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Obstetrics and Gynecology International
Volume 2012, Article ID 562704, 8 pages
Research Article

Breastfeeding Self-Efficacy and the Use of Prescription Medication: A Pilot Study

School of Nursing, Faculty of Nursing, University of Calgary, 2290-2500 University Drive NW, Calgary, AB, Canada T2N 1N4

Received 8 July 2011; Revised 26 September 2011; Accepted 30 September 2011

Academic Editor: Gideon Koren

Copyright © 2012 Cynthia Mannion and Deborah Mansell. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. To examine the association of self-efficacy, perception of milk production, and lactating women’s use of medication prescribed to increase breast milk in a cohort of 18–40-year-old mothers over six months. Methods. Mothers ( ) attending community clinics completed the Breastfeeding Self-Efficacy Scale and the Humenick/Hill Lactation Scale, a measure of perceived milk production, three times. Results. Domperidone, a dopamine antagonist, was used by 28% of participants. On average, those using domperidone had lower self-efficacy scores than those not using it ( ) and were more likely to have used formula (Pearson chi-square test statistic  , , ). Breastfeeding self efficacy and perception of milk production were positively correlated. Conclusion. Breastfeeding assessment conducted prior to prescription of galactogogues is recommended for mothers and healthy term babies. Following Baby-Friendly hospital protocols and increasing self-efficacy for lactating women may be most effective in sustaining breastfeeding. Risks and benefits of various galactogogues are discussed.