The Breastfeeding Practices: The Positioning
and Attachment Initiative Among the Mothers of Rural Nagpur
Dr. Subhash B. Thakre,
Associate Professor, Department of Community Medicine,
Plot No. 9, Swami Swarupanand Society,
Narendra Nagar, Nagpur-15
The strategy of the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) has recommended a systematic assessment of breastfeeding and it has emphasized on the counseling of the mother on the proper positioning and the attachment of the infant to the breast. Hence, the present, cross sectional study was undertaken to assess the correct breast positioning and attachment.
Materials and method:
Midwives (ANM) who were trained in IMNCI assessed the breastfeeding positioning and attachment by using the IMNCI guidelines during the study period at a rural hospital in Saoner, Nagpur District.
The assessment which pertained to the positioning and the attachment was done in 104 babies. A breast feeding problem was recognized in 43.27% babies of the subjects. Poor breast positioning (25% - 53.84%) and poor attachment (26% - 58.65%) were recognized before imparting the health education. A significant (P<0.05) improvement in the breast positioning and attachment was observed after the health education.
Health education and supporting the mothers while they were breastfeeding were found to be useful tools in improving the positioning and the attachment of the baby to the breast.