Studies on perceived breast-milk insufficiency: relation to attitude and practice

Fifty-one mother-infant pairs were followed prospectively by home visits and telephone contacts during the first 6 months post-partum. Comparisons between mothers who experienced lactation crises because of perceived breast-milk insufficiency (crisis group) and those who did not (non-crisis group) revealed differences in attitudes to breast-feeding, breast-feeding behaviour and sexual life. The crisis group tended to initiate breast-feeding for infant-related reasons more frequently than the non-crisis group, which more frequently gave mother-related reasons. During the course of breast-feeding attitude changes in a negative direction were significantly more common in the crisis group. No difference was found between the groups in the resumption of sexual life, but 59% of all the women claimed that they experienced less or no desire compared to before pregnancy and, of these, a significantly higher proportion belonged to the crisis group.