Factors effecting on breastfeeding success in infants up to 6 months of age in Nakhon Nayok province (ปัจจัยที่มีผลต่อการเลี้ยงลูกด้วยนมแม่ในระยะหกเดือนหลังคลอดสำหรับทารกในเขตนครนายก)

Abstract

The aim of this study was to find the rate of breastfeeding and the factors effecting breastfeeding during first 6 month in Nakhon Nayok province. The subjects were 1,796 pregnant women who delivered at HRH Princess Maha Chakri Sririndhorn medical center in Nakhon Nayok province since 2007 to 2009. Data of infant feeding and factors stopping exclusive breastfeeding were collected via telephone follow-up on postpartum day 7^th, 14^th, 45^th and then at 2, 4 and 6 months of age. It was found that on postpartum day 7^th, 14^th, 45^th and 2, 4 and 6 month, the exclusive breastfeeding rates were 55.8, 56.2, 48.5, 43.6, 34.5 and 22.6%, respectively. Breastfeeding plus bottle-feeding rates were 35.6, 35.0, 35.3, 36.0, 27.9 and 21.0%, respectively. Exclusive bottle-feeding rates were 8.5, 8.8, 16.1, 20.3, 37.5 and 56.4%, respectively. Breastfeeding plus water was not found. Furthermore, exclusive breastfeeding was mainly interfered by mothers’ return to work. Insufficiency or lack of breast milk, short or inverted nipples, maternal illness, infant illness and crying infant disturbance were also additional factors interrupting breastfeeding. Therefore, government policy, social network and employer support are required for mothers to nurse their baby with breastfeeding.