Breastfeeding positioning and attachment among postnatal mothers: A mixed methods study in a tertiary care hospital in Puducherry, South India

Introduction: Proper positioning and attachment play a key role in exclusive breastfeeding. Whereas incorrect breastfeeding techniques lead to poor milk transfer and early discontinuation of breastfeeding. Objectives: 1. To assess the breastfeeding techniques among postnatal mothers and to identify...

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Bibliographic Details
Published in:Indian journal of community medicine 2022-01, Vol.47 (1), p.120-124
Main Authors: Nancy, S, Sindhuri, R, Arunagirinathan, Arulkumaran, Dongre, Amol
Format: Article
Language:English
Subjects:
Analysis
Attachment
Babies
Breast feeding
breastfeeding
Breastfeeding & lactation
Counseling
Methods
Mixed methods research
Neonatology
Nurses
positioning
postnatal
practices
Short Communication
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Summary:Introduction: Proper positioning and attachment play a key role in exclusive breastfeeding. Whereas incorrect breastfeeding techniques lead to poor milk transfer and early discontinuation of breastfeeding. Objectives: 1. To assess the breastfeeding techniques among postnatal mothers and to identify the factors associated with improper positioning and poor attachment. 2. To prioritize the action points to improve the poor breastfeeding practices according to the viewpoint of the staff nurses. Materials and Methods: A hospital-based mixed-methods study was carried out in Puducherry for 6 months. In quantitative phase, 99 postnatal mothers were interviewed consecutively and breastfeeding techniques were observed based on Baby Friendly Hospital Initiative and Integrated Management of Neonatal and Childhood Illness guidelines. In qualitative phase, 45 staff nurses ranked the action points to improve the poor breastfeeding practices. Bivariate and multivariate analyses were employed. Mean rank and Kendalls' Concordance Coefficient were calculated for the ranked data. Results: About 28.3% and 27.3% of mothers demonstrated improper positioning and poor attachment, respectively. Young mothers, housewives,
ISSN:0970-0218
1998-3581
DOI:10.4103/ijcm.ijcm_859_21