Relación del retraso de la lactogénesisII con la percepción materna de leche insuficienteun estudio longitudinal

  1. José Oliva-Pérez 1
  2. Antonio Oliver-Roig 2
  1. 1 Facultad de Enfermería, Universidad Católica San Antonio de Murcia, Campus de Los Jerónimos, Guadalupe de Maciascoque, Murcia, España
  2. 2 Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Alicante, Campus de Sant Vicent del Raspeig, Sant Vicent del Raspeig, Alicante, España
Zeitschrift:
Enfermería clínica

ISSN: 1130-8621

Datum der Publikation: 2022

Ausgabe: 32

Nummer: 6

Seiten: 413-422

Art: Artikel

DOI: 10.1016/J.ENFCLI.2022.07.005 DIALNET GOOGLE SCHOLAR lock_openOpen Access editor

Andere Publikationen in: Enfermería clínica

Zusammenfassung

Aim To analyze the relationship of delayed lactogenesisII with maternal perception of insufficient milk. Methods A prospective, multicenter, longitudinal observational study was conducted. Data were obtained at discharge and between 1 and 5months postpartum on the perception of insufficient milk and related variables, by means of a self-administered questionnaire, and subsequent postal and online follow-up. Logistic regression analysis was used to develop the explanatory model. Results A total of 260 puerperal mothers participated. Of these, 31.9% had insufficient milk and 23.6% had delayed lactogenesisII. During postpartum admission, delayed lactogenesis II (OR=2.26; 95%CI=1.07-4.79), difficulty in breastfeeding (OR=1.02; 95%CI=1.00-1.03), and professional help in breastfeeding (OR=0.70; 95%CI=0.50-0.97) were associated with maternal perception of insufficient milk. Conclusions The occurrence of breastfeeding difficulties during postpartum admission and at discharge, especially when there is delayed lactogenesisII, should be considered risk indicators, suggesting the need for additional support to standardized care. The perception of insufficient milk is a suitable indicator to assess the quality of professional breastfeeding support in improvement interventions.

Bibliographische Referenzen

  • C.G. Victora, R. Bahl, A.J.D. Barros, G.V.A. França, S. Horton, J. Krasevec, et al. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect Lancet., 387 (2016), pp. 475-490
  • OMS, UNICEF. Protección, promoción y apoyo de la lactancia natural en los centros que prestan servicios de maternidad y neonatología: revisión de la INICIATIVA «HOSPITAL AMIGO DEL NIÑO». Ginebra, 2018.
  • E. Rouw, A. von Gartzen, A. Weißenborn The importance of breastfeeding for the infant Bundesgesundheitsblatt Gesundheitsforsch Gesundheitsschutz., 61 (2018), pp. 945-951
  • R. Chowdhury, B. Sinha, M.J. Sankar, S. Taneja, N. Bhandari, N. Rollins, et al. Breastfeeding and maternal health outcomes: A systematic review and meta-analysis Acta Paediatr Int J Paediatr., 104 (2015), pp. 96-113
  • WHO. Guideline: Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. World Health Organization. 2017. 1-136 pp.
  • C.R.L. Brown, L. Dodds, A. Legge, J. Bryanton, S. Semenic Factors influencing the reasons why mothers stop breastfeeding Can J Public Health., 105 (2014), pp. 179-186
  • P.D. Hill, S.S. Humenick Insufficient milk supply J Nurs Scholarsh., 21 (1989), pp. 145-148
  • Y. Huang, Y. Liu, X.Y. Yu, T.Y. Zeng The rates and factors of perceived insufficient milk supply: A systematic review Matern Child Nutr., 18 (2022), p. e13255
  • M. Díaz-Gómez, M. Ruzafa-Martínez, S. Ares, I. Espiga, C. de Alba Motivaciones y barreras percibidas por las mujeres españolas en relación a la lactancia materna Rev Esp Salud Publica., 90 (2016), pp. 1-18
  • L.M. Mohebati, P. Hilpert, S. Bath, M.P. Rayman, M.M. Raats, H. Martinez, et al. Perceived insufficient milk among primiparous, fully breastfeeding women: Is infant crying important? Matern Child Nutr., 17 (2021), pp. 1-12
  • C. Safon, D. Keene, W.J.U. Guevara, S. Kiani, D. Herkert, E.E. Muñoz, et al. Determinants of perceived insufficient milk among new mothers in León, Nicaragua Matern Child Nutr., 13 (2016), pp. 1-10
  • Z. Lou, G. Zeng, L. Huang, Y. Wang, L. Zhou, K.F. Kavanagh Maternal reported indicators and causes of insufficient milk supply J Hum Lact., 30 (2014), pp. 466-473
  • R. Pérez-Escamilla, G.S. Buccini, S. Segura-Pérez, E. Piwoz Perspective: Should exclusive breastfeeding still be recommended for 6 months? Adv Nutr., 10 (2019), pp. 931-943
  • J.C. Kent How breastfeeding works J Midwifery Women's Heal., 52 (2007), pp. 564-570
  • D.J. Chapman, R. Pérez-Escamilla Maternal perception of the onset of lactation is a valid, public health indicator of lactogenesis stage II J Nutr., 130 (2000), pp. 2972-2980
  • E. Brownell, C.R. Howard, R. Lawrence, A.M. Dozier Delayed onset lactogenesis II predicts the cessation of any or exclusive breastfeeding J Pediatr., 161 (2012), pp. 608-614
  • L. Huang, S. Xu, X. Chen, Q. Li, L. Lin, Y. Zhang, et al. Delayed lactogenesis is associated with suboptimal breastfeeding practices: A prospective cohort study J Nutr., 150 (2020), pp. 894-900
  • S. Segura-Pérez, L. Richter, E.C. Rhodes, A. Hromi-Fiedler, M. Vilar-Compte, M. Adnew, et al. Risk factors for self-reported insufficient milk during the first 6 months of life: A systematic review Matern Child Nutr., 18 (Suppl 3) (2022), p. e13353
  • A. Sandhi, G.T. Lee, R. Chipojola, M.H. Huda, S.Y. Kuo The relationship between perceived milk supply and exclusive breastfeeding during the first six months postpartum: A cross-sectional study Int Breastfeed J., 15 (2020), pp. 1-11
  • M. Ortega, A. Cayuela Regresión logística no condicionada y tamaño de muestra: una revisión bibliográfica Rev Esp Salud Publica., 76 (2002), pp. 85-93
  • A. Oliver-Roig, M.L. D’Anglade-González, B. García-García, J.R. Silva-Tubio, M. Richart-Martínez, C.-L. Dennis The Spanish version of the Breastfeeding Self-Efficacy Scale-Short Form: Reliability and validity assessment Int J Nurs Stud., 49 (2012), pp. 169-173
  • OMS. Unicef. Indicadores para evaluar las prácticas de alimentación del lactante y del niño pequeño. Parte 1. Definiciones. Vol. 1. Washington, DC; 2009.
  • P.D. Hill, J.C. Aldag, R.T. Chatterton, M. Zinaman Comparison of milk output between mothers of preterm and term infants: The first 6 weeks after birth J Hum Lact., 21 (2005), pp. 22-30
  • P.D. Hill, J.C. Aldag Milk volume on day 4 and income predictive of lactation adequacy at 6 weeks of mothers of nonnursing preterm infants J Perinat Neonatal Nurs., 19 (2005), pp. 273-282
  • J.C. Kent, H. Gardner, D.T. Geddes Breastmilk production in the first 4 weeks after birth of term infants Nutrients., 8 (2016), pp. 9-14
  • M.L. Gianni, M.E. Bettinelli, P. Manfra, G. Sorrentino, E. Bezze, L. Plevani, et al. Breastfeeding difficulties and risk for early breastfeeding cessation Nutrients., 11 (2019), pp. 1-10
  • J.C. Kent, E. Ashton, C.M. Hardwick, A. Rea, K. Murray, D.T. Geddes Causes of perception of insufficient milk supply in Western Australian mothers Matern Child Nutr., 17 (2021), pp. 1-11
  • D. Silbert-Flagg, J. Busch, J. Bataille Mothers’ perceptions of the influence of a breastfeeding support group in achieving their breastfeeding goals Clin Lact., 11 (2020), pp. 74-83
  • I. Blixt, L.B. Mårtensson, A.C. Ekström Process-oriented training in breastfeeding for health professionals decreases women's experiences of breastfeeding challenges Int Breastfeed J., 9 (2014), pp. 1-9
  • D. Menekse, Ö. Tiryaki, Ö. Karakaya Suzan, N. Cinar An investigation of the relationship between mother's personality traits, breastfeeding self-efficacy, and perception of insufficient milk supply Health Care Women Int., 42 (2021), pp. 925-941
  • H. Kronborg, E. Foverskov, I. Nilsson, R. Maastrup Why do mothers use nipple shields and how does this influence duration of exclusive breastfeeding? Matern Child Nutr., 13 (2017), pp. 1-13
  • S. Meedya, K. Fahy, A. Kable Factors that positively influence breastfeeding duration to 6 months: A literature review Women Birth., 23 (2010), pp. 135-145