1 Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
2 University Psychiatry Unit, Colombo North Teaching Hospital, Ragama, Sri Lanka.
J Hum Lact. 2019 Feb;35(1):171-180. doi: 10.1177/0890334418773304. Epub 2018 May 22.
: Sri Lanka boasts high rates of early and exclusive breastfeeding. Perceived inadequacy of milk, a global problem, is the main cause for early cessation of breastfeeding.
: The aims of this study are to (a) determine the prevalence, (b) identify the risk factors, and (c) ascertain the association that maternal psychological distress has with perceived inadequacy of milk (PIM), among mothers during the early postpartum period. Identifying and addressing modifiable risk factors for PIM may improve mothers' satisfaction with breastfeeding.
: A cross-sectional descriptive study of mothers ( n = 249) during the first week after birth was conducted at Colombo North Teaching Hospital (Ragama, Sri Lanka) from May 1, 2016, to June 10, 2016. Participants were recruited when the infant was more than 24 hours but less than 7 days old. A self-administered questionnaire, including the six-item Kessler Psychological Distress Scale, was used.
: The majority of mothers (78%) perceived their milk quantity to be adequate. A family member telling mothers that their milk supply was low had the most significant associations with perceived inadequacy. Other associations were antenatal maternal complications and birth by cesarean section. Kessler scores indicating psychological distress occurred in 26% of all participating mothers, with a higher mean score in those with PIM.
: Sri Lankan family members should be educated further about normal patterns of milk production during the postpartum period. The authors recommend that PIM be included in screening tools for postpartum depression in Sri Lanka.
斯里兰卡拥有很高的早期和纯母乳喂养率。全球范围内普遍存在母乳不足的问题，这是导致母乳喂养过早中断的主要原因。
本研究旨在：(a)确定患病率，(b)确定风险因素，以及(c)确定母亲在产后早期的心理困扰与母乳不足感知（PIM）之间的关联。确定和解决 PIM 的可改变风险因素可能会提高母亲对母乳喂养的满意度。
这是一项在 2016 年 5 月 1 日至 6 月 10 日期间在科伦坡北教学医院（斯里兰卡拉嘎马）进行的针对产后第一周的母亲（n=249）的横断面描述性研究。当婴儿出生 24 小时以上但不到 7 天时招募参与者。使用了一份自我管理的问卷，包括六项目 Kessler 心理困扰量表。
大多数母亲（78%）认为自己的奶量充足。有家庭成员告诉母亲她们的奶量不足，这与感知不足的关联性最大。其他关联因素包括产前母亲并发症和剖腹产。26%的所有参与母亲的 Kessler 评分表明存在心理困扰，而 PIM 组的平均得分更高。
斯里兰卡的家庭成员应进一步接受有关产后正常泌乳模式的教育。作者建议在斯里兰卡将 PIM 纳入产后抑郁症的筛查工具中。
