Journal of the Korean Pediatric Society 2003;46(7):635-641.
Published online July 15, 2003.
A Follow-up Survey of Mothers' Antenatal Breast-feeding Plans
Hae Soon Kim, Jeong Wan Seo, Yong Joo Kim, Kee Hyoung Lee, Jae Young Kim, Jae Sung Ko, Sun Hwan Bae, Hye Sook Park
Committee on Nutrition, Korean Pediatric Society
임신시 모유 수유 계획의 실천에 대한 추적 관찰
김혜순, 서정완, 김용주, 이기형, 김재영, 고재성, 배선환, 박혜숙
대한소아과학회 영양위원회
Correspondence: 
Jeong Wan Seo, Email: jwseo@ewha.ac.kr
Abstract
Purpose
: To investigate the success rate and factors that influence breast-feeding among women having antenatal breast-feeding plans.
Methods
: Questionnaires included items on success in breast-feeding, reasons for failure and perinatal factors. It was done by telephone calls to 152 randomly selected women having antenatal breast-feeding plans at 4 months after delivery. The questionnaires were analysed by bivariate χ2- analysis.
Results
: The breast-feeding rate for the first four months among women having antenatal breast- feeding plans was 37.5%. The major reason for breast-feeding failure was insufficient amount of breast milk(66.3%). The breast-feeding rate was 2.3(95% CI 1.15-4.62) times higher in women having antenatal breast-feeding plans for longer than 4 months(P<0.05), but maternal age, breast-feeding for previous baby, person advocating breast-feeding, and family size were not significant factors of success in breast-feeding. The breast-feeding rate of graduates of college was 0.43(95% CI 0.21- 0.86) times lower than that of graduates of high school. The breast-feeding rate of employed mothers was 0.37(95% CI 0.17-0.83) times lower than that of housewives(P<0.05). Maternal disease, smoking, alcohol drinking, and understanding and knowledge about breast-feeding were not significant determinant factors of success in breast-feeding. Breast-feeding rate of infant born at local obstetric clinics was 3.97(95% CI 11-14.23) times higher than that of infant at general hospital(P<0.05).
Conclusion
: To increase the breast-feeding, medical personnel should educate mothers on problems during breast-feeding. Hospital polices that facilitate breast-feeding such as rooming-in must be promoted. For employed mothers, strategies for breast-feeding within companies must be encouraged.
Key Words: Breast-feeding rate, Breast milk, Factors


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