Randomized Clinical Trial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2024; 12(22): 5059-5066
Published online Aug 6, 2024. doi: 10.12998/wjcc.v12.i22.5059
Effect of care intervention with a health education form for breastfeeding on breast distension, pain, and lactation in postpartum mothers
Xi Di, Xu-Ling Ge, Dan Wang
Xi Di, Postpartum Ward, Liyang People's Hospital of Jiangsu Province, Liyang 213300, Jiangsu Province, China
Xu-Ling Ge, Health Management Center, Liyang People's Hospital of Jiangsu Province, Liyang 213300, Jiangsu Province, China
Dan Wang, Department of Obstetrics, Liyang People's Hospital, Liyang 213300, Jiangsu Province, China
Author contributions: Di X and Wang D designed the research; Di X and Ge XL performed the research and analyzed the data; Di X, Ge XL, and Wang D wrote the manuscript.
Institutional review board statement: This study was approved by the institutional review board of Liyang People's Hospital.
Informed consent statement: Informed consent was obtained from each participant.
Conflict-of-interest statement: There is no conflict of interest to disclose.
Data sharing statement: The data are available from the corresponding author.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dan Wang, BSc, Nurse, Department of Obstetrics, Liyang People's Hospital, No. 70 West Jianshe Road, Licheng Town, Liyang 213300, Jiangsu Province, China. qq529196360@163.com
Received: April 7, 2024
Revised: May 8, 2024
Accepted: June 3, 2024
Published online: August 6, 2024
Processing time: 85 Days and 19.4 Hours
Abstract
BACKGROUND

Breastfeeding not only meets the nutritional needs of newborn growth and development but also promotes uterine contraction and discharge of lochia, which helps in maternal recovery. However, some mothers experience abnormal lactation and breast swelling due to a lack of breastfeeding knowledge, painful cesarean incisions, anesthesia, negative emotions, and other factors, resulting in a reduced breastfeeding rate, which adversely affects neonatal and maternal health.

AIM

To explore the effects of care intervention with a health education form for breastfeeding on breastfeeding-related conditions.

METHODS

In this study, 207 mothers with postpartum breast pain and difficulty lactating were selected and divided into intervention and control groups using a random number table. Both groups of mothers were provided with basic nursing and related treatment measures after delivery. The intervention group additionally received care intervention with a health education form for breastfeeding. The scores of lactation volume, breast distension and pain, breastfeeding rate, breastfeeding self-efficacy, treatment effect, and complication rate of the two groups were compared.

RESULTS

After treatment, the breast pain score of the intervention group was significantly lower than that of the control group, while the lactation score, score of Breastfeeding Self-Efficacy Scale Short Form scale, parent-child communication score, maternal-infant interaction score, total score of maternal-infant communication, and breastfeeding rate of the intervention group were significantly higher than those of the control group. After intervention, the overall therapeutic effect of the intervention group was better than that of the control group, and the complication rate of the intervention group was lower than that of the control group.

CONCLUSION

Breastfeeding health education and nursing intervention combined with basic clinical treatment have good clinical effects in managing postpartum breast distension and pain and increasing lactation yield.

Keywords: Breastfeeding; Health education; Nursing intervention; Breast distension and pain; Lactation

Core Tip: The purpose of this study was to explore the effects of care intervention with a form of health education for breastfeeding on conditions related to postpartum breastfeeding, such as breast swelling, breast pain, and lactation, and found that breastfeeding health education and nursing intervention combined with basic clinical treatment had good clinical effects in the management of postpartum breast swelling and pain and in the improvement of milk yield.