The Effects of Utilizing the SPEC.N Breastfeeding Assessment Tool on the Success of Breastfeeding Before Discharge in Postpartum Cesarean Section Mothers, Maharaj Nakhon Si Thammarat Hospital
Keywords:
Special Needs Children, , Stress, Parenting EffectivenessAbstract
This quasi-experimental research aimed to investigate the effects of utilizing the SPEC.N Breastfeeding Assessment tool on the success of breastfeeding before discharge. The sample group consisted of mothers undergoing postpartum cesarean section who received preoperative and postoperative care at the Special Patient Ward, Maharaj Nakhonsrithammarat Hospital, totaling 30 individuals in December 2023. Participants were selected using purposive sampling based on specific criteria. The SPEC.N Breastfeeding Assessment tool and the LATCH score were used for evaluation. Data analysis was conducted using statistical analysis methods.
The study found that mothers who utilized the SPEC.N Breastfeeding Assessment tool during the early postpartum period, within 8 hours after surgery, on the first and second postoperative days, and on the day of discharge, achieved breastfeeding success rates of 93.33%, 96.67%, 100.00%, 100.00%, and 100.00%, respectively. The assessment of breastfeeding initiation or positioning showed success rates of 0.00%, 36.67%, 76.67%, 93.33%, and 96.67%, respectively. Adequate breastmilk intake assessments showed success rates of 0.00%, 10.00%, 46.67%, 70.00%, and 90.00%, respectively. Evaluation of nipple and breast comfort yielded success rates of 96.67%, 96.67%, 90.00%, 96.67%, and 96.67%, respectively. The mean scores for breastfeeding effectiveness assessment during the early postoperative and discharge periods were 5.30 (S.D.=1.09) and 8.93 (S.D.=1.34), respectively, with a 90.00% success rate for mothers after cesarean delivery. It can be observed that the mean score for breastfeeding effectiveness on the day of discharge was higher than that during the early postoperative period, indicating higher success rates for mothers after cesarean delivery in breastfeeding before discharge. This suggests that mothers after cesarean delivery can breastfeed correctly, infants receive adequate breastmilk, and mothers do not experience nipple discomfort or pain. This is attributed to the tool's ability to assess breastfeeding accurately from the initiation stage and the continuous follow-up assessments, allowing prompt assistance and problem resolution according to appropriate nursing guidelines.
Therefore, it is recommended to use the SPEC.N Breastfeeding Assessment tool to promote breastfeeding success for mothers after cesarean delivery, thus enhancing breastfeeding success before discharge.
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