Obstacles to and motivation for successful breast-feeding.

This study determined obstetric physiotherapists' perceptions about major obstacles to and methods of motivation for successful breast-feeding by means of the Friedman non-parametric procedure for the two-way analysis of variance. Three categories of obstacles were identified: maternal obstacles, health professionals and society. Maternal obstacles mentioned most were insufficient motivation (25%) and knowledge (24%), anxiety (14%), fatigue (14%), and employment (14%). Obstacles related to health professionals included lack of support for mothers (20%), inappropriate lactation management (19%), lack of knowledge (15%), negative attitudes (5%), and staff shortages (5%). With regard to society, lack of support (27%) and life-styles (29%) were identified as significant obstacles. The two most significantly important methods of motivation were information and education (53%) and contact with other breast-feeders (27%). It is concluded that breast-feeding education efforts can be improved by identifying obstacles to breast-feeding and methods of motivation and that the Friedman test may be a statistical procedure to consider for determining priorities.