Aditya Vani, Tiwari Harish Chandra, Mishra Richa
Professor & Head, Department of Obstetrics & Gynecology, BRD Medical College, Gorakhpur, Uttar Pradesh, India.
Assistant Professor- Health Education, Department of Obstetrics & Gynecology,BRD Medical College, Gorakhpur, Uttar Pradesh, India.
J Family Med Prim Care. 2020 Sep 30;9(9):4680-4685. doi: 10.4103/jfmpc.jfmpc_622_20. eCollection 2020 Sep.
Breast milk is the only food for the neonate with vast benefits. Although breastfeeding process is natural but extensive research has revealed that mother requires active support for establishing and sustaining appropriate breast feeding practices. Due to high patient load, effective counselling of all pregnant ladies becomes a huge task. Video-assisted counselling has been tried for establishing and sustaining breastfeeding practices as it helps mothers to understand the procedure and process better as the video image is animated with a narrative voice. The objective is to study the effectiveness of video assisted breast feeding counselling in establishing and sustaining breast feeding practices.
A Quasi experimental study was done in Obstetrics and Gynaecology department of BRD Medical College Gorakhpur from September 2019 to February 2020. Study subjects were pregnant ladies admitted in labour room for delivery. A total of 60 study subjects were allocated in Video-assisted breast feeding counselling group and same number in routine counselling group. Video-assisted counselling group breast feeding counselling was done with use of two videos (Video 1 is of 5 minute and 34 seconds duration and Video 2 is of 2 minutes and 50 seconds duration) demonstrations in labour room and post natal ward. Routine breast feeding counselling group received routine counselling as done by resident or consultants during their care. After the delivery the study participants were interviewed regarding their profile and breast feeding knowledge, motivation and behaviour and a scoring was done with Min. -0 to Max. 20 score.
Higher proportion of early initiation of breast feeding was observed in the video assisted counselling group as compared with the routine counselling group. The mean knowledge score of the subjects' video-assisted counselling group the mean knowledge score was significantly higher. Motivation of mother for breast feeding and improvement in their behaviour and skill in video-assisted counselling group was higher in comparison to routine counselling group.
Video-assisted counselling was found effective in successful initiation and establishment of breast feeding.
母乳是新生儿的唯一食物，有诸多益处。尽管母乳喂养过程是自然的，但大量研究表明，母亲在建立和维持适当的母乳喂养习惯方面需要积极的支持。由于患者数量众多，对所有孕妇进行有效的咨询成为一项艰巨的任务。视频辅助咨询已被尝试用于建立和维持母乳喂养习惯，因为视频图像配有叙述性声音，有助于母亲更好地理解过程。目的是研究视频辅助母乳喂养咨询在建立和维持母乳喂养习惯方面的有效性。
2019年9月至2020年2月，在戈勒克布尔BRD医学院妇产科进行了一项准实验研究。研究对象是在产房入院待产的孕妇。共有60名研究对象被分配到视频辅助母乳喂养咨询组，常规咨询组的人数相同。视频辅助咨询组在产房和产后病房使用两段视频（视频1时长5分34秒，视频2时长2分50秒）进行母乳喂养咨询演示。常规母乳喂养咨询组接受住院医生或顾问在护理期间进行的常规咨询。分娩后，对研究参与者进行访谈，了解他们的个人情况、母乳喂养知识、动机和行为，并进行评分，最低0分，最高20分。
与常规咨询组相比，视频辅助咨询组早期开始母乳喂养的比例更高。视频辅助咨询组受试者的平均知识得分显著更高。与常规咨询组相比，视频辅助咨询组母亲母乳喂养的动机以及她们的行为和技能改善情况更高。
发现视频辅助咨询在成功启动和建立母乳喂养方面是有效的。
