A comparison between flat nipple and normal nipple mothers in breastfeeding success at maharaj nakhon Si thammarat hospital

Abstract

Introduction:  Maharaj nakhon si thammarat hospital  was  avoid solving problem flat nipples in pregnancy, follow WHO’s recommendation because  evidence support  effected to abortion,  preterm labor and not success breastfeeding   

Objective: To compare the succession of breastfeeding between flat nipple and normal nipple mothers in the postpartum period

 Materials and Methods: The target group is the healthy couple of mothers and babies. The Birth weight from 2500 g - 3999 g 120 pairs in postpartum ward of Maharaj nakorn si thammarat hospital.   60 mothers have flat nipples whit the nipple length <0.7 cm.  , and   60 mothers have normal nipples whit the nipples > 0.7 cm. The data - collecting experimental instrument was  1) A personal information form of mothers and The babies form. and 2) The breastfeeding assessment form.   Data were analyzed by using descriptive statistic, Chi square and T-test.

 Results: The success of  exclusive breastfeeding  in first 2-3 days before discharge comparison between flat nipples mothers and normal nipples mothers was no statistically significant difference 

(p > 0.05) and suckling of breastfeed effectively in mothers have flat nipples below normal nipples mothers. After teach and coaching about position, enough feeding and solve flat nipples problem.  They were able to effective suckling of breastfeeding, and before discharge comparison between flat nipple mothers and normal nipple mothers was no statistically significant difference (p > 0.05)

Conclusions: The mothers with flat nipples had more difficultly initiation  breastfeeding than those with normal nipples however, after implementation clinical nursing practice guideline at postpartum ward, the suckling of breastfeeding improved. With 2-3 days of postpartum period the success of  exclusive breastfeeding of both flat nipples mothers and normal nipples mothers was the same.