Effect of a nursing program for continuous breastfeeding promotion with family support and early skin to skin contact on effective suckling breastfeed, neonatal jaundice, and exclusive breastfeeding at one month
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Abstract
BACKGROUND: The effectiveness of breastfeeding, neonatal jaundice from inadequate breast milk, and exclusive breastfeeding at one month still remain major issues that nurses need to pay attention to; therefore, nursing must be developed in order to support mothers who breastfeed their children more effectively.
OBJECTIVES: The current research endeavor aimed to study the effects of a nursing program for continuous breastfeeding promotion with family support and early skin to skin contact on effective suckling breastfeed, neonatal jaundice, and exclusive breastfeeding at one month in comparison with the usual care group.
METHODS: The study adopted a randomized control trial, RCT. The sample included 60 postpartum mothers at Prapokklao Hospital, Chanthaburi, 30 of whom were randomized into the treatment group and the other 30 were randomly chosen into the control group, by means of drawing lots. The research tools included a nursing program for continuous breastfeeding promotion with family support and early skin to skin contact, conducted 7 times in the duration of 2 weeks. The data collection tools comprised questionnaires of general information, the Postpartum Health Record, a suckling efficiency assessment form (LATCH Score), and an interview about breastfeeding conducted after the babies turned one month old. The duration of the research lasted from August to November 2020. The data was analyzed using the independent t-test, the chi-square test, and calculated in terms of the effect size.
RESULTS: Infants that were in the experimental program could effectively latch on at 48 hours and were breastfed alone at one month old, which was more than those in the control group with the statistical significance (p = 0.005 and p < 0.001, respectively). Furthermore, the bilirubin level of the infants in the treatment group was lower than that of the infants in the control group after 48 hours, with statistical significance (p = 0.04).
CONCLUSIONS: A nursing program for continuous breastfeeding promotion with family support and early skin to skin contact could enhance the efficiency of suckling, reduce the chance to develop neonatal jaundice from insufficient breastfeeding, and increase the chance of exclusive breastfeeding for one month.
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References
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