Breastfeeding abandonment causes and success factors in relactation

Authors

DOI:

https://doi.org/10.5294/aqui.2020.20.3.6

Keywords:

Breastfeeding, breastfeeding disorders, infant nutrition, feeding methods, child care.

Abstract

Causas de abandono de la lactancia materna y factores de éxito para la relactación

Causas de abandono do aleitamento materno e fatores de sucesso para a relactação

Objective: To identify the causes of breastfeeding abandonment and the success factors associated with relactation in mothers with children attended in a specialised health institution.

Methodology: Descriptive transversal design through non-probabilistic convenience sampling, with 100 mothers and their children. A structured survey was used and central tendency measurements and frequencies were analysed. The study was approved by the Ethics committee of the School of Health Sciences at the University Pontificia Bolivariana.

Results: The average age was 26.8 years; 73 % had a low socioeconomic level; 59 % were cohabitating; 46 % were housewives; 32 % had a high school degree; 57 % were first-time mothers; 74 % had a high obstetric risk; and 59 % had children by caesarean section. Causes of breastfeeding abandonment were newborn hospitalization (79 %) and low birth weight (52 %). Health professionals suggested substitutes for hypogalactia in 18 % of the mothers. Incorrect maternal posture: 66.1 and 61 % with no previous experience. Relactation success factors were: chronological age under one month (48 %); effective newborn breast sucking (89 %); good newborn breast grasping (71 %). During the non-breastfeeding period, 72 % received mixed milk, 82 % did not breastfeed between 8 and 30 days, 98 % of the mothers were willing to relactate, 91 % considered the support of their families and health professionals as good.

Conclusion: Children hospitalization was the main cause of breastfeeding abandonment and the main success factors for relactation were effective breast sucking, mothers’ readiness and support.

Para citar este artículo / To reference this article / Para citar este artigo

Giraldo DILópez FEQuirós AMGómez AASierra SMAgudelo D. Breastfeeding abandonment causes and success factors in relactation. Aquichan. 2020;20(3):e2036. DOI: https://doi.org/10.5294/aqui.2020.20.3.6

Recibido: 21/11/2019

Aceptado: 20/04/2020

Publicado: 07/09/2020

Downloads

Download data is not yet available.

Author Biographies

Dora Isabel Giraldo Montoya, Universidad Pontificia Bolivariana

Especialista en Enfermería Neonatal

Magister en Enfermería

Docente Facultad de enfermería. Universidad Pontificia Bolivariana

Líder Línea Cuidado Materno Infantil Grupo de Investigación en Cuidado. Facultad de Enfermería. Universidad Pontificia Bolivariana

Francy Edith López Herrera, Universidad Pontificia Bolivariana

Enfermera de la Universidad Pontificia Bolivariana

Magister en Salud Pública de la Universidad Ces

Docente. Facultad de enfermería. Universidad Pontificia Bolivariana

Alexandra Marcela Quirós Jaramillo, Clínica Universitaria Bolivariana

Enfermera Universidad Pontificia Bolivariana

Especialista en Cuidado Critico Pediátrico

Coordinadora del Programa Familia Canguro de la Clínica Universitaria Bolivariana

Andrea Agudelo Gómez, Universidad Pontificia Bolivariana

Estudiante de enfermería, octavo semestre. 

Integrante Semillero de investigación Cuidar. Escuela de Ciencias de la Salud. Facultad de Enfermería. Universidad Pontificia Bolivariana

Sara María Sierra Cano, Universidad Pontificia Bolivariana

Estudiante de enfermería, octavo semestre. 

Integrante Semillero de investigación Cuidar. Escuela de Ciencias de la Salud. Facultad de Enfermería. Universidad Pontificia Bolivariana

Daniela Agudelo Restrepo, Universidad Pontificia Bolivariana

Estudiante de enfermería, octavo semestre. 

Integrante Semillero de investigación Cuidar. Escuela de Ciencias de la Salud. Facultad de Enfermería. Universidad Pontificia Bolivariana

References

Organización Mundial de la Salud. Plan de aplicación integral de nutrición materna, del lactante y del niño pequeño [Internet]. Washington: OMS; 2014 [citada 2019 nov. 13]. Disponible en: https://apps.who.int/iris/bitstream/handle/10665/130456/WHO_NMH_NHD_14.1_spa.pdf;jsessionid=616123D0B32FA93A4170424035B34480?sequence=1

Dehkhoda N, Valizadeh S, Jodeiry B, Hosseini MB. The effects of an educational and supportive relactation program on weight gain of preterm infants. J Caring Sci. 2013;2(2):97-103. DOI: https://doi.org/10.5681/jcs.2013.012

Sandoval-Jurado, L, Jiménez-Báez M, Sibli-Olivares J, De la Cruz-Olverac T. Lactancia materna, alimentación complementaria y el riesgo de obesidad infantil. Aten Primaria. 2016; 48(9):572-578. DOI: https://doi.org/10.1016/j.aprim.2015.10.004

Hormann E, Savage F. Relactación: revisión de la experiencia y recomendaciones para la práctica [Internet]. Ginebra: Organización Mundial de la Salud; 1998 [citada 2019 jul. 13]. Disponible en: http://www.who.int/maternal_child_adolescent/documents/who_chs_cah_98_14/es

Azabache V, Caravedo L. Relactación: la mejor alternativa para la alimentación del neonato hospitalizado por tiempo prolongado. Rev Medica Hered. 2013;3(1). DOI: http://doi.org/10.20453/rmh.v3i1.362

Mehta A, Rathi AK, Kushwaha KP, Singh A. Relactation in lactation failure and low milk supply. Sudan J Paediatr. 2018;18(1):39-47. DOI: https://doi.org/10.24911/SJP.2018.1.6

Tomar RS. Initiation of relactation: an army hospital based study of 381 cases. Int J Contemp Pediatr. 2016; 3(2):635-638. DOI: https://doi.org/10.18203/2349-3291.ijcp20161054

Lommen A, Brown B, Hollist D. Experiential perceptions of relactation: a phenomenological study. J Hum Lact. 2015;31(3):498-503. DOI: https://doi.org/10.1177/0890334415581646

Cazorla-Ortiz G, Galbany-Estragués P, Obregón-Gutiérrez N, Goberna-Tricas J. Understanding the challenges of induction of lactation and relactation for non-gestating Spanish mothers. J Hum Lact. 2019:1-9. DOI: https://doi.org/10.1177/0890334419852939

Flores-Antón B, García-Lara NR, Pallás-Alonso CR. An adoptive mother who became a human milk donor. J Hum Lact. 2017;33(2):419-421.2017; 33(2): 419-421. DOI: https://doi.org/10.1177/0890334416682007

Lage SR, Meneses dos Santos IM, Nazareth IV. Narratives of lives of women who breastfed their adoptive children. Rev Rene. 2014;15(2):249-56. DOI: https://doi.org/10.15253/2175-6783.2014000200009

Nyati M, Kim HY, Goga A, Violari A, Kuhn L, Gray G. Support for relactation among mothers of HIV-infected children: a pilot study in Soweto. Breastfeed Med. 2014; 9(9):450-7. DOI: https://doi.org/10.1089/bfm.2014.0049

Calderón H, Henao C, Giraldo D. Conocimientos sobre lactancia materna del personal de salud. Horiz Enferm. 2019; 30(2):115-127. DOI: https://doi.org/10.7764/Horiz_Enferm.30.2.115-127

López BE, Martínez LJ, Zapata NJ. Motivos del abandono temprano de la lactancia materna exclusiva: un problema de salud pública no resuelto en la ciudad de Medellín. Rev Fac Nac Salud Pública. 2013 [citada 2019 jul. 13]; 31(1):117-126. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120386X2013000100014&lng=en

Oribe M, Lertxundi A, Basterrechea M, Begiristain H, Santa Marina L, Villar M et al. Prevalencia y factores asociados con la duración de la lactancia materna exclusiva durante los 6 primeros meses en la cohorte INMA de Guipúzcoa. Gac Sanit. 2015;29(1):4-9. DOI: https://doi.org/10.1016/j.gaceta.2014.08.002

Vila R, Soriano FJ, Murillo M, Pérez M, Castro E. Mantenimiento de la lactancia materna exclusiva a los 3 meses posparto: experiencia en un departamento de salud de la Comunidad Valenciana. Aten Primaria. 2019; 51 (2):91-98. DOI: https://doi.org/10.1016/j.aprim.2017.09.002

Lau C. Breastfeeding challenges and the preterm mother-infant dyad: A conceptual model. Breastfeed Med. 2018;13(1):8-17. DOI: https://doi.org/10.1089/bfm.2016.0206

Giannì ML, Bezze E, Sannino P, Stori E, Plevani L, Roggero P, et al. Facilitators and barriers of breastfeeding late preterm infants according to mothers’ experiences. BMC Pediatr. 2016;16(1):179. DOI: https://doi.org/10.1186/s12887-016-0722-7

Borre YM, Cortina C, González G. Lactancia materna exclusiva: ¿la conocen las madres realmente? Rev Cuid. 2014;5(2):723-730. DOI: https://doi.org/10.15649/cuidarte.v5i2.84

Gallardo J, García C, Lujano J, Pifano V, Alejos M. Enfermería en las prácticas de lactancia materna exclusiva y de las técnicas de amamantamiento. Salud, Arte y Cuidado. 2017 [citada 2019 jul. 13];10(1):33-44. Disponible en: https://revistas.ucla.edu.ve/index.php/sac/article/view/566/

Crippa BL, Colombo L, Morniroli D, Consonni D, Bettinelli ME, Spreafico I et al. ¿Do a few weeks matter? Late preterm infants and breastfeeding issues. Nutrients. 2019;11(2):1-9. DOI: https://doi.org/10.3390/nu11020312

Zingler E, Amorim A, Zanatta A, Brito M, Da Silva M, Mariani C, et al. Lactation induction in a commissioned mother by surrogacy: Effects on prolactin levels, milk secretion and mother satisfaction. Rev Bras Ginecol Obstet 2017;39(02): 086-089. DOI: https://doi.org/10.1055/s-0037-1598641

Published

2020-09-07

How to Cite

Giraldo Montoya, D. I., López Herrera, F. E., Quirós Jaramillo, A. M., Agudelo Gómez, A., Sierra Cano, S. M., & Agudelo Restrepo, D. (2020). Breastfeeding abandonment causes and success factors in relactation. Aquichan, 20(3), e2036. https://doi.org/10.5294/aqui.2020.20.3.6

Issue

Section

Articles