Effect of Lactation Management Model on Breastfeeding Process

NCT04593719 | Completed

• 1 other identifier: Lactation-Management-Model
• Study Type: interventional
• Target: 66
• Locations: 1 country
• Sites: 1

Brief Summary

Background: While caesarean sections are increasing, breast-feeding rates are decreasing. It is important to implement supportive programs to ensure mothers breast feed for the desired period and infants are fed by only mother's milk. Aim: In the research, it was aimed to evaluate the effects of lactation management models on mothers' breastfeeding process following a caesarean section. Methods: The research was conducted as a randomized controlled study and experimentally. Before implementation, Lactation Management Model was developed. Data collection was performed during gestation, first day after postpartum, pre-discharge, on 9th day in face to face interview and in the form of monthly phone interviews up to 6 months. While the experimental group exercised lactation management model, control group received routine lactation practices in clinic. Conclusions: Among the females in the experimental group, it was found that breastfeeding self-efficacy were higher, and breastfeeding techniques were accurate and successful and breastfeeding only and continuity rates were higher while breastfeeding related breast problems developed less frequently. Lactation management model should be used and expanded to increase breastfeeding rates. Keywords: Cesarean section, breastfeeding, mother milk, lactation management model, breastfeeding training

Conditions

Lactation; Breastfeeding; Cesarean Section

Keywords

Cesarean section; Breastfeeding; Mother milk; Lactation management model; Breastfeeding training

Outcome Measures

Primary Outcomes (2)

• Continuation of Breastfeeding and Only Breast Milk

  Women who are applied lactation management model feed their babies with only breast milk at a higher rate (Measured using Breastfeeding and breastmilk monitoring form.It is a form developed by the researcher, consisting of 4 open-ended questions for the purpose of continuing breastfeeding and breastfeeding and determining additional nutrients other than breast milk).

  6 month

• Breastfeeding Observation Form Scores at Postpartum in The First 48 Hours

  It was determined that women who were applied the Lactation Management Model were able to breastfeed successfully with the appropriate technique (Measured using the Breastfeeding observation form. developed by Armstrong form consists of 25 parameters under 5 main titles. For each parameter, "Percentage of Success" is calculated by taking the frequencies of 0, 1 and 2 scores. "Successful Technique" is indicated as between 46-50 points and "Insufficient Technique" as 45 and below).

  The First 48 Hours

Secondary Outcomes (2)

• Latch Scale Scores and Breast Nipple-Related Discomfort Levels Related to Breastfeeding

  First 9 days

• Breastfeeding Self-Efficacy Scale Scores

  2 month

Study Arms (2)

Experiment

EXPERIMENTAL

Lactation management model is applied to the experimental group.

Other: Experiment

Control

NO INTERVENTION

Lactation management model is not applied to the control group.

Interventions

Experiment OTHER

The main components of the Lactation Management Model; breastfeeding training in the prenatal period (from the 30th week of pregnancy), early postpartum period (first 48 hours) skin to skin contact, early breastfeeding, relaxation using a dreaming technique, warm application to the breast, breast massage and for the first 48 hours after postpartum 6 months of continuous support (face to face, by phone, via social media).

Experiment

Eligibility Criteria

• Age: 18 Years - 35 Years
• Gender Eligibility Details: Women were chosen as it was a study related to breast milk and breastfeeding.
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• to be between 18-35 years old,
• being in the 30th week of pregnancy,
• th week or above with planned caesarean delivery,

You may not qualify if:

• risky pregnancy (multiple gestation, Preeclampsia etc.),
• breast operation history,
• health issues of mother or baby that may affect breast feeding process,
• medication use that may affect milk production,
• communication problems related to language,
• failure to be reached via phone after discharge

Sponsors & Collaborators

• Mersin University: lead

Study Sites (1)

Mersin University

Yenişehir, Mersin, Turkey (Türkiye)

Location

Related Publications (6)

• Anderson L, Kynoch K, Kildea S. Effectiveness of breast massage in the treatment of women with breastfeeding problems: a systematic review protocol. JBI Database System Rev Implement Rep. 2016 Aug;14(8):19-25. doi: 10.11124/JBISRIR-2016-003058.

  PMID: 27635741 BACKGROUND

• ACOG Committee Opinion No. 761: Cesarean Delivery on Maternal Request. Obstet Gynecol. 2019 Jan;133(1):e73-e77. doi: 10.1097/AOG.0000000000003006.

  PMID: 30575678 BACKGROUND

• Becker GE, Smith HA, Cooney F. Methods of milk expression for lactating women. Cochrane Database Syst Rev. 2016 Sep 29;9(9):CD006170. doi: 10.1002/14651858.CD006170.pub5.

  PMID: 27684560 BACKGROUND

• Esencan YT, et al. Type of delivery, time of ınitial breastfeeding, and skin-to-skin contact of pregnant women participating in childbirth preparation education. Florence Nightingale Journal of Nursing 2018; 26(1): 31-43.

  BACKGROUND

• Hobbs AJ, Mannion CA, McDonald SW, Brockway M, Tough SC. The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy Childbirth. 2016 Apr 26;16:90. doi: 10.1186/s12884-016-0876-1.

  PMID: 27118118 BACKGROUND

• Eker A, Aslan E. Effect of Lactation Management Model on Breastfeeding Process After Cesarean: A Prospective Randomized Controlled Study. Reprod Sci. 2024 Apr;31(4):1108-1116. doi: 10.1007/s43032-023-01409-3. Epub 2023 Dec 14.

  PMID: 38097898 DERIVED

Related Links

• UNİCEF For Every Child, Breastfeeding A Mother's Gift, for Every Child 2018
• WHO, Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services guideline 2017
• NİCE. Postnatal care up to 8 weeks after birth clinical guideline 37
• Health Indicators

MeSH Terms

Conditions

Breast Feeding

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior

Study Officials

• Aslı EKER

  Mersin University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer Doctor

Study Record Dates

• First Submitted: October 6, 2020
• First Posted: October 20, 2020
• Study Start: November 11, 2017
• Primary Completion: July 18, 2018
• Study Completion: October 31, 2018
• Last Updated: October 20, 2020

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)