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Literature review for - Flourish Paediatrics

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Notes:<br />

In the 2003 Infant Feeding Guidelines the following table summarised the main factors<br />

associated with decreased breastfeeding per<strong>for</strong>mance in Australia:<br />

Factors negatively associated with breastfeeding initiation and duration<br />

<br />

<br />

<br />

<br />

<br />

maternal smoking<br />

use of a pacifier<br />

breast nipple trauma and mastitis<br />

perceived maternal milk insufficiency<br />

poor maternal - self esteem / - self confidence/ - coping capacity<br />

a maternal body mass index > 30.<br />

Summarised from (Baghurst and Binns 2003)<br />

In the Perth Infant Feeding Study II the prevalence of perceived breastmilk insufficiency is<br />

shown in the following table:<br />

Anxiety over milk supply Perth Infant Feeding Study II 2005<br />

Hospital 4<br />

months<br />

10<br />

months<br />

16<br />

months<br />

22<br />

months<br />

32<br />

months<br />

40<br />

months<br />

52<br />

months<br />

Insufficient/ 12.8 10.1 5.8 4.1 4.1 2.9 1.5 2.3<br />

inadequate<br />

milk supply<br />

(%)<br />

Baby not 3.1 2.3 0.6 0.5 0.3 - - -<br />

gaining<br />

enough<br />

weight (%)<br />

Baby - 1.6 1.1 0.5 0.3 1.1 - 0.6<br />

feeding too<br />

often/ not<br />

satisfied<br />

(%)<br />

Baby<br />

refuses to<br />

breastfeed/<br />

prefers<br />

bottle (%)<br />

- 1.4 1.9 1.1 2.5 3.6 1.0 2.9<br />

189

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