Effectiveness of training package regarding breast feeding technique on postnatal nipple pain and nipple trauma among primi mothers at selected hospital, Dindigul district, Tamilnadu, 2011.

Abstract

All human life on the planet is born by woman. The women who fulfills their life, only when they experiences the pleasure of motherhood. Child birth is universally accepted and celebrated event by all human beings which provides physical and psychological satisfaction to all couples. Every newborn is protected and cared by the mother both before and after delivery. The initial bond of attachment between mother and baby is established through breast feeding. Breast feeding is the normal way of providing young infants with the nutrients they need for growth and development. It is a cost effective way of feeding an infant. Hormones released during breast feeding help to strengthen the maternal bond. Breast feeding should be initiated within half an hour immediately after delivery thus facilitates colostrum supplement. Breast milk protects the baby from many childhood diseases. Therefore breast feeding is the first choice for infant feeding. Breast feeding method is widely accepted as a best method which helps for successful and longer duration of breast feeding. Longer duration of breast feeding maintained by proper breast feeding technique. Breast feeding technique prevents feeding complications such as nipple pain and nipple trauma, cracked nipples and also it prevents early lactation failure. The midwifes should encourage and teach the mothers about importance of breast feeding and its techniques to increase breast feeding rates. Objectives • To assess post test level of practice regarding breast feeding technique on post natal nipple pain and nipple trauma among primi mothers in study group and control group. • To compare the post test level of practice regarding breast feeding technique on post natal nipple pain and nipple trauma among primi mothers between study group and control group. • To correlate the post test level of practice regarding breast feeding technique with post natal nipple pain and nipple trauma among primi mothers in the study group and control group • To associate the post test level of practice regarding breast feeding technique on post natal nipple pain and post natal nipple trauma among primi mothers with selected demographic variables in the study group. METHODOLOGY Research Design True experimental post test only design. Setting The study was conducted at Kasturba Memorial Hospital, Dindigul. Participants The study sample comprised of primi mothers with the gestational age of 38 – 40 weeks, who satisfied the sample selection criteria. Intervention The training package regarding breast feeding technique on postnatal nipple pain and nipple trauma to the study group and the usual postnatal care was followed by control group. Measurements and tool Latching score system was used to assess the post test level of practice, postnatal nipple pain was assessed by numeric pain intensity scale and nipple trauma was assessed by nipple trauma index. Descriptive and inferential statistics were used to analyze the data. RESULTS The calculated ‘t’ value of breast feeding technique (latching on method) was found to be 8.751 which showed statistically high significant difference (at p = <0.001 level.) between study and control group. This indicates that the training package regarding breast feeding technique on postnatal nipple pain and nipple trauma was highly effective. DISCUSSION It was found that, compared to the control group; the study group had good practice on breast feeding technique and not developed postnatal nipple pain and nipple trauma, which revealed that the effectiveness of training package regarding breast feeding technique on postnatal nipple pain and nipple trauma. Implications Midwives working in the maternity hospital and public health centers, community centers should have updated knowledge and implement standard policies and procedure for breast feeding technique in these areas like antenatal ward, postnatal ward, pediatric wards, public health and community centers to increase the awareness about breast feeding technique and to prevent postnatal breast complications. In nursing education the students should be reinforced and motivated to provide health education about breast feeding technique. As a nurse administrator various in – service programmes and continuing education programmes on breast feeding and its importance in the hospital setup and conduct various mass camps , exhibition to create awareness among the general public. The findings of the study will help the professional nurses and nursing students to develop inquiry by procuring a base and the findings will be disseminated in clinical nursing, community settings through literature, journals and reports