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Auteur Pawin Puapornpong
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Comparison of Breastfeeding Outcomes Between Using the Laid-Back and Side-Lying Breastfeeding Positions in Mothers Delivering by Cesarean Section: A Randomized Controlled Trial / Pawin Puapornpong in Breastfeeding Medicine, Vol. 12, n°4 (Mai 2017)
Titre : Comparison of Breastfeeding Outcomes Between Using the Laid-Back and Side-Lying Breastfeeding Positions in Mothers Delivering by Cesarean Section: A Randomized Controlled Trial Type de document : texte imprimé Auteurs : Pawin Puapornpong, Auteur ; Kasem Raungrongmorakot, Auteur ; Wipada Laosooksathit, Auteur Année de publication : 2017 Article en page(s) : pp. 233-237 Langues : Anglais (eng) Catégories : Allongée sur le côté
Biological nurturing BNposition bébé sur maman allongée sur le dos
Connaissance et enseignement sur l'allaitement
Essai contrôlé randomisé Etude
Résumé : "Background: The breastfeeding position routinely used following a cesarean section is the side-lying position. However, there have been few studies about the effect of breastfeeding positions, including laid-back position on breastfeeding outcomes.
Objective: To compare the breastfeeding outcomes between using laid-back and side-lying breastfeeding positions in mothers delivering by cesarean section.
Materials and Methods: A randomized controlled trial was conducted. The postpartum mothers delivering by cesarean section who delivered term newborns were randomly assigned to learn the use of a laid-back or side-lying breastfeeding position. The breastfeeding outcomes were assessed by LATCH scores at the second day postpartum and exclusive breastfeeding rates during the 6-week postpartum period. The mother's satisfaction of each breastfeeding position was collected before discharge from the hospital.
Results: The data from 152 postpartum mothers delivering by cesarean section were available for analysis, 76 from the laid-back position group and 76 from side-lying position group. The baseline characteristics of both groups were similar. There were no statistically significant differences of the breastfeeding outcomes, LATCH scores at the second day postpartum and the exclusive breastfeeding rates during the 6-week postpartum period. But the mothers had expressed more satisfaction from the side-lying than the laid-back position.
Conclusions: Among the mothers who delivered by cesarean section, the use of the laid-back breastfeeding position had not shown different breastfeeding outcomes from the side-lying breastfeeding position. It might be an alternative breastfeeding position, which can be taught for mothers delivering by cesarean section along with the side-lying position." [Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 12, n°4 (Mai 2017) . - pp. 233-237[article]Nipple Pain Incidence, the Predisposing Factors, the Recovery Period After Care Management, and the Exclusive Breastfeeding Outcome / Pawin Puapornpong in Breastfeeding Medicine, Vol. 12, n°3 (Avril 2017)
Titre : Nipple Pain Incidence, the Predisposing Factors, the Recovery Period After Care Management, and the Exclusive Breastfeeding Outcome Type de document : texte imprimé Auteurs : Pawin Puapornpong, Auteur ; Panwara Paritakul, Auteur ; Maysita Suksamarnwong, Auteur Année de publication : 2017 Article en page(s) : pp. 169-173 Langues : Anglais (eng) Catégories : Douleur
Durée de l'allaitement
Pathologie du sein
Résumé : "Background: Nipple pain is the most common complaint of breastfeeding mothers during the immediate postpartum period. Persistent nipple pain is associated with low breastfeeding rate at 6 months postpartum.
Objective: To further explore the incidence of nipple pain, associated predisposing factors, time for recovery after management, and the impact on exclusive breastfeeding rates.
Materials and Methods: Included in this study were 1,649 singleton, pregnant women who delivered and had their 1-week follow-up at the breastfeeding clinic during the period of January 2013 to December 2015. The mothers who experienced nipple pain were analyzed for the incidence, the predisposing factors, and the recovery period after care management. The breastfeeding outcome comparison of both, mothers with and without pain, was measured by the exclusive breastfeeding rate at the sixth week postpartum.
Results: The incidence of nipple pain was at 9.6% by day 7. A predisposing factor of nipple pain was primiparity (relative risk = 1.8, 95% confidence interval 1.3–2.5). The reasons for nipple pain were inappropriate positioning and latching (72.3%), tongue-tie (23.2%), and oversupply (4.4%). The recovery period after care management was 1–2 weeks. There were no statistically significant differences between the 6-week exclusive breastfeeding rates of the mothers with nipple pain with treatment and the mothers without nipple pain.
Conclusion: Persistent nipple pain was a common problem. The active management, including early detection and treatment, would help the mothers recover within a 2-week period and there was no significant difference of exclusive breastfeeding rates between the mothers who had early care management and the mothers without nipple pain." [Résumé de l'auteur]
in Breastfeeding Medicine > Vol. 12, n°3 (Avril 2017) . - pp. 169-173[article]