Impact and feasibility of breast crawl in a tertiary care hospital

Abstract

Our study adds to the body of evidence that breast crawl results in positive short-term breast feeding outcome but acceptability of breast crawl as a routine in a busy labor room remains a major issue.

Physiologic Breastfeeding: A Contemporary Approach to Breastfeeding Initiation

“…13 Further studies concluded that like other mammalian neonate, a healthy human neonate, following a brief period of recovery from birth, demonstrates a predictable pattern of behaviors known as the mammalian feeding sequence or the breast crawl (Table 1). [14][15][16][17][18][19] More recently, Widström et al videotaped 28 newborns placed skin-to-skin on their mother's chest immediately following birth in a Swedish hospital and used these data to outline the 9 distinct behavioral phases that occur in the transition from birth to breastfeeding: birth cry, relaxation, awakening, activity, crawling, resting, familiarization, suckling, and sleeping. 17 Throughout this sequence, numerous neonatal reflexes, which are instinctive, physiologic responses to endogenous or environmental stimuli, contribute to the newborn's ability to self-attach to the breast.…”

“…19 Girish et al randomized mother-newborn pairs (N = 100) to selfattachment versus routine hospital care. 19 They found that all newborns in the self-attachment group attempted the breast crawl, with the average time to initiation being 20 minutes and average time to completion being 40 minutes. The mean weight loss in the intervention group was significantly less than in the control group (P = .03), as were maternal reports of pain during breastfeeding (24% vs 44%, P = .03) and experiences of delayed onset of lactation (12 vs 30, P = .0005).…”

“…19 Completion of the breast crawl has been shown to help establish early, effective breastfeeding, thereby increasing the likelihood of adequate milk production, which correlates with greater overall breastfeeding success. 15,19…”

“…They found that all newborns in the self‐attachment group attempted the breast crawl, with the average time to initiation being 20 minutes and average time to completion being 40 minutes. The mean weight loss in the intervention group was significantly less than in the control group ( P = .03), as were maternal reports of pain during breastfeeding (24% vs 44%, P = .03) and experiences of delayed onset of lactation (12 vs 30, P = .0005) . Completion of the breast crawl has been shown to help establish early, effective breastfeeding, thereby increasing the likelihood of adequate milk production, which correlates with greater overall breastfeeding success …”

Emzirme Sorunlarına Kanıta Dayalı Yaklaşım

“…Bebeğin ellerinin çıplak bırakılarak annenin memesini kendi şekillendirmesine müsaade edilmelidir (17). Bebeğin memeye emeklemesinin laktasyonun başlatılmasında ve yenidoğanın 3. gün tartı kaybı üzerine olumlu etkisinin olduğu ancak yoğun doğumhane koşullarında bu durumun sağlanabilirliğinin önemli bir sorun olduğu bildirilmektedir (18). Annenin elleri ve kollarının serbest olduğu, vücudun eğiminin 15etkisinden yararlanarak güvenli alan sağladığı biyolojik beslenme pozisyonu emzirirken primitif yenidoğan reflekslerinin harekete geçirilmesinde en uygun pozisyon olarak önerilmektedir (13,14).…”