Assessment of Breastfeeding at Angthong Hospital
DOI:
https://doi.org/10.33165/rmj.2009.32.1.175137Keywords:
BreastfeedingAbstract
Background: Breast milk is a valuable nutrition for newborns. Angthong Hospital has been promoting breastfeeding among new mothers. In Thailand, the duration of breastfeeding declined. At present, the government has carried out major initiatives to promote good breastfeeding practices and policies under Maternal and Child Health in the Eight National Economic and Social Development Plan, which ended in 2001. The goal of the promotion. protection and support of breastfeeding is to empower and enable women to increase the proportion of breastfeed exclusively for about the first 4 months to 30%, but only 16.3% of them practiced exclusively breastfeeding and 28.4% were found to use combined feeding e.g. breast and bottle feeding. Angthong Public health office have a policy which follow the assignment of Health Department to promote breastfeeding and maintain of standard for breastfeeding. Angthong Hospital complice with the policy and has been promoting breastfeeding among.
Objective: This descriptive study aimed to evaluate the success in breastfeeding in Angthong Hospital. Methods: The study included 430 postpartum women who delivered their babies in Angthong Hospital during May to August 2008. Data was collected by interviewing women with structured questionnaires and observing their breastfeeding activities at 2 hrs. and 2 days postpartum, respectively. The descriptive statistics included number, rate, mean and standard deviation, The chi-square test was used to test hypotheses at the significant level of a = 0.05 by using SPSS/version 11.5.
Results: The results showed that only 37.7% of woman succeeded in breastfeeding with a LATCH score >7 at 2 hours postpartum. The success rate was 94.0% at 2 days postpartum. Latching between mouth and nipple was correct in 49.3% of women at 2 hours postpartum and increased to 98.1% at 2 days postpartum, the sound of suckling was distinct in 10.2% of women at 2 hours postpartum which increased to 86% of women at 2 days postpartum, the holding position of babies during breastfeeding was correct in 15.6% of women 2 hours postpartum which increased to 48.4% at 2 days postpartum. The only factor which was significantly associated with the success in breastfeeding was the type of delivery.
Conclusion: The success in breastfeeding increases with time during the postpartum period. Vaginal delivery resulted in more successful breastfeeding than caesarean section. Therefore, unnecessary caesarean section should be avoided. Dissemination of knowledge with proper practice of breastfeeding should be promoted for more success in breastfeeding.
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