การพัฒนาแนวปฏิบัติการพยาบาลทางคลินิกเพื่อส่งเสริมการไหลของน้ำนมในมารดาหลังคลอด โรงพยาบาลสมเด็จพระยุพราชสว่างแดนดิน

Abstract

Introduction: Postpartum mothers who have good milk flow can reduce the problem of breast engorgement and neonatal jaundice.

Research objectives: Develop clinical nursing guidelines to promote milk flow in postpartum mothers.

Research methodology: This study was an action research. The purposive sampling comprised:1) a multidisciplinary team involved in postpartum maternal care and 2) postpartum mothers who received services at Sawangdandin Crown Prince Hospital, Sakon Nakhon Province. Data were collected from July - December 2023. The research instrument consisted of 1) Clinical nursing guidelines to promote milk flow and 2) a Data collection form. The qualitative data were analyzed using content analysis, while the quantitative data were analyzed using statistics of frequency, percentage, and standard deviation.

Result: The results showed that clinical nursing practices promote milk flow in postpartum mothers, divided into labor and postpartum periods. 8.3% of newborns had neonatal jaundice that required phototherapy. The average beginning milk flow onset time was 9.93 hours (SD=12.17). The average time of onset of lactation was 48.79 hours (SD=15.34). The amount of milk before using the guidelines was at the level of no milk flow at 40.08%. 48 hours afterdelivery, the amount of milk with no level of milk flow decreased to 0.40%. Most of the milk volume was at the beginning milk flow level at 56.35%, followed by 24.21% at the milk flow level. Guidelines developed with the participation of the multidisciplinary team help promote faster milk flow and ease of use.

Conclusion: Clinical nursing guidelines to promote milk flow were obtained, which were easy to implement, had effective lactation results, and reduced neonatal jaundice.

Implications: midwifery nurses and multidisciplinary professionals should participate in effective plans to prepare mothers for breastfeeding during pregnancy, labor, and the postpartum period.