Arora Gunjot, Jelly Prasuna, Mundhra Rajlaxmi, Sharma Rakesh
Department of Nursing, College of Nursing, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
J Caring Sci. 2021 Aug 23;10(3):121-128. doi: 10.34172/jcs.2021.025. eCollection 2021 Aug.
Ineffective breastfeeding techniques is one of the factors contributing to poor breastfeeding outcomes in post-cesarean mothers. To assist post-cesarean mothers to find a comfortable breastfeeding position, a trial was conducted to compare different positions of breastfeeding in these individuals. A randomized clinical parallel trial was carried out on primipara post-cesarean mothers admitted to All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand, India. Participants were enrolled by convenience sampling technique, which was further randomized (block size= 4) and allocated to receive either "L" shape (n= 30) or side-lying (n= 30) position for breastfeeding. The assigned intervention was provided at least six times a day for four consecutive days. Data were collected using breastfeeding assessment Tool, maternal breastfeeding evaluation scale and numeric pain rating scale. Data were analyzed using SPSS software version 23. The baseline characteristics of participants in both groups were similar. The mean comparison of breastfeeding outcome and maternal satisfaction indicated no significant difference between the two positions. However, the mean scores of maternal pain were statistically significant. Hence, it was inferred that the maternal pain was significantly less in post-cesarean mothers in "L" shape compared to side-lying. There is significantly less pain in post-cesarean mothers during breastfeeding in "L" shape than side-lying. Furthermore, maternal satisfaction and breastfeeding outcomes were found to be similar in both positions.
无效的母乳喂养技巧是导致剖宫产术后母亲母乳喂养效果不佳的因素之一。为了帮助剖宫产术后母亲找到舒适的母乳喂养姿势，开展了一项试验来比较这些个体的不同母乳喂养姿势。在印度北阿坎德邦瑞诗凯诗市全印医学科学研究所（AIIMS）收治的初产妇剖宫产术后母亲中进行了一项随机临床平行试验。采用便利抽样技术招募参与者，进一步随机分组（区组大小 = 4），并分配接受“L”形（n = 30）或侧卧位（n = 30）母乳喂养。每天至少提供6次指定干预，持续4天。使用母乳喂养评估工具、母亲母乳喂养评价量表和数字疼痛评分量表收集数据。使用SPSS 23版软件进行数据分析。两组参与者的基线特征相似。母乳喂养结果和母亲满意度的均值比较表明，两种姿势之间没有显著差异。然而，母亲疼痛的平均得分具有统计学意义。因此，推断剖宫产术后母亲采用“L”形姿势时的疼痛明显低于侧卧位。剖宫产术后母亲母乳喂养时采用“L”形姿势的疼痛明显低于侧卧位。此外，发现两种姿势下母亲的满意度和母乳喂养结果相似。
