The Effect of Perceived Sufficient Milk Supply and Milk Volume Promotion Program after Discharge on Exclusive Breastfeeding Rate at 4 Weeks Postpartum in First-time Mother
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Abstract
Breast milk is the best food for babies. The World Health Organization recommends exclusive breastfeeding for six months, but most mothers stop breastfeeding in the first month after giving birth due to their concerns about milk supply. This quasi-experimental research aimed to study the effect of a perceived sufficient milk supply and milk volume promoting program after discharge on exclusive breastfeeding rate at four weeks postpartum in first-time mothers. The samples consisted of 43 postpartum mothers. Participants were divided into a control group of 22 participants and an experimental group of 21 participants. The control group received usual care while the experimental group received usual care combined with the program, which consisted of (1) promoting confidence in correct breastfeeding, (2) creating confidence in milk supply, (3) assessing and solving breastfeeding problems, and (4) breastfeeding following up and counseling. Instruments used in data collection included a data recording form and an exclusive breastfeeding interview form. Data were analyzed using descriptive statistics, t-test statistics, chi-square statistics, Fisher’s exact test statistics, and Z test.
The research found that the experimental group had a significantly higher rate of exclusive breastfeeding than the control group (Z = -8.04, p = .000). Suggestions for promoting continued breastfeeding include training mothers to be confident in holding their babies to the breast correctly, understanding infant cues, and how to assess sufficient milk supply, and having a monitoring system that can be used for follow ups to help mothers with breastfeeding during the first month.
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