Evaluation of Two Midwife-Supported Breastfeeding Positions After Cesarean: A Pilot Randomized Controlled Study.

IF 1.8 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Breastfeeding Medicine Pub Date : 2026-04-01 Epub Date: 2026-01-21 DOI:10.1177/15568253261415604

Benay Oğuz, Nursen Bolsoy

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引用次数: 0

Abstract

Objective: This study aimed to compare the effectiveness of two different breastfeeding positions (routine cradle hold and modified football hold) with midwife support during the first breastfeeding session after cesarean section. The modified football hold is defined as an innovative position designed to increase maternal comfort and support effective breastfeeding by protecting the incision site.

Method: The study is a randomized controlled, exploratory pilot study conducted at a public hospital in Türkiye between July 2021 and January 2022. The study included 90 postpartum women in total (45 in the experimental group and 45 in the control group). The groups were randomized using the block randomization method. The experimental group received a modified football hold with midwife support, while the control group received a routine cradle hold. The "Mother and Newborn Information Form" and the "Infant Breastfeeding Assessment Tool (IBFAT)" were used as data collection tools.

Findings: The sociodemographic and obstetric characteristics of the experimental and control groups did not differ significantly (p > 0.05). In the experimental group, breastfeeding satisfaction was significantly higher (very satisfied: 68.9%; control: 22.5%) (p < 0.001). There was a statistically significant difference (p < 0.001) between the experimental group's mean IBFAT scores of 9.48 ± 1.85 and the control group's 5.95 ± 2.09. The effect size (Cohen's d = 1.78) was determined to be large.

Conclusion: During the first breastfeeding session following a cesarean section, the modified football hold was found to be an effective method for increasing maternal satisfaction and promoting breastfeeding success. The effectiveness of breastfeeding and mother-baby bonding is thought to be enhanced by midwives' use of it in clinical settings. Nevertheless, further research using larger sample sizes and in various centers is required to validate the efficacy of this method.

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剖宫产后两种助产士支持母乳喂养体位的评价：一项随机对照试验研究。

目的：本研究旨在比较两种不同的母乳喂养姿势（常规摇篮式和改良足球式）在助产士支持下对剖宫产术后第一次母乳喂养的效果。改良的足球hold被定义为一个创新的位置，旨在增加产妇的舒适度，并通过保护切口部位来支持有效的母乳喂养。方法：该研究是一项随机对照的探索性试点研究，于2021年7月至2022年1月在泰国一家公立医院进行。本研究共纳入90名产后妇女（实验组45名，对照组45名）。各组采用分组随机法进行随机化。实验组采用改良的足球抱法，助产士支持，对照组采用常规的摇篮抱法。使用“母婴信息表”和“婴儿母乳喂养评估工具（IBFAT）”作为数据收集工具。结果：实验组和对照组的社会人口学和产科特征无显著差异（p < 0.05）。实验组母乳喂养满意度显著高于对照组（非常满意68.9%，对照组22.5%）（p < 0.001）。试验组IBFAT平均评分为9.48±1.85，对照组为5.95±2.09，差异有统计学意义（p < 0.001）。效应量（Cohen’s d = 1.78）很大。结论：在剖宫产术后第一次母乳喂养中，改良足球抱法是提高产妇满意度和促进母乳喂养成功的有效方法。人们认为，助产士在临床环境中使用母乳喂养可以提高母乳喂养和母婴关系的有效性。然而，进一步的研究需要使用更大的样本量和在不同的中心来验证这种方法的有效性。

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来源期刊

Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS

CiteScore

4.20

自引率

11.10%

发文量

130

审稿时长

6-12 weeks

期刊介绍： Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.