KMID : 0606420140200010014
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Korean Journal of Women Health Nursing 2014 Volume.20 No. 1 p.14 ~ p.28
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Maternal Psychosocial Factors that Affect Breastfeeding Adaptation and Immune Substances in Human Milk
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Kim Eun-Sook
Jeong Mi-Jo Kim Sue Shin Hyun-A Lee Hyang-Kyu Shin Ka-Young Han Jee-Hee
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Abstract
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Purpose: This study was to identify relationships of maternal psychosocial factors including mother¡¯s mood state, childcare stress, social support and sleep satisfaction with breastfeeding adaptation and immune substances in breast milk, especially secretory immunoglobulin A (sIgA) and transforming growth factor-beta 2 (TGF-¥â2).
Methods: Data were collected from 84 mothers who delivered full-term infants by natural childbirth. Structured questionnaires and breast milk were collected at 2~4 days and 6 weeks postpartum. Data were analyzed using descriptive statistics, Pearson¡¯s correlation, multiple linear regression, and generalized estimating equation (GEE).
Results: Scores for the breastfeeding adaptation scale were significantly related with child care stress, mood state and social support. Mother¡¯s anger was positively correlated with the level of sIgA in colostrum (p<.01). Immune substances of breastmilk was significantly influenced by time for milk collection (p<.001) and the type of breastfeeding (sIgA, p<.001, TGF-¥â2, p=.003). Regression analysis showed that breastfeeding adaptation could be explained 59.1% by the type of breastfeeding, childcare stress, the Profile of Mood States, emotional support and sleep quality (F=16.67, p<.001).
Conclusion: The findings from this study provide important concepts of breastfeeding adaptation program and explanation of psychosocial factors by immune substances in breast milk. Future research, specially, bio-maker research on breast milk should focus on the ways to improve breastfeeding adaptation.
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KEYWORD
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Breastfeeding, Human milk, Adaptive behavior, Immunologic factors, Psychosocial factors
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