| Summary: | 碩士 === 臺北醫學大學 === 護理學系碩士暨碩士在職專班 === 104 === Background: Perceived milk supply is often an important factor contributing to the success of breastfeeding among postpartum women. The association between perceived milk supply and breastfeeding practices, and its associated factors remain unclear in Indonesia.
Purpose: To identify factors associated with perceived milk supply and to investigate association between perceived milk supply and breastfeeding practices in Indonesia.
Methods: A cross-sectional study was conducted in Indonesia. The eligible participants were recruited from the Public Health Center in Yogyakarta City. Perceived milk supply was measured by the Hill & Humenick Lactation Scale. Breastfeeding self-efficacy, anxiety, and depressive symptoms were measured by the Breastfeeding Self-Efficacy Scale Short Form, Hospital Anxiety and Depression Scale, and Edinburgh Postnatal Depression Scale, respectively. Multivariate logistic regression was used to obtain the association estimates.
Results: A total of 237 mothers of infants aged 0 – 5 months participated in this study. The mean age of participating mothers were 30 years and 59.9% of them were multiparous. The mean score of perceived milk supply among participants was 122.4. The majority of them had exclusive/predominant breastfeeding (64.6%), skin-to-skin contact (70.0%), and low level of breastfeeding self-efficacy (53.6%). Only 4.2% and 8.4% of mothers showed anxiety and depressive symptoms, respectively. The multivariate analysis indicated that the odds of having low level of perceived milk supply were decreased among mothers who had skin-to-skin contact (Odds Ratio = 0.44, 95% Confidence Interval: 0.22, 0.92) or high self-efficacy in breastfeeding (OR = 0.15, 95% CI: 0.08, 0.28). Mothers who had high level of perceived milk supply were more likely to breastfeed exclusively/predominantly (OR = 2.46, 95% CI: 1.20, 5.04).
Conclusion: In Indonesia, mothers who practiced skin-to-skin contact and had high self-efficacy in breastfeeding were less likely to have low level of perceived milk supply, and this linked to high exclusive breastfeeding rates. The health professionals may encourage the implementation of skin-to-skin contact in clinical practice. The breastfeeding self-efficacy education seems helpful on improving the perceived milk supply in postpartum women.
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