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Effect of Lactation Management Model on Breastfeeding Process After Cesarean: A Prospective Randomized Controlled Study

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Abstract

It is important to implement supportive programs to ensure mothers breast feed for the desired period, and infants are fed by only mother’s milk. In the research, it was aimed at evaluating the effects of lactation management model on mothers’ breastfeeding process following a caesarean section. Women who gave birth by planned cesarean delivery were divided into two groups, randomized control and experimental. Data collection was performed during gestation, first day after postpartum, pre-discharge, on the 9th day in a face to face interview, and in the form of monthly phone interviews up to 6 months. While the experimental group exercised the lactation management model, the control group received routine lactation practices in clinic. In the scores of Breastfeeding Charting System and Documentation Tool, a significant difference was found between the groups (p<0.001). 87.9% of the experimental group and 48.5% of the control group were determined to apply successful breast-feeding techniques. In addition, it was found that all of the experimental group breast fed 1 month longer than the control group, and for the first month, 90.9% of the experimental group and 78.8% of the control group breast fed with mother’s milk only and a higher breastfeeding. Among in the experimental group, it was found that breastfeeding self-efficacy was higher, and breastfeeding techniques were accurate and successful and breastfeeding only and continuity rates were higher while breastfeeding related breast problems developed less frequently. Clinical Trials.gov Protocol Registration Number: NCT04593719

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Data Availability

Data are available from the corresponding author on request due to confidentiality or ethical restrictions.

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Acknowledgements

The authors are grateful to women who participated in the study.

Author information

Authors and Affiliations

  1. Midwifery Department, Mersin University Icel Health School, Mersin, Turkey

    Aslı Eker

  2. Department of Women’s Health and Diseases Nursing, Istanbul University-Cerrahpasa Florence Nightingale Nursing Faculty, Istanbul, Turkey

    Ergül Aslan

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  1. Aslı Eker
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection or management, data analysis, manuscript writing, and editing were performed by Aslı Eker. Study development and manuscript editing were performed by Ergül Aslan. The first draft of the manuscript was written by Aslı Eker, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Aslı Eker.

Ethics declarations

Ethics Approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of University Mersin (Dated 21.09.2017 and Numbered 2017/244).

Consent to Participate

Informed consent was obtained from all individual participants included in the study.

Consent for Publication

All the authors read and approved the final manuscript.

Conflict of Interest

The authors declare no competing interests.

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What Does This Study Add to the Clinical Work

The lactation management model (consisting of steps such as counseling, health care, support, and health education) ensures the continuity and standardization of care and support.

Thus, the duration of breastfeeding is prolonged, and the complications that can be seen in the mother and baby are reduced.

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Eker, ., Aslan, E. Effect of Lactation Management Model on Breastfeeding Process After Cesarean: A Prospective Randomized Controlled Study. Reprod. Sci. 31, 1108–1116 (2024). https://doi.org/10.1007/s43032-023-01409-3

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  • DOI: https://doi.org/10.1007/s43032-023-01409-3

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