suckle in tongue tie babies, the Wilcoxon test results were obtained (pvalue 0.000 &lt;0.05), where all (100%) tongue tie babies experienced an increase in the ability to suckle after a frenectomy. The action of a frenectomy is effective in increasing the ability to suckle, this can be due to the fact that with a frenectomy the mobility of the tongue increases, so that the baby can latch on properly, can swallow milk well, the mother feels comfortable while breastfeeding because the nipples are not painful.

COMPARISON OF HOLISTIC CARE HYPNOLACTATION MODEL BY SELF-TALK FOR BREASTMILK PRODUCTION IN POSTPARTUM WOMEN

Breast milk production is crucial for mothers to provide exclusive breast milk to their babies. Holistic care in midwifery offers an alternative or complementary approach to conventional medical treatment. It aimed to enhance the health of postpartum mothers through education and various health services, recognizing that health issues are not solely physical and can be addressed through non-medical interventions. This study investigated the impact of Hypnolactation and self-talk on breast milk production in postpartum mothers. The research utilized a quasi-experimental design, specifically, a pretest-posttest with a control group. The holistic care model implemented communication science techniques to promote relaxation, deep breathing, positive suggestions, and confidence building in postpartum mothers. The study was conducted in the Meteseh Boja Kendal village area from June to August 2023. The analysis employed paired testing, with a sample of 35 out of 42 postpartum mothers selected through purposive sampling. The results revealed that 100% of mothers who received Hypnolactation achieved sufficient breast milk levels, whereas 66.7% of those who practiced self-talk achieved the same, with 33.3% having inadequate levels. Hypnolactation demonstrated greater efficacy in enhancing breast milk production in the Meteseh Boja Kendal area. Applying hypnolactation and self-talk increased the secretion of endorphins, prolactin, and oxytocin, potentially influencing the mother's breastfeeding ability and the body's capacity to produce breast milk. Future research should consider using action research methods, expanding sample coverage over an extended period, and examining additional factors such as postpartum mothers' dietary intake.

Pengaruh Paket SESASI (Sepekan Edukasi ASI dan MPASI) Terhadap Pengetahuan Kader Di Desa Caturharjo, Kecamatan Pandak, Bantul, DIY

The application of lactation counseling in postpartum mothers is still not optimal so that mothers experience difficulties when first contact with their babies and cause a decrease in breastfeeding ability. Lactation counseling on early maternal and infant contact by the ASI Support Group is very important in supporting postpartum mothers to maintain breastfeeding and optimize breastfeeding for newborns. The results of a preliminary study conducted at the Pandak 2 Public Health Center in Bantul, are known to have formed a Mother Support Group, but the Mother Support Groups that have been formed are not yet optimal. The results of the February 2018 survey from the Pandak 2 Puskesmas in Catuharjo Village obtained data on exclusive breastfeeding coverage of 77.94%. This study aims to determine the effectiveness of the SESASI Package (One-week Education Program about ASI and MP-ASI) on increasing the knowledge of cadres / Support Groups for mothers. The design of this study is quasi experimental pretest and postest design. Data was collected in the Working Area of ​​Pandak 2 Public Health Center in Bantul, Caturharjo Village. The sample in this study was a cadre of toddlers and Mother Support Groups. The sampling technique uses cluster sampling. Bivariate analysis using paired t-test. The results showed an increase in the median value of knowledge from 86.5 to 90 and the value of p = 0,000 (p &lt;0.05). The conclusion in this study is an increase in knowledge before and after education.

Respiratory problems in full term newborns, which parameters are related to the length of in-patient stay?

To analyze respiratory problems of full term newborn babies during their first hours of life, compare parameters related to the length of neonatal intensive care unit (NICU) in-patient stay, and discuss perinatal care practices, which could prevent consequences, and/or reduce associated costs of NICU hospitalization. Retrospective chart review between July 31st 2017 and March 2nd 2018 in a tertiary maternity hospital. Chi-square testing analyzed qualitative data. Mann-Whitney test was used for quantitative variables. Multiple linear regression models determined odds ratios for associations were found to be significant in univariate analyses. 86 babies with respiratory problems were studied. Delivery mode was vaginal in 11.6% and caesarean section in 88.4% of newborns. About 52.3% of admitted newborns had transient tachypnea and improved relatively quickly. Newborns resuscitated in (P = 0.004) or admitted to the NICU from the delivery room (P = 0.000) displayed greater need for O2 administration. Twenty neonates were intubated; 16 of them were administered surfactant. Infection (P &lt; 0.05), abnormal chest x-ray (P = 0.022), and the severity of respiratory system morbidity (P &lt; 0.05) prolonged neonatal in-patient stay. Respiratory problems (P = 0.003) and intubation (P = 0.032) incurred greater hospitalization costs. Breastfeeding initiation before the 3rd day of life (P = 0.031), and O2 administration for more than 72 h (P = 0.036) were significantly associated with the length of in-patient stay in the multivariate regression analysis. Mandating the presence of a pediatrician in the delivery room would optimize justified direct NICU admissions and reduce the possibility of delayed diagnosis of respiratory distress during rooming-in. NICU in-patient stay in full term neonates should be based on combining diagnostic markers of sepsis, such as procalcitonin or interleukin-6. A specific protocol regarding surfactant administration in intubated full term infants is also necessary. The severity of respiratory system morbidity is not the key determinant of infant feeding. Maternal information regarding infant health and breastfeeding abilities may improve breastfeeding rates.

Media Edukasi Berbasis Aplikasi terhadap Kemampuan Ibu Menyusui

This study examines research results in the last ten years on the effect of application-based educational media on mothers' breastfeeding ability. The method used in this literature review is to search for several articles through Pubmed, Proquest, Scopus, Science Direct, and Google Scholar. The results showed that the application of media in breastfeeding education could increase mothers' knowledge, attitudes, and skills in breastfeeding compared to ordinary care. The use of applications as educational media has ease in accessing information; it can be done anytime and anywhere. In conclusion, application-based educational interventions have proven effective in improving mothers' breastfeeding ability.&#x0D; Keywords: Application, Breastfeeding Ability, Educational Media

The Academy of Breastfeeding Medicine27th Annual International MeetingBaltimore, MarylandSeptember 15–18, 2022

The Academy of Breastfeeding Medicine27^th Annual International MeetingBaltimore, MarylandSeptember 15–18, 2022

Comparing the Effects of Paracetamol and Pethidine on First-stage Labor Pain Relief and Their Maternal and Neonatal Complications

Introduction: The pain relief effect of Paracetamol, as a safe analgesic drug in labor, compared to Pethidine, as a well-known analgesic drug, need to be more evaluated. Objective: This study aims to compare the effects of Paracetamol and Pethidine on the first-stage labor pain relief and neonatal and maternal complications. Materials and Methods: This single-blind, parallel group, randomized clinical trial conducted on 100 nulliparous pregnant women referred to a maternity hospital in Rafsanjan Iran in 2018 who were selected using a convenience sampling method and by assigned into two groups Paracetamol (n=49, receiving 100 mg intravenous Paracetamol) and Pethidine (n= 51, receiving 50 mg intravenous Pethidine) using the minimization method. The drugs were administered when there was at least a 4-cm cervical dilation. Maternal complications and infant’s 1 and 5-min the Apgar scores and ability to breastfeed were evaluated. Pain intensity measured by the Visual Analogue Scale (VAS) and compared using two-way repeated measures ANOVA before and 30 minutes, 1, 2, 3 and 4 hours after drug administration. Results: There were no significant differences between the two groups in term of age, body mass index, and gestational age, and no significant difference in pain intensity in any groups among the time points. Maternal complications were significantly lower in the Paracetamol group than in the Pethidine group; however, the difference was statistically significant only in terms of nausea (P=0.04). Infants’ breastfeeding ability was significantly better in Paracetamol group than in the Pethidine group (P=0.04). The results of two-way ANOVA showed that the mean VAS score was not significantly different between the two groups. Conclusion: Paracetamol can alleviate the first-stage labor pain similar to Pethidine, but with fewer maternal and neonatal complications.

Circumstantial: An Evaluation of Circumcision, Breastfeeding, and Overall Dyad Success.

Circumstantial: An Evaluation of Circumcision, Breastfeeding, and Overall Dyad Success.

Human Milk output among mothers previously treated for severe acute malnutrition in childhood in Democratic Republic of Congo

BackgroundMalnutrition is a public health problem, as wasting affects 7.5% of children worldwide. The harmful effects of severe acute malnutrition (SAM) can last a lifetime, but how SAM in childhood affects later breastfeeding ability is not clear. In the present study, we assessed the human milk output and body composition among mothers with a history of childhood SAM.MethodsThis retrospective cohort study was carried out in Miti-Murhesa Health Zone (Democratic Republic of Congo) from January 15 to March 17, 2020. We selected lactating mothers with breastfed infants aged 2–12 months. Two categories of mothers were included: those who had been treated for SAM during their childhood (years 1988–2003; n = 39) and a community control with no history of SAM (n = 40). The weight, height, and mid-upper arm circumference were measured and body mass index (BMI) calculated as weight/height2. Body composition and human milk output were assessed using standard deuterium dilution methods. Student t and chi2 tests ware applied to compare two groups.ResultsThe mean age ± standard deviation of the mothers was 24.4 ± 5.1 and 26.0 ± 6.1 years for the SAM and control groups, respectively (p = 0.186). The age of their infants was 5.4 ± 2.3 months in both groups (p = 0.962). In the SAM and control groups, the mean maternal BMI was 23.8 ± 2.3 and 23.6 ± 3.7 kg/m2 (p = 0.849), mean Fat Mass 27.1% ± 5.0 and 27.1% ± 5.8% (p = 0.708), and the mean Fat Free mass 72.9% ± 5.0 and 72.9% ± 5.8% (p = 0.998), respectively. Human milk output was 833.7 ± 152.1 g/d in SAM group and 827.4 ± 171.4 g/d in the control group (p = 0.864).ConclusionsWe found no significant difference in human milk output and body composition in mothers treated for SAM during childhood compared to community controls.

Prenatal infant feeding intentions and actual feeding practices during the first six months postpartum in rural Rwanda: a qualitative, longitudinal cohort study

BackgroundExclusive breastfeeding (EBF) is advocated by the WHO for the first 6 months. In Rwanda, the percentage of infants who are exclusively breastfed decreases from 94% among infants aged 0–1 month to 81% among those aged 4–5 months. Little is known about what influences mothers’ breastfeeding practices. This study aimed to gain insights into expectant mothers’ prenatal feeding intentions, the underlying reasons, actual practices after birth, and factors facilitating or impeding EBF for the first 6 months of a child’s life in Muhanga District, Rwanda.MethodsThis qualitative longitudinal study, conducted between December 2016 and October 2017 as part of a larger study, recruited a purposive sample of 39 pregnant women attending prenatal consultations during their last trimester in two rural health centers. Women were interviewed during pregnancy, within the first week after birth and at 4 and 6 months postpartum to explore intentions, actual practices, critical transition points, and facilitating or impeding factors. Interviews were recorded, transcribed verbatim, and analyzed thematically.ResultsOf the 39 participants, 38 intended to breastfeed within the first hour after birth, and 32 intended to breastfeed exclusively for the first 6 months. In practice, 34 initiated breastfeeding within the first hour, and 12 breastfed exclusively for 6 months. Impeding factors include perceived breastmilk insufficiency, pressure from family members, past experiences, mothers’ concerns over their infants’ health, mothers’ heavy workload, poverty and food insecurity. Factors facilitating early initiation and EBF include mothers’ awareness of EBF’s advantages, confidence in their breastfeeding ability, and support from health professionals and family members.ConclusionDespite participants’ intentions about breastfeeding, there was a gap between intentions and actual practices. An interplay of barriers at individual, group and societal levels impeded women from EBF for the first 6 months. EBF promotion interventions should consider supporting and equipping breastfeeding mothers with skills to deal with perceived breastmilk insufficiency and to recognize the true signs of baby hunger cues. Furthermore, important influential family and community members should be targeted to support mothers to breastfeed. Interventions that consider addressing the issue of poverty-driven food insecurity should not be overlooked either.

Modest benefit of frenotomy for infants with ankyloglossia and breastfeeding difficulties

Modest benefit of frenotomy for infants with ankyloglossia and breastfeeding difficulties

The Hindi Version of the Breastfeeding Self-Efficacy Scale-Short Form: Reliability and Validity Assessment.

Background:Despite the cultural sanctity and elevation of breastfeeding practices, nearly one in two Indian women nationwide are unable to practice exclusive breastfeeding (EBF). Early identification of mothers at risk of reduced breastfeeding through a suitable instrument can enable targeted interventions for breastfeeding support.Objectives:We conducted this study with the objectives of translation into Hindi and to psychometrically test the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) and to ascertain the sociodemographic and other correlates of breastfeeding self-efficacy.Methods:The BSES-SF was translated into Hindi using a back and forth translation process to ensure linguistic validity. We enrolled a total of 210 married women who were mothers of infants at an urban primary health center in Delhi, India.Results:The Cronbach's alpha for the Hindi translation of the BSES-SF was 0.87 with all except one correlation coefficient <0.3. We conducted an exploratory factor analysis using principal component analysis that revealed a two-component solution, which explained 47.9% and 16.7% of the total variance, respectively. Mothers perceiving higher social support registered significantly higher mean BSES-SF scores, indicating a greater confidence in their breastfeeding abilities (P = 0.01). However, breastfeeding self-efficacy was unrelated to the mother's age, parity, and education. The women planning to breastfeed partially had lower BSES-SF scores compared to the woman adhering to EBF norms (P < 0.001).Conclusion:The Hindi version of the BSES-SF demonstrates good reliability and validity and can also explain previous and planned breastfeeding behavior in mothers of infants.

HUBUNGAN KEJADIAN POST PARTUM BLUES DENGAN KEMAMPUAN MENYUSUI PADA IBU POSTPARTUM DI RS PKU MUHAMMADIYAH GAMPING YOGYAKARTA

The inability to breastfeed properly and correctly is one problem when the mother startsbreastfeeding her baby. If it is not immediately treated, it will cause maternal anxiety and anxietyabout the ability to breastfeed. If this condition is left it will continue to be post partum blues and evenpostpartum depression. This study aims to determine the correlation between postpartum blues andbreastfeeding ability in postpartum woman in PKU Muhammadiyah Gamping Hospital, Yogyakarta.The design of this study was quantitative descriptive using a cross sectional approach. The sample inthis study were 57 postpartum wamans with sampling techniques using accidental sampling inFirdaus Ward, PKU Muhammadiyah Gamping Hospital, Yogyakarta. Analysis of univariate andbivariate data with the Kendall-tau correlation test. This study shows that as many as 30 respondents(52.6%) who experienced mild postpartum blues events were able to breastfeed. The value of p value= 0.001 and the value of p alpha = 0.01. Then 0.001 < 0.01. This means that H0 rejected and Haaccepted, namely there is a significant correlation between the incidence of postpartum blues andbreastfeeding ability in postpartum womans in PKU Muhammadiyah Gamping Hospital, Yogyakartawith a correlation coefficient of 0.43. Based on the results of this study it can be concluded that thereis a correlation between the incidence of postpartum blues and breastfeeding ability in postpartummothers in PKU Muhammadiyah Gmaping Yogyakarta Hospital.Key Words : Postpartum Blues, Breastfeeding Ability, Maternity Blues