MCN Am J Matern Child Nurs. 2021;46(4):223-229. doi: 10.1097/NMC.0000000000000723.
Perceived insufficient milk is the predominant risk factor for early breastfeeding discontinuation globally. The purpose of this study was to explore the association between perceived insufficient milk in the first 3 months and infant factors, maternal factors, professional support, parenting decisions, and breastfeeding concerns. Sixty-nine mothers who had perceived insufficient milk and 301 mothers who did not were included.
A cross-sectional online survey design was used in a convenience sample of 370 U.S. mothers with a healthy singleton infant between 1 and 12 weeks who were breastfeeding directly on the breast as part of their feeding methods.
Using stratified multivariable logistic regression, we found that among 102 mothers of infants < 4 weeks of age, planned breastfeeding duration < 6 months (OR = 13.17; 95% CI [1.42, 122.48], p = .024), and concerns about infant crying or fussing (OR = 4.72; 95% CI [1.10, 20.00], p = .03) were associated with perceived insufficient milk. Among 256 mothers of infants 4 to 12 weeks of age, concerns about frequent feedings (OR = 4.05; 95% CI [1.95, 8.40], p = .000) and latching difficulty (OR = 2.95; 95% CI [1.33, 6.54], p = .008) were associated with perceived insufficient milk.
Association between factors and perceived insufficient milk differed based on infant age. Maternal perceptions of crying or fussing, frequent feedings, and latching difficulty need to be assessed because of its attribution to perceived insufficient milk.
全球范围内，母乳喂养早期中断的主要风险因素是感觉母乳不足。本研究旨在探讨产后前 3 个月感觉母乳不足与婴儿因素、产妇因素、专业支持、育儿决策和母乳喂养担忧之间的关系。纳入 69 名感觉母乳不足的母亲和 301 名感觉母乳充足的母亲。
采用便利抽样方法，对 370 名美国母亲进行了横断面在线调查设计，这些母亲的婴儿为 1 至 12 周龄的健康单胎，母乳喂养方式为直接哺乳。
在 102 名婴儿 < 4 周龄的母亲中，使用分层多变量逻辑回归发现，计划母乳喂养持续时间 < 6 个月（OR = 13.17；95%CI [1.42, 122.48], p =.024）和对婴儿哭闹的担忧（OR = 4.72；95%CI [1.10, 20.00], p =.03）与感觉母乳不足有关。在 256 名婴儿 4 至 12 周龄的母亲中，频繁喂养的担忧（OR = 4.05；95%CI [1.95, 8.40], p =.000）和衔乳困难（OR = 2.95；95%CI [1.33, 6.54], p =.008）与感觉母乳不足有关。
基于婴儿年龄，因素与感觉母乳不足的关联存在差异。需要评估母亲对哭闹、频繁喂养和衔乳困难的感知，因为这些因素可能导致感觉母乳不足。
