The Use of Bristol's tool in lactation Counseling and its Impact on the Breastfeeding Status in Primiparous Mothers Undergone Cesarean Section

Abstract

Mothers of cesarean section need more support for breastfeeding. The purpose of this study was to use Bristol's tool for lactation counseling on the breastfeeding status in mothers undergone Cesarean section. Methods: In this quasi-experimental study,80 primiparous women after cesarean section In Fatemieh Hospital of Hamedan in year 2018 were selected by available sampling method and assigned to two groups of test (pairs) and control (individual days) (40 persons per group). In two groups, the researcher reviewed the Bristol Breastfeeding checklist, assessed the breastfeeding status, nuchal infant, milk swallowing and infant suction and, based on the need, a breastfeeding counselor was provided in the test group. The counseling was given to the mother during the first 2 hours, 2 days, 10 days and one month after delivery. During this time, the control group received routine care only. The lactation continuity questionnaire was completed for both groups during the four months after delivery. Results: Two groups had no significant differences in demographic variables (P > 0.05). There was a significant difference between the mean duration of lactation during the four months postpartum (P <0.001). The mean of Bristol instrument scores in the first session did not have a significant difference between the two groups, but in the second, third and fourth sessions after delivery, there was a significant difference between the two groups (P <0.001). Conclusion: The Bristol tool is a good tool for evaluating mothers breastfeeding.

The Effect of Psychological Interventions on the Anxiety and Breastfeeding Self-Efficacy: A Systematic Review and Meta-Analysis

“…In general, the interventions of the reviewed studies were classified as follows: - Counseling interventions: including cognitive-behavioral counseling ( 27 ). breast-feeding counseling ( 28 ), participative counseling approach on improving BSE ( 29 ), incorporation of stress management counseling ( 17 , 30 ), in-home supportive counselling ( 31 – 32 ) and dialectical behavior therapy (DBT) ( 25 ). - Educational interventions, including educational packages ( 33 ), training sessions at home with educational pamphlet ( 34 ), and face-to-face training, and training by role-playing ( 35 ), interventions were done via SMS and text messages about infant care and maternal mental health ( 36 ).…”

“…- Counseling interventions: including cognitive-behavioral counseling ( 27 ). breast-feeding counseling ( 28 ), participative counseling approach on improving BSE ( 29 ), incorporation of stress management counseling ( 17 , 30 ), in-home supportive counselling ( 31 – 32 ) and dialectical behavior therapy (DBT) ( 25 ).…”

Breastfeeding Self-Efficacy, Personal Well-Being and Related Factors in Pregnant Women Living in a District of Istanbul

“…Similarly, a meta-analysis study showed that theoretical breast-feeding education provided to pregnant women in a health center contributed positively to breastfeeding self-efficacy [34]. In addition to self-efficacy, breastfeeding counseling was reported to have a positive effect on breastfeeding behavior itself in one of the studies [35]. Providing breastfeeding counseling can be expected to have a positive effect on breastfeeding behavior, because it is a skill that requires acquisition [36] and breastfeeding counseling involves the hands-on practice of breastfeeding skills, assisting mothers in holding their infants correctly, managing common breast issues, such as nipple injuries, engorgement and mastitis [37].…”

Educational Interventions to Improve Breastfeeding Self-efficacy: A Systematic Review

“…Many research studies examined the effect of verbal education and individual counseling (19,20,23,27,42,43). Although one study used telephone support as the primary educational method for interventions, it was often included as a supplementary mode of delivery for educational information on breastfeeding (38). A positive relationship may exist between prenatal class attendance and breastfeeding (27,38).…”

“…Although one study used telephone support as the primary educational method for interventions, it was often included as a supplementary mode of delivery for educational information on breastfeeding (38). A positive relationship may exist between prenatal class attendance and breastfeeding (27,38). Many studies in the literature that examined the effect of breastfeeding education delivered in the prenatal period included group educational sessions.…”