Table 5. Challenges in inducing lactation.
Author (Year) |
Study design Number of participants/articles |
Summary of the findings on the perceptions of satisfaction in inducing lactation |
|---|---|---|
Nemba12 (1994) |
Case report 37 participants |
Internal factor: i. Demotivated External factor: i. Lack of support and encouragement |
Gribble9 (2006) |
Review 163 articles as references |
Internal factor: i. Emotional instability in adoptive infants characterized by the cycle of progression-regression-progression of trying to directly breastfeed an adopted child. |
Bryant8 (2006) |
Review 26 articles as references |
Internal factor: i. Difficulty in committing time to frequently pump or breastfeed External factor: i. Lack of support from the public, which views inducing lactation as odd or not worth the effort |
Goldfarb2 (2010) |
Original paper (qualitative and quantitative design) 228 participants |
Internal factors: i. Worrying about the baby getting enough milk ii. Sore nipples/breasts iii. Fatigue iv. Getting baby to breastfeed v. Lack of preparation time External factor: i. Equipment difficulties |
Saari et al.5 (2015) |
Original paper (qualitative design) 12 participants |
Internal factors: i. Lack of commitment ii. Health problems External factors: i. Misconceptions ii. Lack of support iii. Non-conducive work environment iv. Career setback |
Cazorla-Ortiz18 (2019) |
Original paper (qualitative design) 9 participants |
Internal factors: i. Hardship to endure induced-lactation protocols ii. Doubts and fears while inducing lactation, such as not being able to produce milk or producing an insufficient amount of milk iii. Problems with breasts, such as cracked nipples, nipple blebs, blocked ducts, pain, and suction problems iv. Doubts if amount of milk supplied was sufficient during breastfeeding period v. The end of shared responsibility for breastfeeding with the partner during breastfeeding cessation vi. Reduced feeling of closeness to the child during breastfeeding cessation External factor: i. Difficulty obtaining information from health professionals |