Effectiveness of demonstration-based breastfeeding technique on breastfeeding performance among postnatal women: a pilot study
DOI:
https://doi.org/10.18203/2320-6012.ijrms20260975Keywords:
Breastfeeding technique, Breastfeeding performance, Postnatal womenAbstract
Background: Breastfeeding is a key strategy for promoting child health and survival. Proper positioning and effective attachment are essential for successful exclusive breastfeeding, as they ensure efficient milk transfer and prevent common breastfeeding problems. Therefore, this randomized controlled pilot study evaluated the effect of demonstration-based breastfeeding technique on breastfeeding performance among postnatal women.
Methods: After receiving ethical clearance, 180 antenatal women participated in this single-blind trial. Random allocation of antenatal women was carried out using computer-generated random code numbers after meeting inclusion and exclusion criteria. In the study, antenatal women allocated to the intervention group received a structured demonstration on breastfeeding techniques, supplemented with an informational brochure at 37 weeks of gestation, whereas the control group received standard care with no additional intervention. Breastfeeding performance was assessed on the third postnatal day by using a standardized bristol breastfeeding tool among the intervention and control group. Descriptive and inferential statistics were used to analyze the data.
Results: A statistically significant difference in mean breastfeeding performance score was observed between the intervention and control group, indicating that structured demonstration of breastfeeding technique improved breastfeeding performance during the postnatal period.
Conclusions: The findings highlight the value of practical breastfeeding education in enhancing breastfeeding technique, which may contribute to a significant reduction in lactation failure and minimize problems related to breastfeeding.
Metrics
References
World Health Organization. World breastfeeding week. Geneva: World Health Organization. 2022. Available at: https://www.who.int/health-topics/breastfeeding. Accessed on 21 August 2025.
Nair BRD, Thakre SB, Narlawar UW, Krishnan AP, Bembade SS. Breastfeeding practices: Positioning and attachment among postnatal mothers: a hospital-based cross-sectional study in Nagpur, Maharashtra. Int J Community Med Public Health. 2025;12(1):292–97. DOI: https://doi.org/10.18203/2394-6040.ijcmph20244034
UNICEF, World Health Organization. Global breastfeeding scorecard: Rates of breastfeeding increase around the world through improved protection and support. 2023. Available at: https://www.unicef.org/media. Accessed on 21 September 2025.
Ejie IL, Eleje GU, Chibuzor MT, Anetoh MU, Nduka IJ, Umeh IB, et al. Barriers and facilitators to exclusive breastfeeding practice in sub-Saharan African countries: A systematic review of qualitative studies. Int Breastfeed J. 2021;16(1):1–13. DOI: https://doi.org/10.1186/s13006-021-00380-6
Inano H, Kameya M, Sasano K, Matsumura K, Tsuchida A, Hamazaki K, et al. Factors influencing exclusive breastfeeding rates until 6 months postpartum: The Japan Environment and Children’s Study. Sci Rep. 2021;11(1):6841. DOI: https://doi.org/10.1038/s41598-021-85900-4
Gurung A, Paudel B. Breastfeeding technique among postnatal mothers at the teaching hospital, Bharatpur, Nepal. Int J Med Health Res. 2025;3:1–16. DOI: https://doi.org/10.61424/ijmhr.v3i2.205
Mayo Clinic Staff. Breast-feeding: Positions. Mayo Clinic. Available at: https://www.mayoclinic.org/healthy-lifestyle/infant-and-toddler-health/in-depth/breast-feeding. Accessed on 21 September 2025.
Nancy S, Sindhuri R, Arunagirinathan A, Dongre AR. Breastfeeding positioning and attachment among postnatal mothers: A mixed-methods study in a tertiary care hospital in Puducherry, South India. Indian J Community Med. 2022;47(1):120–4. DOI: https://doi.org/10.4103/ijcm.ijcm_859_21
Parthasarathy A, Menon PS, Nair MK, Yewale VN. IAP textbook of pediatrics. 7th ed. New Delhi: Jaypee Brothers Medical Publishers. 2019: 236.
Breastfeeding Promotion Network of India. BPNI. 2017. Available at: http://www.bpni.org. Accessed on 12 September 2025.
Aswathaman N, Sajjid M, Kamalarathnam CN, Arasar Seeralar AT. Assessment of breastfeeding position and attachment (ABPA) in a tertiary care centre in Chennai, India: An observational descriptive cross-sectional study. Int J Contemp Pediatr. 2018;5:2209. DOI: https://doi.org/10.18203/2349-3291.ijcp20184282
Aktürk NBK, Kolcu M. The effect of postnatal breastfeeding education given to women on breastfeeding self-efficacy and breastfeeding success. Rev Assoc Med Bras. 2023;69(8):217. DOI: https://doi.org/10.1590/1806-9282.20230217
Tokat MA, Okumuş H. Mothers’ breastfeeding self-efficacy and success: Analysis of the effect of education based on improving breastfeeding self-efficacy. HEMAR-G. 2013;10(1):21–9.
McQueen KA, Dennis CL, Stremler R, Norman CD. A pilot randomized controlled trial of a breastfeeding self-efficacy intervention with primiparous mothers. J Obstet Gynecol Neonatal Nurs. 2011;40(1):35–46. DOI: https://doi.org/10.1111/j.1552-6909.2010.01210.x
Wu DS, Hu J, McCoy TP, Efird JT. The effects of a breastfeeding self-efficacy intervention on short-term breastfeeding outcomes among primiparous mothers in Wuhan, China. J Adv Nurs. 2014;70(8):1867–79. DOI: https://doi.org/10.1111/jan.12349
Bala K, Sahni B, Bavoria S, Narangyal A. Knowledge, attitude and breastfeeding practices of postnatal mothers in Jammu: A community hospital-based cross-sectional study. J Fam Med Prim Care. 2020;9(7):3433–7. DOI: https://doi.org/10.4103/jfmpc.jfmpc_333_20
Taj S, Kausar DS, Naz F, Manzoor N, Zareef S. Effectiveness of breastfeeding techniques to improve latching and prevention of nipple soreness among primipara mothers: A randomized control trial. J Neonatal Surg. 2025;14(1):852–9. DOI: https://doi.org/10.52783/jns.v14.1610
Öztürk R, Ergün S, Özyazıcıoğlu N. Effect of antenatal educational intervention on maternal breastfeeding self-efficacy and breastfeeding success: A quasi-experimental study. Rev Esc Enferm USP. 2022;56:428. DOI: https://doi.org/10.1590/1980-220x-reeusp-2021-0428
Kutty RB, Benjamin EE, Thomas E, Sebastian T. Effectiveness of early initiation of breastfeeding on maternal satisfaction with breastfeeding among women who have undergone caesarean section and the breastfeeding behaviour of their newborns. Indian J Contin Nurs Educ. 2020;21(1):38–43. DOI: https://doi.org/10.4103/IJCN.IJCN_46_20
Fu I, Fong D, Heys M, Lee I, Sham A, Tarrant M. Professional breastfeeding support for first-time mothers: A multicentre cluster randomized controlled trial. BJOG. 2014;121(13):1673–83. DOI: https://doi.org/10.1111/1471-0528.12884