Mannion Cynthia, Mansell Deborah
School of Nursing, Faculty of Nursing, University of Calgary, 2290-2500 University Drive NW, Calgary, AB, Canada T2N 1N4.
Obstet Gynecol Int. 2012;2012:562704. doi: 10.1155/2012/562704. Epub 2011 Dec 15.
Objective. To examine the association of self-efficacy, perception of milk production, and lactating women's use of medication prescribed to increase breast milk in a cohort of 18-40-year-old mothers over six months. Methods. Mothers (n = 76) attending community clinics completed the Breastfeeding Self-Efficacy Scale and the Humenick/Hill Lactation Scale, a measure of perceived milk production, three times. Results. Domperidone, a dopamine antagonist, was used by 28% of participants. On average, those using domperidone had lower self-efficacy scores than those not using it (P < 0.05) and were more likely to have used formula (Pearson chi-square test statistic = 6.87, df = 1, P < 0.05). Breastfeeding self efficacy and perception of milk production were positively correlated. Conclusion. Breastfeeding assessment conducted prior to prescription of galactogogues is recommended for mothers and healthy term babies. Following Baby-Friendly hospital protocols and increasing self-efficacy for lactating women may be most effective in sustaining breastfeeding. Risks and benefits of various galactogogues are discussed.
目的。在一组18至40岁的母亲中，研究自我效能感、对产奶量的认知与哺乳期妇女使用增加母乳分泌的处方药之间的关联，为期六个月。方法。在社区诊所就诊的母亲（n = 76）三次完成母乳喂养自我效能量表和Humenick/Hill泌乳量表（一种对产奶量的认知测量工具）。结果。28%的参与者使用了多巴胺拮抗剂多潘立酮。平均而言，使用多潘立酮的人自我效能感得分低于未使用者（P < 0.05），且更有可能使用过配方奶（Pearson卡方检验统计量 = 6.87，自由度 = 1，P < 0.05）。母乳喂养自我效能感与对产奶量的认知呈正相关。结论。建议对母亲和健康足月儿在开催乳剂之前进行母乳喂养评估。遵循爱婴医院协议并提高哺乳期妇女的自我效能感可能对维持母乳喂养最为有效。讨论了各种催乳剂的风险和益处。
