Sroiwatana Suttikamon, Puapornpong Pawin
Department of Obstetrics and Gynecology, Faculty of Medicine, Srinakharinwirot University , Nakhon Nayok, Thailand .
Breastfeed Med. 2018 Jun;13(5):366-370. doi: 10.1089/bfm.2018.0040. Epub 2018 Apr 25.
Latching is an important process of breastfeeding and should be taught and practiced by the postpartum mother.
The objective is to compare latching outcomes between video-assisted and routine teaching methods among postpartum women.
A randomized controlled trial was conducted. Postpartum women who had deliveries without complications were randomized into two groups: 14 cases in the video-assisted teaching group and 14 cases in a routine teaching group. In the first group, the mothers were taught breastfeeding benefits, latching methods, and breastfeeding positions and practiced breastfeeding in a controlled setting for a 30-minute period and watched a 6-minute video with consistent content. In the second group, the mothers were taught a normal 30-minute period and then practiced breastfeeding. In both groups, Latching on, Audible swallowing, the Type of nipples, Comfort, and Help (LATCH) scores were assessed at 24-32 and 48-56 hours after the breastfeeding teaching modals. Demographic data and LATCH scores were collected and analyzed.
There were no statistically significant differences in the mothers' ages, occupations, marital status, religion, education, income, infants' gestational age, body mass index, nipple length, route of delivery, and time to first latching between the video-assisted and routine breastfeeding teaching groups. First and second LATCH score assessments had shown no significant differences between both breastfeeding teaching groups.
The video-assisted breastfeeding teaching did not improve latching outcomes when it was compared with routine teaching.
衔乳是母乳喂养的一个重要过程，产后母亲应学习并练习。
比较视频辅助教学法与常规教学法对产后女性衔乳效果的影响。
进行一项随机对照试验。将无分娩并发症的产后女性随机分为两组：视频辅助教学组14例和常规教学组14例。第一组中，向母亲们讲授母乳喂养的益处、衔乳方法和母乳喂养姿势，并在可控环境中练习母乳喂养30分钟，然后观看一段内容一致的6分钟视频。第二组中，母亲们接受30分钟的常规教学，然后练习母乳喂养。两组均在母乳喂养教学模式结束后24 - 32小时和48 - 56小时评估衔乳情况、可闻及吞咽声、乳头类型、舒适度和帮助程度（LATCH）评分。收集并分析人口统计学数据和LATCH评分。
视频辅助母乳喂养教学组和常规母乳喂养教学组在母亲年龄、职业、婚姻状况、宗教信仰、教育程度、收入、婴儿胎龄、体重指数、乳头长度、分娩方式以及首次衔乳时间方面，均无统计学显著差异。两组母乳喂养教学组的首次和第二次LATCH评分评估均无显著差异。
与常规教学相比，视频辅助母乳喂养教学并未改善衔乳效果。
