Literature review for - Flourish Paediatrics

eginning at month 2
Quality P P 0 (No to 2.1, 7.4)
Results
Insufficient milk supply was cited as
the reason for change in infant feeding
method at 1 Week postpartum (8%)
and 4 Months postpartum (24.9%)
Effect on risk
Maternal perceptions of insufficient
milk supply decreases the duration and
level of breastfeeding.
Authors conclude further research to
determine the extent to which the
aetiology is physiological or
psychological in nature is required.
Percentage of mother’s who thought they
were not producing enough milk and
gave this as a reason for stopping
breastfeeding
At 1-2 months 37%
At 3-5 months 42%
At 6-12 months 20%
Percentage of mother’s who thought their
breastmilk did not satisfy the infant
and gave this as a reason for stopping
breastfeeding
At 1-2 months 58% , At 3-5 months 56%
At 6-12 months 39%
When the mother does not have
confidence that she is providing an
adequate amount of milk for her infant,
she is likely to stop breastfeeding,
and this concern does not disappear as the
infant gets older.
Clinical 1 1 4
importance
Clinical 1 1 1
relevance
Generalisability Y Y- US Y- Hong Kong
Applicability Y Y- US Y Hong Kong
31.7% of sample cited perceived
inadequate milk as a major concern
upon breastfeeding. This concern
was similar in mothers of 1 month
old infants (35.8%) and 4 month old
infants (30.8%).
Within the breastfed group
supplemental infant formula was
given to 55% of infants as a meal
replacement between 101-130 days
post partum.
Findings suggest supplemental infant
formula feeds increase a mother’s
perception of insufficient milk
supply.
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