Abstract
Background: Breast engorgement is defined as enlarged & filling of breast with milk. It is one of the most significant problems confronting nursing women, especially primiparous, in the first week of motherhood. The aim of the study was to investigate the impact of nursing intervention on relieve of breast engorgement among women with caesarean section. Design and setting an interventional study was conducted in postnatal unit of Beni-Suef University hospital. Sample was simple random sample comprised a total of 90 Primiparae’s cesarean section mothers; 45 in the interventional group & 45 in the control group. Tools of Data Collection were interview questionnaire sheet, knowledge assessment sheet and observational & Engorgement assessment scale. The study revealed that, the nursing intervention was more effective and contributed rapid recovery from breast engorgement especially among the older, educated, housewives, high social class's women and those who were rural dwellers. The study recommended that Prevention is a key element in reducing breast engorgement potentially among nursing mothers. So, primiparous mothers should learn about preventive measures for breast engorgement. Teaching mother how to express both breasts simultaneously to yield the most volume and to decrease time spend pumping each consecutively is the responsibility of health care providers.
Highlights
The postpartum period “Puerperium”, as states by Susan A. and Wong H., is the interval between the birth of the newborn and the return of the reproductive organs to their normal no pregnant state
2.1 Technical Design: 2.1.1 Study design: This study is an interventional study. 2.1.2 Setting: The study was conducted in postnatal unit of Beni-Suef University hospital. 2.1.3 Subjects: 2.1.3.1 Samples size: Total study subjects of 90 women who suffer from breast engorgement for a period of 6 months were included in the study from the previous mentioned setting with the following criteria:
B- Control group: This group were comprised the other half the mothers (45 women) who suffer from breast engorgement and they were left for the routine postnatal hospital care. 2.1.4 Tools of Data Collection: Two tools were used to collect the necessary data about the study subjects as the following: Tool (1): A specialized designed structured interview schedule was developed based on the review of currently related literature and used by the researcher to collect the necessary data about the study subjects
Summary
The postpartum period “Puerperium”, as states by Susan A. and Wong H., is the interval between the birth of the newborn and the return of the reproductive organs to their normal no pregnant state. Lactation literature refers to engorgement as the physiologic condition characterized by the painful swelling of the breasts associated with sudden increase in milk volume, lymphatic and vascular congestion, and interstitial edema during the first two weeks following birth. Engorgement is a common response of the breast to the sudden change in hormones and the presence of an increased volume of milk It usually occurs in 3rd to 5th day postpartum when the milk comes in and lasts about 24 hours (Wilson & Lowdermilk, 2006; Hassan et al, 2020a). Breast engorgement is defined as enlarged & filling of breast with milk It is one of the most significant problems confronting nursing women, especially primiparous, in the first week of motherhood.
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