Effectiveness of Instructional Module on Breast Problems among Post Cesarean Section Mothers

Amal Fatthy Mohammed; Saleh, Nabaweya; Saleh, Nabaweya;

Abstract


Contents: Enhancement of exclusivity of breastfeeding and increasing its duration is a recognized public health priority. Several common
problems may arise during the breastfeeding period and mainly after cesarean section delivery, so assisting mothers in coping with and
solving the problems may contribute to successful breastfeeding.
Aim: The study aimed to evaluate the instructional module's effectiveness on breast problems among post-cesarean section mothers.
Methods: Quasi-experimental study (pre/post-test) design was used. A purposive sample of 100 women recruited in this study, which was
conducted at the Postnatal Inpatient Maternity Unit & Breast-Feeding Clinic at Ain Shams University Maternity Hospital. The study utilizes
six tools: A structured Arabic interview questionnaire, LATCH breastfeeding charting scale, mothers’ self-care practice observational
checklist, Visual Analogue Scale, Six-point breast engorgement scale, and the Nipple Trauma Score, in addition to developed supportive
material (instructional module).
Results: A highly statistically significant improvement in all mothers' self-care practices in dealing with breast problems at the post and
follow-up of intervention compared to pre-intervention (P <0.001). Also, there is a highly statistically significant reduction of breast problems
among the study sample at the post and follow-up of intervention compared to pre-intervention (p < 0.001). The study also reveals a reduced
degree of pain, breast engorgement, and nipple trauma score with highly statistically significant improvement on the total LATCH scale at the
post and follow-up of intervention compared to pre-intervention (P< 0.001).
Conclusion: The present study concluded that the implementation of the instructional module has improved the mothers’ self-care practice
and has a positive effect on alleviating breast problems among post-cesarean section mothers. The study recommended an educational
program regarding breast problems and their related management should be included in routine care for post-cesarean women


Other data

Title Effectiveness of Instructional Module on Breast Problems among Post Cesarean Section Mothers
Authors Amal Fatthy Mohammed; Saleh, Nabaweya; Saleh, Nabaweya 
Keywords Instructional module;breast problems;post-cesarean mothers
Issue Date Oct-2020
Journal Evidence-Based Nursing Research 
Volume 4
Start page 232
End page 245

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