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Original Article

IJMDC. 2025; 9(1): 086-094


Breastfeeding problems experienced by lactating mothers in Almadinah Almonawarah province and the probable maternal and fetal risk factors

Magda Ahmed Eldomiaty, Maha Saeed Alanazi, Shima Esamalden Albashier, Weam Khaled Alahmadi, Rawan Rabeh AlRashidi, Shatha Abduldaem Almutairi, Khaled Abdel Hmid Shahat.




Abstract

Objective:
This study aimed to identify breastfeeding problems commonly experienced during the first six months of lactation and the associated risk factors in Almadinah Almonawarah Province.
Methods:
The study was conducted through face-to-face questionnaires filled out by lactating mothers attending the Maternity and Children Hospital and Ohud Hospital in Al-Madinah.
Results:
The majority of mothers (52.8%) encountered breastfeeding difficulties. The most prevalent concerns were insufficient milk (28.6%), uncertainty of appropriate timing for breastfeeding (23.5%), not knowing the proper breastfeeding position (16.6%), solidification of milk (14.4%), and nipple pain (8.6%). There were significant associations between encountering breastfeeding problems and the baby's weight at birth (p-value=0.005), the baby's need for an incubator (p-value= 0.000), the timing of breastfeeding initiation (p-value=0.002), and getting help on correct breastfeeding techniques (p-value=0.032). No significant difference in experiencing breastfeeding problems between mothers who received prenatal breastfeeding education and those who did not (p-value=0.123). A moderate positive correlation was found between the occurrence of breastfeeding problems and prenatal care visits (rs= 0.165, p-value= 0.000) as well as the level of maternal education (rs= 0.107, p-value= 0.000). The need for an incubator, hospital follow-up visits, timing of breastfeeding initiation, receiving help with breastfeeding, and gestational age are predictors for the occurrence of breastfeeding problems.
Conclusion:
Breastfeeding difficulties were prevalent among mothers in Al-Madinah province. Early initiation of breastfeeding, proper positioning, and ongoing postnatal support are crucial factors for successful breastfeeding.

Key words: Breastfeeding problems, maternal risk factors, fetal risk factors, prenatal healthcare, Saudi Arabia.






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