EVIDENCED-BASED NURSING

1. General Question: What are the nursing strategies to promote breast milk production?
2. Reconstruction of General Question related to client’s problem identified in the
RLE: What are the ways to promote the importance of breast milk production to mothers
with knowledge deficit?

PICO (Population Focus, Intervention, Comparison, & Outcome)

Patient Focus Intervention Comparison Outcome
Population

60 Indonesian Module based on the None Utilization of

married mothers are concept of insufficient milk
the respondents clinic “Insufficient Milk supply concept based
and Posyandu in Supply” can enhance mother’s
Banyumas District. perception of
breastmilk production
and exclusive
breastfeeding..

1. Critical Review with Summary of the Literature

As studies show, breastfeeding provides advantages to infants and mothers.

However, there are countries—like Indonesia— that have low exclusive breastfeeding
rates because of several factors. As per the journal of Anggraeni & Rismawati (2016), the
main cause of non-exclusive breastfeeding practice was perception of insufficient milk
supply. Sufficient milk supply fulfills the infant’s need after birth; so if a mother is
experiencing inadequate lactation, benefits of breastfeeding will not be attained. Thus,
necessary interventions must be implemented like health education—commonly
instructed, demonstrated, and taught by nurses—to fill the knowledge gaps of mothers.

The study was entitled “The Effect of “Insufficient Milk Supply” Concept
Intervention on Mother's Perception of Breast Milk Production” was a quasi non-
randomized pretest-posttest control group that was conducted through five months in
clinic and Posyandu in Banyumas District, Indonesia. According to the study, a purposive
sampling method was used and the inclusion criteria of mothers were having 1–6 months
infants, compos mentis, age > 18 years old, delivered normally, literacy, and willingness
to be respondents. Inclusion criteria of the infants were healthy, a term, single birth, and
 birth weight >2.500 gram. Total samples of this study were 60 respondents (30 on
intervention group and 30 on control group). Further, the research instruments used in
this study consisted of two questionnaires— the respondent’s demographic data as well
as The Nine-items of Lactation Scale. Data were analyzed through utilizing an
independent t test and paired t test. The H & H Lactation Scale was utilized as an
intervention in which it is a research instrument to measure insufficient milk supply
concepts. Overall, the results showed that in the intervention group, there was a
significant influence of insufficient milk supply concept based intervention to the
enhancement of mother’s perception regarding breast milk production. The nine item H
& H Lactation Scale indicated the more positive perception of mothers to their own
sufficient milk supply. This perception was extremely important because if mothers think
that they have insufficient milk supply they will easily give supplementary food to their
infants because of knowledge deficits.

The study proved that it is important to enhance the perception of mothers

regarding breast milk production. Herewith, it is recommended by the study that
intervention by nurses through counseling and health education can enhance a mother's
perception of breastmilk production. Hence, making health education utilized properly
with its purpose.

Reference:

Anggraeni, M. D., Latifah, L., & Rismawati, I. (2016). The Effect of “Insufficient Milk Supply”
Concept Intervention on Mother's Perception of Breast Milk Production. Indonesian Nursing
Journal Of Education And Clinic (Injec), 1(1), 71. doi:10.24990/injec.v1i1.92