Comparison of Lactation Problems, Knowledge, and Adaptation on Breastfeeding between Users and Non-Users of Lactation Clinic

모유수유클리닉 이용군과 비이용군의 모유수유 문제, 지식 및 적응 비교

  • 윤명희 (모유사랑 모유수유클리닉) ;
  • 신혜숙 (경희대학교 간호과학대학)
  • Received : 2014.09.15
  • Accepted : 2014.11.24
  • Published : 2014.11.30


Purpose: The purpose of this study was to compare the differences in characteristics, lactation problems, knowledge, and adaptation of breastfeeding between users and non-users of a lactation clinic. Methods: The descriptive study design was utilized using self-report questionnaires. 446 breastfeeding mothers participated in this study. Data were collected from lactation clinics, postpartum care centers, mother's culture centers, public health centers, pediatrics and obstetrics & gynaecology outpatient clinics in Seoul, Gyeonggi province, and Chungcheongnam province from August 20 to September 30, 2011. The questionnaires to measure lactation problems, knowledge and adaptation of breastfeeding were used. Data were analyzed using SPSS ver. 18.0 for Windows. Results: There was statistically significant differences in the breast feeding problems(t=5.71, p<.001) and breastfeeding knowledge(t=2.87, p=.004) between users and non-users of a lactation clinic. Conclusion: The results of this study may provide a foundation to develop nursing intervention for mothers in breastfeeding, and an evidence to expand the role of nurses as breastfeeding specialists.



  1. Cho, J. S. & Ahn, S. H. (2014). Development and evaluation of breastfeeding promotion program for mothers with breast engorgement following cesarean birth. Journal of Korean Academy of Nursing, 44(2), 170-178.
  2. Choi, J. H., Choi, K. E., Shin, S. M., Kim, Y. J., Kim, N. S., Choi, Y. Y, et al. (2012). Interfering factors of breastfeeding in the postpartum care centers. Korean Journal of Perinatology, 23(3). 165-174.
  3. Ertem, I. O., Votto, N., & Leventhal, J. M. (2001). The timing and predictors of the early termination of breastfeeding, Pediatrics, 170(3), 543-548.
  4. Eum, G. R., Sohn, H. S., & Kim, H. Y. (2007). Breast feeding rate and related factors in Busan. Journal of the Korean Society of Maternal and Child Health, 11(1), 78-85.
  5. Hong, S. M. (2010). Effect and Obstacles of Breast-feeding Practices and Continuance by Breast-feeding Clinwic at a Local Public Health Center. Unpublished master's thesis, The Chung-Ang University of Korea, Seoul.
  6. Jang, G. J. & Kim, S. H. (2010). Effects of breast-feeding education and support services on breast-feeding rates and infant's growth. Journal of Korean Academy of Nursing, 40(2), 277-286.
  7. Jang, G. J., Kim, S. H., & Jeong, K. S. (2008). Effect of postpartum breast-feeding supprot by nurse on the breast-feeding prevalence. Journal of Korean Academy of Nursing, 38(1), 172-179.
  8. Kim, K. H., & Cho, E. A. (2013). Knowledge, attitude and educational needs regarding breast feeding of women's mothers and mother-in-laws. The Korean Society of Food Culture, 28(3), 303-311.
  9. Kim, M. Y., Kim, S. H., & Lee, J. H. (2011). Types of breast feeding and its predictors of mothers in twenty-four months after birth. Journal of Korean Academy of Womens Health Nursing, 17(1), 21-30.
  10. Kim, S. H. (2009a). Development of a breast feeding adaptation scale (BFAS). Journal of Korean Academy of Nursing, 39(2), 259-269.
  11. Kim, S. H. (2009b). Factors explaining mothers' breast feeding satisfaction. Journal of Korean Academy of Womens Health Nursing, 15(4), 270-279.
  12. Kim, S. H. (2010). Factors affecting mother's adaptation to breast feeding. Journal of Korean Academy of Nursing, 40(2), 225-235.
  13. Kim, Y. M. (2006). Effects of Breastfeeding Empowerment Program on Exclusive Breastfeeding. Unpulished doctoral dissertation. Seoul National University, Seoul.
  14. KNHNES. (2010). Korean National Health and Nutrition Examination Surveys. Health Plan 2010, Available from:
  15. Korea Centers for Disease Control and Prevention. (2008). Korea health statistics: Korea National Health and Nutrition Examination Survey (KNHANES I, II, III, IV-1).
  16. Lamontagne, C., Hamelin A. M., & St-Pierre, M. (2008). The breast feeding experience of women with major difficulties who use the services of a breast feeding clinic: a descriptive study. International Breastfeeding Journal, 17(3), 1-13.
  17. Lee, S. O. (2003). A study about breast feeding knowledge, attitude and problem of breast feeding in early postpartum period and breast feeding practice. Journal of Korean Academy of Womens Health Nursing, 9(2), 179-188.
  18. Lowdermilk, D. L., & Perry, S. E. (2004). Maternity & Women's Health Care, 8th, Mosby. Philadelphia, PA, USA.
  19. Park, J. H., Park, Y. G., Jun, H. R., Park, S. U., Lee, J. Y., Hwang, S. G., et al., (1999). Impact of delivery method and feeding supervision on breastfeeding. Journal of the Korean Society of Maternal Child Health, 3(1), 7-21.
  20. Sohn, I. A. (2007). A Study on the Factors Affecting Knowledge about, Attitudes towards and Practice of Breast-Feeding. Unpublished master's thesis, The Han-Yang University of Korea, Seoul.
  21. Song, J. E., & Ahn, J. A. (2013). Effect of intervention programs for improving maternal adaptation in Korea: systematic review. Korean Journal of Womens Health Nursing, 19(3), 129-141.
  22. Song, J. E., Chang, S. B., & Kim, S. (2008). Child care stress, postpartum depression, and postpartum fatigue between women who used and not used Sanhujori facility. Journal of Korean Society Maternal and Child Health, 12, 33-46.
  23. Song, Y., Kim, A. J., Youn, S. L., Yoo, T. W., & Kang, N. M. (2007). Evaluating the breast feeding information websites for Korean adolescents. Journal of The Korean Society of Food and Nutrition, 20(4), 487-493.
  24. Stashwick, C. A. (1994). Overcoming obstacles to breastfeeding. Patient Care, 28, 88-92.
  25. Waldenstrom, U. & Swenson, A. (1991). Rooming-in at night in the postpartum ward. Midwifery, 7(2), 82-89.
  26. WHO. (2011). "Exclusive breastfeeding for six months best for babies everywhere", Available from: 20110115/en/, 2001.
  27. Yang, H. J., & Seo, J. M. (2013). A structural model for primiparas' breastfeeding behavior. Journal of Korean Academy of Nursing, 43(3), 399-408.
  28. Yeo, J. H. (2005). Influencing factors in breast feeding duration. Korean Journal of Women Health Nursing, 11(2), 142-147.
  29. Yu, Y. R., & Park, S. Y. (2013). Effect of breast-feeding attitude and breast-feeding practice by individual breast-feeding promotion program. Journal of the Korea Academia-Industrial Cooperation Society, 14(7), 3310-3318.

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