CC BY 4.0 · Journal of Health and Allied Sciences NU
DOI: 10.1055/s-0044-1788034
Original Article

Effectiveness of Lactation Counseling on Lactation Outcome among Primipara Mothers: A Pilot Study

Selinamma Devasia
1   Department of Obstetrics, Nitte (Deemed to be University), Mangalore, Karnataka, India
2   Father Muller College of Nursing, Mangalore, Karnataka, India
,
Sabitha Nayak
3   Department of Obstetrics and Gynecological Nursing, Nitte Usha Institute of Nursing Sciences, Nitte (Deemed to be University), Mangalore, Karnataka, India
,
Sujaya V. Rao
4   Department of Obstetrics, Father Muller Medical College, Mangalore, Karnataka, India
,
Neetha Kamath
5   Department of Community Health Nursing, Nitte Usha Institute of Nursing Sciences, Nitte (Deemed to be University), Mangalore, Karnataka, India
› Author Affiliations

Abstract

Introduction The World Health Organization encourages initiation of breastfeeding soon after birth, exclusive breastfeeding (EBF) for the first 6 months, and continued breastfeeding up to 2 years of age.

Material and Methods This pilot study was done on 30 primiparous women between 37 and 40 weeks of gestation. Mothers of intervention group were given lactation counseling using a module and a demo before delivery and face-to-face counseling for 3 days, whereas mothers of control group received routine care. Immediate initiation of breastfeeding and lactation outcome was measured using structured validated tools.

Results Significant difference was found at the initiation of breastfeeding between the groups (t = 8.529; p < 0.001) and in the lactation outcome, which was observed by the infant breastfeeding observation tool on the third day (Z = –4.269), fourth day (Z = –4.681), and fifth day (Z = –4.667) at p < 0.001 level. None of the babies of mothers who received lactation counseling and immediate initiation of breastfeeding had exaggerated jaundice whereas 53.33% of infants in the control group (group 1) developed exaggerated jaundice within the first 48 hours. All the babies of the intervention group were on EBF up to 6 months whereas only 46.66% of infants of the control group had EBF for the first 3 months and 40% in the 4th month and 20% in 5th and 6th month.

Conclusion Our research supports the need of lactation counseling for better initiation of breastfeeding and lactation.



Publication History

Article published online:
04 July 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Lessen R, Kavanagh K. Position of the academy of nutrition and dietetics: promoting and supporting breastfeeding. J Acad Nutr Diet 2015; 115 (03) 444-449
  • 2 Sankar MJ, Sinha B, Chowdhury R. et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatr 2015; 104 (467) 3-13
  • 3 Yadav N, Vyas H, Mamta, Goyal M. Effectiveness of prenatal lactation counseling on breastfeeding practices, breast engorgement, and newborn feeding behavior among postnatal mothers at a teaching institution. J Family Med Prim Care 2022; 11 (03) 1146-1151
  • 4 WHO. Infant and Young Child Feeding Model Chapter for Textbooks for Medical Students and Allied Health Professionals. Geneva:: WHO; 2009
  • 5 Yadav N, Vyas H, Goyal M. Effectiveness of prenatal lactation counseling on breastfeeding practices, breast engorgement, and newborn feeding behavior among postnatal mothers at a teaching institution. Journal of Family Medicine and Primary Care 2022; 11 (03) 1146-51
  • 6 Choudhary R, Meena C, Gothwal S, Sitaraman S, Sharma S, Verma DR. Effect of lactation counselling on breast feeding: randomized control trial. Int J Contemp Pediatrics 2017; 4: 1610-1603
  • 7 WHO Global Data bank on Infant and Young Child Feeding Data updated. 2009 –06–23. Accessed at: https://www.who.int/data/nutrition/nlis/info/infant-and-young-child-feeding
  • 8 WHO. Enabling women to breastfeed through better policies and programmes: Global breastfeeding scorecard. 2018. . United Nations Children's Fund; . Accessed at: https://www.who.int/publications/m/item/global-breastfeeding-scorecard-2018-enabling-women-to-breastfeed-through-better-policies-and-programmes
  • 9 Kannaiah B, Radha Mohan M. Snigdha S. Impact of lactation counselling to mothers on breast feeding practices. IAIM 2019; 6: 13-22
  • 10 Popkin BM, Corvalan C, Grummer-Strawn LM. Dynamics of the double burden of malnutrition and the changing nutrition reality. Lancet 2020; 395 (10217): 65-74
  • 11 Kumar A, Singh V. A study of exclusive breastfeeding and its impact on nutritional status of child in EAG states. J Stat Appl Probab 2015; 4 (03) 435
  • 12 Mekuria G, Edris M. Exclusive breastfeeding and associated factors among mothers in Debre Markos, Northwest Ethiopia: a cross-sectional study. Int Breastfeed J 2015; 10 (01) 1-7
  • 13 Phuljhele S, Rathia SK. Chandrakar A. Effect of antenatal breastfeeding counselling done in-hospital prior to delivery on breast feeding outcomes amongst mothers admitted at a tertiary care hospital in middle India. Int J Pediatr Res 2018; 5 (05) 284-291
  • 14 Tiwari K, Savarna N, Khanam I. A study on knowledge of breast feeding and effect of antenatal counselling on exclusive breast feeding in primigravida mothers. Int J Reprod Contracept Obstet Gynecol 2018; 7 (08) 3311
  • 15 Thomas S, Mohanty N, Dasila PK. Effect of antenatal lactation counselling on knowledge and breastfeeding practices among mothers. Int J Health Sci Res 2018; 8: 138-148
  • 16 Ugurlu M, Yavan T. The effectiveness of breastfeeding education: An integrative review. Journal of Behavioral Health 2016; 5 (04) 182-90
  • 17 Devi S, Siddiqui A, Sheoran P, Kaur S. Knowledge and newborn feeding pattern assessment regarding breast feeding among postnatal mothers: A cross sectional descriptive study. IJSHR 2018; 3: 68-72
  • 18 Kramer LI. Advancement of dermal icterus in the jaundiced newborn. Am J Dis Child 1969; 118 (03) 454-458
  • 19 Koli HB, Gopidas NM, Maithri CS. Impact of structured pre-natal counselling on early initiation of breast feeding and adherence to exclusive breast feeding: a comparative interventional study. Int J Reprod Contracept Obstet Gynecol 2021; 7 (10) 2699-2700
  • 20 Aidam BA, Pérez-Escamilla R, Lartey A. Lactation counseling increases exclusive breast-feeding rates in Ghana. J Nutr 2005; 135 (07) 1691-1695
  • 21 Gupta A, Dadhich JP, Ali SM, Thakur N. Skilled counselling in enhancing early and exclusive breastfeeding rates: an experimental study in an urban population in India. Indian Pediatr 2019; 56 (02) 114-118