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Introducing the Mother Infant Lactation Questionnaire (MILQ): A Patient-reported Outcome Measure.

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Summary

Breastfeeding duration significantly impacts maternal satisfaction and meeting infant nourishment goals. Longer breastfeeding periods correlate with higher satisfaction, while shorter durations increase the likelihood of unmet goals.

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Area of Science:

  • Obstetrics and Gynecology
  • Lactation Science
  • Patient-Reported Outcomes

Background:

  • Limited data exists on breastfeeding outcomes after benign breast surgery.
  • The Mother Infant Lactation Questionnaire (MILQ) was developed to assess breastfeeding satisfaction, challenges, and deficits.
  • Patient-reported outcomes are crucial for understanding the impact of interventions and procedures on breastfeeding.

Purpose of the Study:

  • To introduce and validate the Mother Infant Lactation Questionnaire (MILQ) as a tool for assessing breastfeeding.
  • To investigate factors associated with breastfeeding satisfaction and goal achievement.
  • To identify potential areas for intervention and support for breastfeeding mothers.

Main Methods:

  • A cohort of 323 mothers aged 18-45 years, 6 months to 5 years postpartum, completed the MILQ between 2019 and 2023.
  • Statistical analysis included Pearson chi-squared tests to examine associations between categorical variables.
  • Odds ratios (ORs), 95% confidence intervals (CIs), and P-values were calculated to determine significance (P < 0.05).

Main Results:

  • Mothers breastfeeding/pumping for ≤6 months were 1240% more likely to not meet breastfeeding goals (OR: 13.4; P < 0.001).
  • Mothers breastfeeding/pumping for >6 months were nearly 400% more likely to be satisfied with infant nourishment (OR: 4.91; P < 0.001).
  • Physical and psychological symptoms did not significantly impact breastfeeding goals or duration.

Conclusions:

  • The MILQ provides a comprehensive assessment of breastfeeding performance.
  • Longer breastfeeding duration is linked to greater satisfaction and goal achievement.
  • Further research is needed to identify specific deficit areas for targeted support strategies.