Rania Hosny Tomerak
Cairo University, Egypt
Posters & Accepted Abstracts: Surgery Curr Res
Background: Infantsâ?? fussiness on the breast is a common lactation problem that can proceed to complete breastfeeding refusal if not professionally handled. Aim: To study the factors associated with infantsâ?? fussiness while breastfeeding and the effect of proper lactation counseling on the breastfeeding outcome. Subjects & Methods: Forty-six fussy infants were recruited in this interventional study. Personal interview together with assessment of the act of breastfeeding were done for each mother-infant dyad. Results: 28 (61%) of the mothers had forceful milk letdown versus 9 (19.5%) having average letdown and 9 (19.5%) having inhibited letdown (p<0.01). 13 infants were using pacifiers, which was stopped in 10 of them (p=0.01), 8 infants received formula and 5 mothers were smokers and all couldnâ??t stop smoking. Upon counseling, 37 infants continued breastfeeding without fussiness and 9 stopped it (p<0.01). The greatest success was accomplished in mothers having forceful letdown (p=0.0001) and average letdown (p=0.01), rather than those having inhibited letdown (p=0.57). 19 of the 37 mothers having acceptable let down were presenting with perceived low milk supply and only 3 remained unconvinced (p<0.01). 46.2% of pacifier users, 100% of formula users and 80% of infants of smoker mothers quitted breastfeeding. Conclusion & Recommendations: Forceful milk letdown is commonly associated with fussiness on the breast with good outcome if properly managed. Inhibited letdown, smoking, bottle-feeding and pacifier use are associated with breastfeeding rejection.
Email: raniatomerak@yahoo.com
