Breastfeeding Behavior at One Month Postpartum Among Cesarean Mothers with Early Postnatal Mother-Infant Separation
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Abstract
Abstract
Breast milk is a natural source of nutrition with properties that enhance immunity, reduce complications, and provide hundreds of essential nutrients and bioactive compounds necessary for metabolism, hormonal regulation, and infant development. Implementing a self-breast massage program combined with coaching is one approach to promoting exclusive breastfeeding behaviors among postpartum mothers, especially those whose infants are separated from them immediately after birth. This study aimed to examine the effects of a self-breast massage program on exclusive breastfeeding at one month postpartum among mothers with early postpartum separation at Sunpasitthiprasong Hospital. This experimental research involved 70 postpartum mothers who had undergone cesarean section and whose newborns were admitted to the neonatal unit. The participants were divided equally into control and experimental groups, with 35 in each. The study was conducted from October 1, 2023, to October 31, 2024. Research instruments included the self-breast massage program, a form for assessing the proportion of expressed milk sent to infants before discharge, a one-month exclusive breastfeeding record, and a satisfaction evaluation form. Data were analyzed using the Proportion test, Chi-square test, independent t-test, and Fisher’s Exact test.
The findings revealed that: (1) the proportion of mothers who expressed breast milk within 72 hours before discharge was significantly higher in the experimental group than in the control group (p < 0.001); (2) the rate of exclusive breastfeeding at one month was significantly higher in the experimental group compared to the control group (p < 0.001); and (3) the experimental group reported a higher mean satisfaction score of 3.93 (SD = 0.21), compared to 3.78 (SD = 0.39) in the control group. Therefore, the self-breast massage program should be adopted as a nursing guideline to promote exclusive breastfeeding among postpartum mothers.
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