Effectiveness of Nursing Intervention Measures on Minimizing Puerperal Mastitis and promoting breast feeding

Abstract

Mastitis is a significant common problem in lactating women and may contribute to weaning in the first three weeks. Mastitis has been reported as the third most common reason for weaning. The Aim of the study was to evaluate the effectiveness of nursing intervention measures on minimizing Puerperal mastitis and promoting breast feeding. Material and Methods: The study was conducted at gynecological outpatient clinic at Benha University Hospital.The study design was a quasi experimental design. Purposive sample of 120 mothers selected randomly and divided into two equal group (60 study group & 60 control group). Tools of Data Collection were interviewing questionnaire sheet. Observational & follow up check list. Results of this study revealed that, mean age 25.2± 5.0 years of study group and 24.6±4.7 of Control Group with higher in percentage in age group (20-25)years (45.0% , 33.3%) in study and control group respectively with non-significance difference (P>0.05) in follow up antenatal care (36.7% & 25.0%) in study and control groups respectively. With highly significance difference (P<0.001) between study & control groups post intervention in knowledge of both importance of breast feeding , importance of colostrum milk, number of breast feeding /day, the ideal way to breast feeding and indicators of their infant hunger between study & control groups. Also there were highly significant difference (p<0.001**) between both groups in post intervention the most of study group (86.7%, 83.3%, 88.3%, 96.7%) recovery from pain, redness, edema and pyrexia with highly significance difference (P<0.000) between knowledge and practice post intervention. more than one third the nurse(38.3%; 35%) is the main source of knowledge about breastfeeding. Conclusion: nursing intervention was more effective and contributed rapid recovery from mastitis. The breastfeeding intervention of health care professionals must be adapted to an effective program, 20-hour breastfeeding training course, and puerperal mastitis should be accepted as a public health care issue. Keywards: Puerperal Mastitis, nursing intervention, breast feeding.