Around the world mothers end breastfeeding or start adding other milk before they had planned, because they are convinced their milk is insufficient to still their babies’ hunger or to supply for growth. Researchers find unbelievable percentages of mothers who think their milk supply is insufficient. ''Common reasons for such a perception were irrational'' according to Mathur et al in a 2009 Indian study. Gatti (2008) finds that mothers base their self-diagnosed milk insufficiency on their interpretation of their child’s satisfaction cues, while health care providers fail to determine factual milk transfer. The socio-economic background of mothers is not a significant factor in ‘perceived insufficient milk syndrome’, however some cultural beliefs can add to a delayed onset of lactogenesis II.
Gatti L: Maternal Perceptions of Insufficient Milk Supply in Breastfeeding. Journal of Nursing Scholarship, 2008, 40(4): 355-363
Fjeld E, Siziya S, Katepa-Bwalya M, Kankasa C, Moland KM. Tylleskär T, the PROMISE-EBF Study Group: 'No sister, the breast alone is not enough for my baby', a qualitative assessment of potentials and barriers in the promotion of exclusive breastfeeding in southern Zambia. International Breastfeeding Journal 2008, 3:26
Fjeld E, Siziya S, Katepa-Bwalya M, Kankasa C, Moland KM. Tylleskär T, the PROMISE-EBF Study Group: 'No sister, the breast alone is not enough for my baby', a qualitative assessment of potentials and barriers in the promotion of exclusive breastfeeding in southern Zambia. International Breastfeeding Journal 2008, 3:26
Mathur N, Dhingra D: Perceived breast milk insufficiency in mothers of neonates hospitalized in neonatal intensive care unit. Indian Journal of Pediatrics 2009, 76(10):1003-1006
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