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The goal of this clinical trial is to evaluate the effect of laid back breast feeding position on breastfeeding experience among multiparous women. The main questions it aims to answer are;
Participants will:
Cesarean sections are major surgeries that can cause pain and complications, making early breastfeeding initiation less likely compared to vaginal birth. This is problematic because early breastfeeding has significant health benefits for both mother and infant. Breastfeeding outcomes after C-sections are often worse, including delays, more difficulties, and shorter duration.
A common cause of these problems is inadequate breastfeeding technique. The laid-back breastfeeding position is a simple method that relies on the mother's intuition and the baby's natural reflexes, requiring little professional guidance.
This study used a quasi-experimental research design. It will conducted at the antenatal outpatient clinic and inpatient wards of Mansoura University Hospital. The study involved a total of 168 participants. Pregnant mothers in intervention group will be trained to breastfeed their infants using the laid-back position.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Laid-Back Positioning Group | Active Comparator | Multiparous women who receive structured training and support on the laid-back breastfeeding position during the last trimester of pregnancy so, they can apply it after giving birth |
|
| Standard Care Group | Placebo Comparator | Multiparous women who receive the standard postpartum breastfeeding care and support offered by the hospital after giving birth |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Laid-Back position training | Other | This intervention is a structured training session for pregnant woman on the use of the laid-back breastfeeding position after birth. The training is designed to be delivered in a single, standardized session by the researcher during the last trimester of pregnancy to be applied within the first 24 hours post-cesarean delivery. |
| Measure | Description | Time Frame |
|---|---|---|
| Breastfeeding Experience Scale (BES) | BES consists of 30 items (18- items to assess presence or absence and severity of common breastfeeding difficulties in the early postpartum period and 12 items to assess breastfeeding continuation and the reasons for weaning). In the current study, the researcher used the 18 item part of BES because it suites the aim of the study. The 18-item part are divided into five categories including 3items for breast concern, 5 items for mechanics of breast concern, 5 items for process concern, 3 items for insufficient milk production and 2 items for social concern. Scoring system The score system for breastfeeding difficulties using three point Likert scale ranged from "never" (1), "sometimes" (2) and "always" (3). The total scores were ranged from 18 to 54. the level of difficulties were categorized as the following: low severity (< 60%) were ranged from 0 > 32point, average severity (60 % to < 80%) were ranged from 32 > 43 point and high severity (≥80 %) were ranged from 43≥ 54 point. | 1st time for assessment will be within 24 to 48 hrs after giving birth. 2nd time for assessment will be one week after birth. |
| Measure | Description | Time Frame |
|---|---|---|
| Maternal comfort during breastfeeding (MCRS) | MCRS consists of 9 items describes the maternal feelings during breastfeeding including maternal relaxation during feeding, degree of maternal confidence to hold her baby in laid back position during feeding....ect. Scoring system for MCRS The total scores Maternal comfort ranged from 9 to 36 then the level of comfort categorized as; low < 60% (9 - 21); moderate 60% to <75% (22 - 27) & high ≥ 75% (28 - 36). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nadia Y AbdElla, Assisttant professor | Contact | +20-50-2733200 | drnadiaabdella@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Nadia Y AbdElla, Asistatnt Professor | Faculty of Nursing- Mansoura University- Egypt | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mansoura University Hospitals | Al Mansurah | Dakahlia Governorate | 35511 | Egypt | ||
| New Obstetric and Gynecological Center |
The reason for not sharing data is to comply with and protect the confidentiality of participants, which is a primary ethical requirement in research.
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One group of mothers (the intervention group) will be trained on the laid-back position. The other group (the control group) will receive standard care. The outcomes for these two distinct groups were then compared. The groups will treated independently and in parallel.
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|
| Standard Postpartum Care | Other | Postpartum mothers who receive structured training and support on the laid-back breastfeeding position |
|
| One week after delivery |
| Al Mansurah |
| Dakahlia Governorate |
| 35511 |
| Egypt |