Puapornpong Pawin, Raungrongmorakot Kasem, Laosooksathit Wipada, Hanprasertpong Tharangrut, Ketsuwan Sukwadee
1 Department of Obstetrics and Gynecology, Faculty of Medicine, Srinakharinwirot University , Nakhon Nayok, Thailand .
2 Department of Obstetrics and Gynecology Nursing, HRH Princess Maha Chakri Sirindhorn Medical Center , Nakhon Nayok, Thailand .
Breastfeed Med. 2017 May;12:233-237. doi: 10.1089/bfm.2016.0193. Epub 2017 Apr 6.
The breastfeeding position routinely used following a cesarean section is the side-lying position. However, there have been few studies about the effect of breastfeeding positions, including laid-back position on breastfeeding outcomes.
To compare the breastfeeding outcomes between using laid-back and side-lying breastfeeding positions in mothers delivering by cesarean section.
A randomized controlled trial was conducted. The postpartum mothers delivering by cesarean section who delivered term newborns were randomly assigned to learn the use of a laid-back or side-lying breastfeeding position. The breastfeeding outcomes were assessed by LATCH scores at the second day postpartum and exclusive breastfeeding rates during the 6-week postpartum period. The mother's satisfaction of each breastfeeding position was collected before discharge from the hospital.
The data from 152 postpartum mothers delivering by cesarean section were available for analysis, 76 from the laid-back position group and 76 from side-lying position group. The baseline characteristics of both groups were similar. There were no statistically significant differences of the breastfeeding outcomes, LATCH scores at the second day postpartum and the exclusive breastfeeding rates during the 6-week postpartum period. But the mothers had expressed more satisfaction from the side-lying than the laid-back position.
Among the mothers who delivered by cesarean section, the use of the laid-back breastfeeding position had not shown different breastfeeding outcomes from the side-lying breastfeeding position. It might be an alternative breastfeeding position, which can be taught for mothers delivering by cesarean section along with the side-lying position.
剖宫产术后常规使用的母乳喂养姿势是侧躺姿势。然而，关于母乳喂养姿势，包括躺卧姿势对母乳喂养结局影响的研究较少。
比较剖宫产母亲采用躺卧和侧躺母乳喂养姿势的母乳喂养结局。
进行了一项随机对照试验。将剖宫产分娩足月新生儿的产后母亲随机分配，学习使用躺卧或侧躺母乳喂养姿势。通过产后第二天的LATCH评分和产后6周内的纯母乳喂养率评估母乳喂养结局。在出院前收集母亲对每种母乳喂养姿势的满意度。
152例剖宫产产后母亲的数据可供分析，躺卧姿势组76例，侧躺姿势组76例。两组的基线特征相似。母乳喂养结局、产后第二天的LATCH评分和产后6周内的纯母乳喂养率均无统计学显著差异。但母亲们对侧躺姿势的满意度高于躺卧姿势。
在剖宫产母亲中，躺卧母乳喂养姿势与侧躺母乳喂养姿势的母乳喂养结局无差异。它可能是一种可供选择的母乳喂养姿势，可为剖宫产母亲与侧躺姿势一起进行指导。
