Breastfeeding Techniques Research Articles

The Effect of Education Using Video Learning Multimedia on Increasing Knowledge of Early Breastfeeding Initiation and Breastfeeding Techniques in Postpartum Sectio Caesarean Mothers at the Hospital

Introduction: Excusive breastfeeding begins as early as possible from birth through the implementation of maternal compassionate care and join care. However, due to the impact of the COVID-19 pandemic, there is no joint care between babies and mothers after normal or section secaria deliveries in hospitals. It is important to increase knowledge of breastfeeding techniques to mothers, especially mothers giving birth by section secaria to prevent babies from not being breastfed early. Purpose: This study to evaluate the effect of education using video learning multimedia on increasing knowledge about breastfeeding and breastfeeding techniques in mothers who give birth sectio secaria. Methods: One group pretest posttest quasi experiment design was chosen as the research design. The study involved 58 participants selected using consecutive sampling technique. The treatment group was given an educational intervention on lactation management utilising multimedia videos that had been developed with eligible validity and reliability. Statistical analysis to test the hypothesis used the Wilcoxon test with a significance level (α) of 0.05. Results: A total of 57 out of 58 participants showed an increase in knowledge about breastfeeding and breastfeeding techniques with an average score of 67.97 (pretest) increasing to 82.34 (posttest). There was an effect on the level of knowledge before and after being given education using multimedia video learning media on participants (p=0,0001). Conclusion: The use of multimedia video learning media as education can improve knowledge about breastfeeding and breastfeeding techniques in postpartum SC mothers during the COVID-19 pandemic. Clinical midwives and health supervisors can utilise this media which is easy to use both online and offline for education, so that maternity mothers are motivated to carry out early breastfeeding of newborns to continue to provide exclusive breastfeeding. Latar Belakang: Pemberian ASI ekskusif dimulai sedini mungkin sejak lahir melalui implementasi asuhan sayang ibu dan rawat gabung. Namun, dampak pandemi COVID-19 tidak dilakukan rawat gabung antara bayi dan ibu pasca bersalin normal maupun section secaria di rumah sakit. Pentingnya peningkatan pengetahuan teknik menyusui kepada ibu, khususnya ibu melahirkan secara section secaria untuk mencegah bayi tidak diberikan ASI sejak dini. Tujuan: Penelitian ini bertujuan mengevaluasi pengaruh edukasi menggunakan video learning multimedia terhadap peningkatan pengetahuan tentang pemberian ASI dan teknik menyusui pada ibu bersalin sectio secaria. Metode: Studi quasi experiment design one group pretest posttest dipilih sebagai rancangan penelitian. Penelitian melibatkan 58 partispan diseleksi menggunakan teknik consecutive sampling. Kelompok perlakuan diberikan intervensi edukasi menggunakan video multimedia dan yang telah diuji validitas dan reabilitasnya eligible. Analisis statistic untuk menguji hipotesis menggunakan wilcoxon test dengan tingkat kemaknaan (α) 0,05. Hasil: Sebanyak 98,28% dari 58 partisipan menunjukkan peningkatan pengetahuan mengenai pemberian ASI dan teknik menyusui dengan skor rata-rata 67,97 (pretest) meningkat menjadi 82,34 (posttest). Ada pengaruh level pengetahuan sebelum dan sesudah diberikan edukai menggunakan media video learning multimedia pada partisipan (p=0.0001). Simpulan: Pemanfaatan media video learning multimedia Sebagai edukasi mampu meningkatkan pengetahuan mengenai pemberian ASI dan teknik menyusui pada ibu pascabersalin SC pada masa pandemic COVID-19. Bidan klinik maupun Penyelia Kesehatan dapat memanfaatkan media ini yang mudah digunakan baik online maupun offline untuk edukasi, sehingga ibu bersalin termotivasi melaksanaan pemberian ASI dini pada bayi baru lahir hingga berlanjut memberikan ASI ekskluasif.

Effective breastfeeding techniques and associated factors among lactating women in Ethiopia: A systematic review and meta-analysis

Background Effective breastfeeding is crucial for maternal and child health, particularly in low-resource settings like Ethiopia. It encompasses a range of skills and strategies, including proper latch, positioning, and frequency of feeding. These techniques not only ensure sufficient milk transfer but also foster bonding between mother and child, enhancing the breastfeeding experience. To effectively prioritize maternal and child health, it is crucial to comprehensively understand the prevalence and factors influencing effective breastfeeding nationwide. Therefore, this study aimed to provide a pooled prevalence of effective breastfeeding techniques and associated factors among lactating mothers in Ethiopia. Methods The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist, focusing on studies conducted in Ethiopia. We identified eight relevant studies through Google Scholar, Medline, PubMed, Scopus, and the Cochrane Library. Analysis was conducted using STATA version 11, and systematic data extraction employed a checklist to extract relevant data. I2 tests and the Cochrane Q test statistic were used to evaluate heterogeneity. To explore potential publication bias, Egger’s weighted regression, Begg’s test, and a funnel plot were utilized. Results We identified a total of 955 research articles. Eight studies meeting the eligibility criteria were incorporated into this meta-analysis and systematic review. The pooled prevalence of effective breastfeeding techniques was 41.99% [95% CI 32.16–51.81]. According to the results of the current meta-analysis, effective breastfeeding techniques were significantly associated with antenatal care follow-up [OR = 1.75, 95% CI 1.10–2.78], maternal educational status [OR = 2.70, 95% CI 1.55–4.71], breastfeeding technique counseling [OR = 2.02, 95% CI 1.41–2.90], the absence of breast problems [OR = 2.26, 95% CI 1.49–3.43], breastfeeding experience [OR = 1.98, 95% CI 1.14–3.46], and immediate skin-to-skin contact [OR = 2.32, 95% CI 1.56–3.44]. Conclusion Our findings highlight the vital role of various factors in shaping effective breastfeeding. Implications To improve practices and health outcomes, we recommend targeted interventions, such as strengthening antenatal care, implementing maternal education, and providing comprehensive breastfeeding counseling. Proactively addressing breast problems and prioritizing immediate skin-to-skin contact is crucial for successful breastfeeding.

THE INFLUENCE OF HEALTH EDUCATION USING VIDEO MEDIA ON THE KNOWLEDGE AND SKILLS OF PUBLIC WOMEN REGARDING CORRECT BREASTFEEDING TECHNIQUES AT PMB MURNIYATI

There are many cases where mothers cannot breastfeed well and need help to make the breastfeeding process successful. Fundamental data from health research (RISKESDAS 2021), there are 52.5% or only half of the 2.3 milion infants under the age og six months are reportedly exclusively breastfed in Indonesia, this means a decrease of around 12% from 2019. Providing health education regarding techniques Proper breastfeeding is expected to increase breast milk coverage rates in Indonesia. The goal of this study was to ascertain how health education affected pospartum moms’ knowledge and proficiency with proper breasfeeding procedures at PMB Murniyati. This particular type of research uses preexperimental method with a one group pretest-posttest design model. Gathering of data technique used total sampling, the sample was 30 people. The instruments used were a knowledge questionnaire sheet and a breastfeeding technique skills observation sheet. Data analysis used the Wilcoxon Signed Ranks Test. The outcomes of this research are the impact of health education on understanding and skills of postpartum mothers regarding correct breastfeeding techniques at PMB Murniyati with a difference in pretest and posttest p-values ​​of 0.000 <0.05. The finding that health education has an impact on the abilities and understanding of postpartum mothers regarding correct breastfeeding techniques at PMB Murniyati.

The relationship between mothers' body composition and anthropometric characteristics of baby and breast milk nutrient content: A cross-sectional study.

The composition and amount of breast milk is affected by factors such as the duration and frequency of breastfeeding, the time between two breastfeeding sessions, the effectiveness of breastfeeding, breastfeeding technique, genetic characteristics of the mother and diet. Breast milk macronutrients are provided by milk synthesized in lactocytes, mother's diet and maternal stores. This study was conducted to investigate the relationship between the body composition of mothers and the anthropometric characteristics of the baby and the nutritional content of breast milk. The descriptive study was conducted between March and November 2023 in a hospital in a low socioeconomic neighbourhood in Turkey. The study sample consisted of 96 mothers and ibabies. Anthropometric measurements of mothers and babies and the nutrient content of breast milk were evaluated on the first postpartum day, Days 5 and 15. Breast milk macronutrient content was analyzed by Miris milk analyzer and body composition of mothers was analyzed by TANITA BC 730. From the weight and body composition of the mothers in the study group; a positive correlation was found between body fat, muscle and water ratio, and breast milk carnonhydrate and protein (p < 0.05). There was no correlation between the gestational age of the baby and the content of breast milk (p > 0.05). A positive correlation was found between the weight and height of the babies and the macronutrients of breast milk (p < 0.05). As the weight of mothers increases, breast milk protein and carbohydrate levels increase. As breast milk macronutrients increase, babies' weight and height increase.

MENINGKATKAN PENGETAHUAN DAN KESIAPAN IBU HAMIL DALAM MEMBERIKAN ASI EKSKLUSIF DI KLINIK NUSANTARA KESEHATAN

The World Health Organization states that only two percent of babies experience Early Breastfeeding Initiation (EBI) and only around 40% of babies are given exclusive breast milk. Babies who are not given exclusive breast milk will tend to get sick easily. If the baby is sick, nutritional support will be disrupted because it is likely that the child will have difficulty eating, and this will result in malnutrition in toddlers. This community service activity aims to increase information and knowledge of pregnant women in the Medan Helvetia area about exclusive breastfeeding. This activity was carried out at the Nusantara Health Clinic, Medan Helvetia with the target participants being pregnant women. The instruments used in this activity were posters on how to care for breasts, practicing correct breastfeeding techniques and flyers about exclusive breastfeeding. The method used is counseling. As a result of the activity, there were 11 pregnant women who took part in the activity with the majority of mothers being aged 21-30 years and the majority with the highest education being high school. It is hoped that this activity can have a positive impact on pregnant women to be able to provide exclusive breast milk properly without providing any additional food until the baby is 6 months old. Keywords: Exclusive Breastfeeding, Pregnant Women, Promotion, Stunting

Assessment Tool by UNICEF and LATCH Scoring System for Identification of Inadequacy of Breastfeeding in Early Neonatal Period: An Observational Cross-sectional Comparative Study

Background: Breast milk is the most ideal nourishment for a neonate with a high level of bio-efficacy. Learning the right breastfeeding technique is a challenging job, especially for new and young mothers; hence, there is a need for a valid and reliable measuring tool to determine the adequacy of breastfeeding. Objective: To check the adequacy of breastfeeding in mother–neonate dyads using breastfeeding assessment tools by comparing UNICEF and LATCH scoring systems and to test the reliability of the tools through test–retest reliability. Design: An observational cross-sectional comparative study. Setting: Department of Neonatology, Fortis Escorts Hospital, Jaipur, Rajasthan, India. Methods: All stable neonates of ≥34 weeks gestational age born at the private tertiary care hospital were included in the study. Dyads in which breastfeeding was initiated within 6 hours of life were assessed using both LATCH and UNICEF tools on days 1 and 2 of life in the case of normal vaginal delivery and on days 1, 2 and 3 in caesarean deliveries, and were further followed up on days 5 and 7. Results: The median LATCH score and UNICEF score for breastfeeding showed an increase throughout the assessment period. A moderately positive correlation (Spearman’s rho = 0.732) was noticed between the two scores on day 1 of the assessment. On day 2 (Spearman’s rho = 0.81) and day 3 (Spearman’s rho = 0.735), a high positive correlation between the two tools was observed. However, day 4 revealed a low positive correlation (Spearman’s rho = 0.456). Meanwhile, the follow-up scores of both tools showed a high positive correlation (Spearman’s rho = 0.713). Conclusion: The study evidenced a positive correlation between the LATCH and UNICEF scores; both scoring systems displayed a good percent agreement on all the five assessment days. The test–retest reliability was high between the tools on days 1 and 2.

Breast feeding techniques and associated factors among lactating primipara mothers during the postpartum period in Debre Markos health institutions, North West Ethiopia

BackgroundBreastfeeding technique is a combination of positioning, attachment, and breast milk suckling. Breastfeeding problems are caused by incorrect breastfeeding practices, which lead to premature discontinuation of breastfeeding. Therefore, this study aimed to determine the proportion of breastfeeding techniques and associated factors among lactating primiparous mothers during the postpartum period in the Debre Markos town health facility in 2021. MethodsAn institutional-based cross-sectional study was conducted from November 1st to December 30, 2021. A systematic sampling technique was utilized to select study participants. An observational checklist developed by WHO and an interviewer-administered questionnaire were used to collect data from 409 mothers. The collected data were entered into Epi-Data version 4.6.0.4 statistical software and then exported to SPSS version 24.0 for cleaning and analysis. Binary and multivariable logistic regression was carried out to identify the factors associated with the practice of effective breastfeeding techniques. A variable that has a p-value of ≤0.2 was transferred to a multivariable for further analysis. The strength of association was identified using an adjusted odds ratio with a 95% confidence interval, and a p-value <0.05 was taken as statistically significant. ResultsThe proportion of practicing effective breastfeeding techniques among lactating primipara mothers was 29.1% (CI: 24.7, 33.3). Baby aged ≥29 days, mothers who were living in urban, mothers who attended college or higher education, mothers who have heard about BFT practices, mothers who received counseling on BFT after delivery, and mothers whose breast nipples had everted were variables that were significantly associated with the practice of effective breastfeeding techniques. ConclusionThe findings of this study revealed that the practice of effective breastfeeding techniques among lactating primipara mothers was lower in the study area. Therefore, healthcare providers should have to counsel mothers on how to position and attach their infants during breastfeeding. Practice implicationThe provision of breast-feeding method counseling to nursing mothers is one way to enhance the practices of breast feeding.

Breastfeeding Behavior and LATCH Score in Postpartum Mothers days 1-7 with Overweight and Obesity

Background: Lifestyle changes during pregnancy tend to occur less frequently, and unhealthy eating patterns resulting from consuming fast food can trigger overweight and obesity. Existing research has revealed the influence of obesity on delayed lactogenesis II and low milk production but has not revealed the influence of obesity on breastfeeding behavior and the LATCH score as an early identification of breastfeeding success. Purpose: This study aim to analyzing the differences between overweight and obesity on breastfeeding behavior and LATCH scores in postpartum mothers on 1–7 days. Method: This research uses an analytical design with a observational approach. The sample for this study was all third-trimester primigravida mothers with normal pregnancies who checked themselves at the Kediri City Community Health Center and met the research inclusion criteria amount 86 samples. Breastfeeding behavior data and LATCH scores evaluate use quistionare were assessed on days 1, 3, and 7 days postpartum. Data analysis using SPSS version 26 with paired t test. Results: The breastfeeding behavior scores of both groups did not different at 1 day (45 ± 3.34 vs. 45 ± 3.34; P = 0.760), 3 days (78 ± 5.78 vs. 67 ± 9.03; P = 0.213), and 7 days (10 ± 0.59 vs. 8 ± 0.50; P = 0.087). There was no difference in LATCH scores at 1 day (3 ± 0.67 vs. 3 ± 0.45; P = 0.646) and 3 days postpartum (78 ± 5.78 vs. 6 ± 0.03; P = 0.098), but at 7 days postpartum between the two groups were significantly different (10 ± 0.59 vs. 8 ± 0.50; P &lt; 0.001). Conclusion: The breastfeeding behavior and LATCH score can be used to predict difficulties in breastfeeding experienced by overweight and obese mothers postpartum for 1–7 days. Having an appropriate systematic assessment can help with timely intervention and improvements in breastfeeding techniques so increase breastfeeding success.

Determinasi Perlekatan dan Posisi Ibu Menyusui dalam Memberikan ASI terhadap Keberhasilan Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Oesapa

Insufficient breastfeeding can cause malnutrition babies, making them more susceptible disease. Breastfeeding baby for 6 months without additional food, drink is called exclusive breastfeeding. Improper breastfeeding position and attachment can result in low breast milk production. Apart from making the nipples feel sore and causing breast milk not to come out optimally, incorrect breastfeeding techniques can also make the baby refuse to breastfeed, which has a negative impact on breast milk production. The aim of research determine the influence of the position and attachment of breastfeeding mothers and their role on the effectiveness of exclusive breastfeeding in the Oesapa Community Health Center working area. The research design is case control which is used together with observational analysis as research methodology. Complete sampling and significance threshold of α=0.05, 27 case samples and 27 control samples. This study, data were analyzed using methods, univariate, bivariate (chi square statistical test to assess the influence position and attachment style of breastfeeding mothers on the success of exclusive breastfeeding in the Oesapa Community Health Center), multivariate (logistic regression). statistical test to identify the most dominant variable). attachment and body posture in relation to effectiveness of exclusive breastfeeding. The results of the study showed that there was relationship between attachment (p-value= 0.000, OR=9.534), position (p-value 0.000, OR=12.025) and the success of exclusive breastfeeding. Recommended that health workers facilitate and motivate the implementation of breastfeeding, especially exclusive breastfeeding, to their citizens, increase the role of health workers educating breastfeeding mothers to apply the correct latch and position.

Breast problems and associated factors among lactating women in Northeast Ethiopia, 2022

Breastfeeding is the cornerstone of child and maternal health. However, maternal breast problems during breastfeeding have been frequently reported as one of the reasons for early discontinuation of breastfeeding. Despite the importance of having knowledge on breast problems magnitude and its associated factors in the clinical practices and designing effective interventions, there is limited data on this topic. Therefore, this study aimed to assess the prevalence and associated factors of breast problem among postnatal lactating women in Legambo district, south wollo zone, North East Ethiopia, in 2022. A community-based cross sectional study was conducted among 610 lactating mothers in Legambo district. Multi-stage sampling was employed to select study participants. Interviewer administered, WHO B-R-E-A-S-T-Feeding, observational checklist and maternal self-reported breast problem questionnaires were used to collect the data. Epi-Data version 3.1 was used for data entry and export to SPSS version 25.0 for analysis. Descriptive statistics and bi-variable and multivariable analysis was carried out. On the multivariable logistic regression, variables with p-value < 0.5 were considered as they had statistically significant association with breast problem. The overall prevalence of breast problems among postnatal lactating women was 54.3% (95%, CI 49.3–59.3%). Primipara (AOR = 5.09; 95% CI 3.40–7.62), preterm infant (AOR = 2.12; 95% CI 1.22–3.66), home delivery (AOR = 3.67; 95% CI 1.62–8.30), ineffective breastfeeding techniques (AOR = 2.45; 95%CI 1.61–3.74), caesarean section delivery (AOR = 2.05;95%CI :1.15–3.64) and mixed type of feeding (AOR = 1.97:95%CI 1.34–2.89) were factors showed significant association. The prevalence of breast problems was 54.3%. Relevant factors related to an increase risks are being primipara, cesarean section delivery, home delivery, preterm birth, ineffective breastfeeding techniques and mixed type of feeding.

Impact of early postnatal support by lactation consultant on breastfeeding outcomes in urban population: A prospective observational study

Abstract Background: Early breastfeeding support helps in achieving exclusive breastfeeding by reducing the incidence of painful breast problems. A comparison of the impact of lactation counselling by lactation consultants and nursing staff would help to optimise care. Methods: In this prospective study conducted in the maternity ward of a private sector tertiary care hospital in an urban area, breastfeeding outcomes such as achievement of exclusive breastfeeding and incidence of painful breast problems such as sore nipples and breast engorgement as well as breastfeeding technique were compared between two groups of mother–newborn dyads receiving support from lactation consultants (study group) and maternity ward nursing staff (control group), respectively. Results: A total of 477 mother–newborn pairs were enrolled. Sixty-three out of 225 mothers (28%) in the study group complained of sore nipples as against 122 out of 252 mothers (48.4%) in the control group (odd ratio [OR] 0.414, 95% confidence intervals [CI] 0.282–0.607, P &lt; 0.001). Breast engorgement was reported in 45 mothers (20%) in the study group and 117 mothers (46.4%) in the control group (OR 0.288, 95% CI 0.191–0.434, P &lt; 0.001). Two hundred and three newborns (90.2%) from the study group were discharged on exclusive breastfeeding as compared to 149 newborns (59.1%) in the control group (OR 0.156, 95% CI 0.094–0.260, P &lt; 0.001). Conclusions: Lactation consultants are significantly better than nursing staff at improving breastfeeding outcomes by providing trained support to optimise breastfeeding position and attachment, thereby preventing painful breast problems.

IJCM_13A: Effect of video based educational intervention in Gestational diabetic mothers on breast feeding self efficacy: a Randomized Control Trial

Background: Women with Gestational diabetes mellitus face a lot of challenges when it comes to breast feeding. Breast feeding self efficacy is an important factor for improving breast feeding outcomes. Objectives: To know the effect of educational intervention on breast feeding efficacy in immediate postpartum period among women with gestational diabetic mellitus using breast feeding self-efficacy scale short form (BSES-SF). Methodology: A randomized control trial was conducted between May 2022 to August 2023 in a tertiary care hospital in Mangalore. Ethics committee approval was obtained. Clinical trial registry was done (CTRI/2023/03/051176). 108 women with Gestational diabetes mellitus were enrolled in this study. Study participants were divided into control and intervention group. Intervention group were shown an informative video on breast feeding practices and techniques while both the groups were educated using flipcharts on essential newborn care. Breast feeding efficacy was scored in both the groups at admission, after intervention within 48 hours puerperium using breast feeding self-efficacy scale short form (BSES-SF) and results were analyzed. Results: The mean age group of the study was 30.15 ± 5.12. The demographic details in both the groups were comparable. The mean BSES-SF scores were 45.13 pre-intervention vs 55.15 post-intervention in the intervention group (p = &lt;0.001) while mean BSES-SF scores were 44.60 pre-intervention vs 47.53 post-intervention in control group (p = &lt;0.001). Conclusion: Video based educational intervention had a positive impact on breast feeding efficacy in women with Gestational Diabetes Mellitus.

Nursing Care for Postpartum Mothers with Indications of Sectio Caesarea Against Lack of Knowledge About Breastfeeding Techniques at RPKK Koja Regional General Hospital, DKI Jakarta Province

The aim of this study was to determine mothers' knowledge about correct breastfeeding techniques for postpartum mothers with Sectio caesaria at the Koja Regional General Hospital, DKI Jakarta Province. This research method uses an observation sheet with a pre and post intervention design. Measurements were carried out on 3 respondents. This research was conducted at the Koja Regional General Hospital, DKI Jakarta Province. Data collection was carried out for 3 days. The sample in this study was postpartum mothers post caesarean section. The variable in this research is conducting health education about correct breastfeeding techniques. Analysis using an observation sheet is used to see knowledge of the breastfeeding techniques used. The results of this study show that by carrying out correct breastfeeding techniques, post-cesarean section mothers will understand and know the correct attachment position and breastfeeding technique so that complications of pain and blisters on the nipples do not occur. The more active the mother is in breastfeeding, the faster the mother will understand.

GAMBARAN FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN BENDUNGAN ASI PADA IBU NIFAS DI WILAYAH KERJA UPT PUSKESMAS PANCA MAKMUR TAHUN 2023

The postpartum period is the most vulnerable period for morbidity, one of the causes of morbidity in postpartum mothers is problems with the lactation process. During the puerperium infection and inflammation of the breast can occur, infection occurs through wounds on the nipples, but maybe also through the blood circulation. The signs are chills accompanied by a rise in temperature, sufferers feel lethargic and have no appetite. The cause of the infection is usually staphylococcus aureus, enlarged breasts, breast pain in a place where the skin is red, swollen, and painful to touch. Therefore it is necessary to prevent one of them with breast care.The purpose of this study was to analyze the description of the factors associated with the incidence of breastfeeding in postpartum mothers in the working area of ??the UPT Panca Makmur Health Center, North Morowali Regency in 2023.This study uses a quantitative research method. The research design used in this study is a descriptive survey. Based on the total sampling technique, the number of samples obtained was 33 respondents. The results showed the characteristics of the respondents in terms of age, parity, education and occupation. The average number of respondents aged 25 to 30 years was 16 people (48.5%), while the parity of respondents was more dominant primipara and multipara as many as 13 people each (39.4%), for education more dominant high school graduates were 14 people (42.4%), and 17 people (51.5%) do not work for more dominant jobs. Factors related to breast milk retention include experience of breastfeeding, frequency of breastfeeding, technique of suckling, and shape of the nipples. Regarding breastfeeding experience, only 3 (9%) of mothers who had breastfed before experienced breast milk retention. While mothers who breastfeed more than 12 times, only 5 people (15%) experience breast milk retention. For proper breastfeeding techniques, only 7 people (21%) had normal nipple shapes, and only 1 person (3%) had breast milk.It is hoped that health workers can improve health services to the community, especially for women of reproductive age regarding postpartum health in dealing with breast milk dams during the postpartum period.

Effective breastfeeding techniques and associated factors among lactating women: a community-based study, north east Ethiopia.

Effective breastfeeding techniques, which include proper attachment, positioning, and suckling, offer a range of benefits for both the mother and the infant. These techniques ensure efficient milk transfer, reduce the risk of infections, support optimal infant weight gain, enhance maternal comfort, and foster a strong emotional bond. This study aimed to identify the magnitude and factors associated with effective breastfeeding techniques among lactating women in the Legambo district of South Wollo, Ethiopia, in 2022. A community-based cross-sectional study was conducted from September to November 2022. Samples were selected using a multi-stage sampling method from 18 wards (kebele). Data were collected using an interviewer-administered structured questionnaire and an observational checklist. The collected data were entered into Epi-Data and then exported to SPSS version 25.0 for analysis. Descriptive statistics and bivariate and multivariable logistic regression analyses were performed to identify the magnitude and associated factors. Variables with a p-value less than 0.05 on multivariable analysis were considered independent factors associated with the outcome variable. Six hundred and ten lactating women were included for observation and interviewed, resulting in a 96.2% response rate. The magnitude of effective breastfeeding technique practice was found to be 25.9% (95% CI: 22.47-29.57%). Factors associated with effective breastfeeding technique practice included being a working woman (AOR = 1.70; 95%CI: 1.07-2.72), age between 26 and 30 years (AOR = 0.37; 95%CI: 0.16-0.84), urban residence (AOR = 1.59; 95%CI: 1.06-2.39), initiating breastfeeding 1 to 2 h after birth (AOR = 0.27; 95%CI: 0.16-0.43), and initiating breastfeeding after 2 h of birth (AOR = 0.34; 95%CI: 0.17-0.67). Additionally, not receiving breastfeeding education (AOR = 0.46; 95%CI: 0.30-0.72) and experiencing current breast problems (AOR = 0.28; 95%CI: 0.28-0.75) were also found to have a significant association with effective breastfeeding technique practice. Only one in four women demonstrated effective breastfeeding techniques, indicating that their practice was below the WHO's recommendations. Therefore, it is crucial to consider the identified variables to improve the practice of effective breastfeeding techniques.

Relationship Between Health Education on Breastfeeding Techniques and Burping Babies After Breastfeeding With Regusrgitation Incidents in Babies in Panyaungan Village in 2023

Background Regurgitation in infants is often caused by physiological reflux, which is a normal condition. The lower esophageal sphincter in infants is not fully mature, so food can go back up into the esophagus and out through the mouth. Purpose of Writing: for the relationship between health education on breastfeeding techniques and burping babies after breastfeeding with the incidence of regurgitation in babies in Panyaungan Village in 2023. Research Methods: The sample size in this study used a total side, namely 65 mothers who had babies aged 0-6 months in Panyaungan Village who were taken by total sampling. Collecting data to determine mother's knowledge about breastfeeding techniques and burping babies and the incidence of regurgitation was measured using a questionnaire. The data analysis used is the method of this research is an analytic survey with a case control design or retrospective study. Research Results In the chy-square test, the results obtained were P value 0.000 &gt; 0.05, so the analysis was that there was a relationship between burping techniques and regurgitation events in Panyaungan Village in 2023. The OR calculation results were 5.556, which means that babies aged 0-6 months have more regurgitation events 5.556 times higher by not or rarely doing burping techniques compared to doing burping techniques (95% CI 3.075 -10.038. Conclusions and Suggestions: It is hoped that the results of this study can be used as a reference that in order to reduce regurgitation it is necessary to provide education on breastfeeding techniques until breastfeeding mothers understand proper and correct breastfeeding techniques.

PEMBERDAYAAN KADER TENTANG PERAWATAN BAYI BARU LAHIR DENGAN MENGOPTIMALKAN PELAYANAN KOMPLEMENTER

Newborn babies, especially those less than one month old, are the age group at highest risk of health problems, so they need appropriate supervision and treatment. Cadres play a role as community mobilizers, counseling and monitoring, who directly deal with social problems, including health problems faced by the community, so they play a big role in supporting the success of treatment of the newborns. This community service activity aimed to train the skills of posyandu cadres through empowering the role of posyandu cadres regarding care of newborn babies by optimizing complementary services in Kampung Delima Village, Rejang Lebong Regency. This activity was carried out from July to November 2023 targeting health cadres in Kampung Delima Village, East Curup District. Rejang Lebong Regency. Activities were carried out through training and mentoring of cadres. The results of this activities after training showed an increase in cadres' knowledge and skills regarding newborn care by optimizing complementary services, which include bathing babies and umbilical cord care using topical breast milk, correct breastfeeding techniques and baby massage in Kampung Delima Village.

Effective breast feeding techniques and associated factors among lactating mothers: a community-based cross-sectional study in Dugda district, central Ethiopia

Background: Breastfeeding technique is defined as the positioning of the mother and baby, the baby's attachment to the breast, and suckling during nursing, all of which are crucial for successful breastfeeding. Appropriate and longer breastfeeding practices have numerous benefits for both mothers and babies. Moreover, ineffective breastfeeding techniques are a cause of death for thousands of newborns every year. In Ethiopia, the practice of effective breastfeeding techniques remained low. Therefore, this study aimed to assess the practice of effective breastfeeding techniques and associated factors among breastfeeding mother-infant pairs in Dugda district, Central Ethiopia, 2023. Methods: A community-based cross-sectional study was conducted from June 20 to August 20, 2023, in Dugda district on a total of 620 breastfeeding mother-infant pairs who were selected using a multistage sampling technique. Ethical clearance and approval were secured from the Ethical Review Board of Salale University with reference number SLU-IRB/53/23. The WHO's breastfeeding observational checklist and a face-to-face interview were used to collect the data. Bi-variable and multivariable binary logistic regression analyses were employed. An adjusted odds ratio coupled with a 95% CI was used to determine a significant association. Bi-variable and multivariable binary logistic regression analyses were employed. An adjusted odds ratio coupled with a 95% CI was used to determine a significant association. Results: The prevalence of effective breastfeeding techniques in this study was 43.4% (95% CI: 39.1%, 47.4%). Having antenatal care follow-up (AOR: 2.24; 95% CI: 1.21, 4.14), having prior information about breast feeding techniques (AOR: 5.78; 95% CI: 3.95, 8.46), being multipara (AOR: 2.21; 95% CI: 1.47, 3.33), and having educational levels of primary education (AOR: 2.42; 95% CI: 1.44, 4.06) and secondary education and above (AOR: 2.85; 95% CI: 1.73, 4.69) were significantly associated with effective breastfeeding techniques. Conclusion: The prevalence of effective breastfeeding techniques in the study area was relatively low. Therefore, empowering women in education, promoting utilisation of ANC follow-up and disseminating information about breastfeeding techniques could be the key implication for effective breastfeeding techniques. Special emphasis should be given to primipara mothers because they are new for nursing their infants.

The Influence of Breastfeeding Technique Education on the Effectiveness of Postpartum Mothers in Breastfeeding in the Working Area of the Tanjung Kota Sungai Penuh Health Center, Indonesia

Breastfeeding is the best way to feed a baby. However, many postpartum mothers experience difficulty in breastfeeding. Education about correct breastfeeding techniques can help postpartum mothers breastfeed effectively. This study aims to determine the effect of education on breastfeeding techniques on the effectiveness of postpartum mothers in breastfeeding in the working area of the Tanjung Kota Sungai Penuh Health Center, Indonesia. This research used a quasi-experimental design with a pre-test and post-test with a control group design. A total of 60 postpartum mothers were randomly divided into two groups, namely the intervention group (n=30), who received education on breastfeeding techniques, and the control group (n=30), who did not receive education. The effectiveness of breastfeeding was measured using a questionnaire. Data were analyzed using the Mann-Whitney U test. The results showed that there was a significant difference between the intervention group and the control group in terms of the effectiveness of breastfeeding after the intervention (p=0.001). Education on breastfeeding techniques has been proven to be effective in increasing the effectiveness of postpartum mothers in breastfeeding.

Education of pregnant women to increase mothers' knowledge and attitudes regarding exclusive breastfeeding

&#x0D; Exclusive breastfeeding (ASI-E) is a very important practice for the optimal health and development of the baby. However, the knowledge and attitudes of pregnant women towards breast milk often require improvement. This study aims to investigate the effectiveness of education programs for pregnant women in increasing their knowledge and attitudes regarding breastfeeding. There was a significant improvement in the knowledge and attitudes of pregnant women who participated in the education program compared to the control group. Post-intervention, pregnant women in the intervention group had a better understanding of the benefits of breast milk-E, correct breastfeeding techniques, and resolution of problems that may arise during the breastfeeding period. Positive attitudes toward ASI-E were also more dominant among the intervention group. This educational program provides strong evidence that increasing the knowledge and attitudes of pregnant women through educational interventions can be an effective strategy to improve breastfeeding practices. Future recommendations include long-term research to evaluate the long-term impact of these education programs on breastfeeding practices as well as the inclusion of fathers in education efforts.&#x0D;