Observation of Nursing Intervention Effect of Breast Feeding after Cesarean Section

2021 ◽  
2020 ◽  
Vol 13 (1) ◽  
pp. 1-8
Author(s):  
Roza Shiferaw ◽  
Sisay Eshete Tadesse ◽  
Tefera Chane Mekonnen ◽  
Aregash Abebayehu Zerga

Objective: To assess the magnitude and associated factors of timely initiation of breastfeeding among cesarean section delivered mothers. Methods: A health facility-based cross-sectional study was employed among 421 systematically selected mothers from February to June, 2017. Data were collected by a structured questionnaire. Data entry and analysis was done using Epi Data and SPSS version 24. Binary logistic regression was computed to identify factors. Adjusted odds ratio with a 95% confidence interval was used to declare statistical significance. Result: The magnitude of timely initiation of breast feeding (among mothers who gave birth by cesarean section was 57%. Counseling during antenatal care (AOR = 3.32; 95% CI: 1.80, 6.13), facility where cesarean section (CS) was performed (AOR = 2.55; 95% CI: 1.57, 4.14), and post-CS counseling (AOR = 6.93; 95% CI: 3.99, 12.02) were factors that contributed for the practice of timely initiation among cesarean section delivered mothers. Conclusions: The magnitude of TIBF was good. Counseling during ANC, the facility where CS was performed and post-natal advice were factors associated with TIBF. Implementation of baby-friendly hospital initiatives should be strengthened in order to promote timely initiation of breast feeding.


Author(s):  
Seyedmohammad Mirhosseini ◽  
Ali Abbasi ◽  
Nastaran Norouzi ◽  
Fatemeh Mobaraki ◽  
Mohammad Hasan Basirinezhad ◽  
...  

Abstract Objectives Many women in recent years have been willing to undergo puncture surgery for childbirth, which, like other surgeries, has physical and psychological side effects such as incision, infertility, chronic pain, and anxiety. Therefore, it is important to reduce and improve these side effects. The aim of this study was to determine the effect of foot massage with orange essential oil on pain and anxiety in women undergoing cesarean section. Methods This randomized clinical trial study was conducted in 2019 on 80 women referred to Bahar Shahroud Hospital after cesarean section surgery. The samples were divided into two groups by intervention (foot massage with orange essential oil) and control (foot massage without orange essential oil). The Spielberger scale was used to determine anxiety scores after cesarean section. In the intervention group, the feet were massaged with orange essential oil, and in the control group, the orange essential oil massage was performed without oil. Anxiety before, immediately after, and 60 min after the intervention was measured and evaluated in both groups. Data analysis was performed using descriptive and inferential statistics. Significant levels were considered for all statistical tests (p<0.05). Results The anxiety score before the intervention in the two groups of intervention and control was 57.12 ± 3.12 and 57.07 ± 3.54, respectively, which were not significantly different, but immediately after the intervention, the anxiety scores in both groups decreased significantly so that there was a further decrease in the intervention group (52.10 ± 4.75 and 56.02 ± 3.77), 1 h after the intervention, the anxiety score in the intervention group decreased compared to the previous stage and increased in the control group (50.40 ± 3.74 and 56.85 ± 4.27). Conclusions Foot massage with orange essential oil can probably be effective as a proper nursing intervention in reducing anxiety after cesarean section surgery.


QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Hazem F El-Shahawy ◽  
Sherif F El-Mekkawi ◽  
. Haitham F Mohmmed ◽  
Hend M Afifi

Abstract Background Cesarean section delivery is becoming more frequent. Childbirth is an emotion-filled event and the mother needs to bond with her newborn baby as early as possible. Any intervention that leads to improvement in pain relief is worthy of investigation Aim of the Work to assess the efficacy and safety adding ef Epinephrine to lidocaine 2% in dose-related manner 1:200.000 in prolongation of anesthetic effect of lidocaine as a local anesthetic to reduce post; caesarean section pain after general anesthesia. Patients and Methods A total number of 200 women planned for elective caesarean section at Shams University Maternity Hospital Was recruited, 2 groups were randomized with a study group included 100 women received lidocaine 2% and epinephrine in dose-related manner and a control group included 100 women received lidocaine 2% only. Results women who received lidocaine and epinephrine were more satisfied and hadsignificant more time after caesarean section free of pain in comparison to women who received lidocaine only by 120 minutes. Also. adding Of epinephrine helped in decrease in amount of analgesic consumption after caesarean section. Women who received lidocaine and epinephrine started breast feeding and mobilization earlier than women who received lidocaine only. Epinephrine prolonged the action of lidocaine as a local anesthetic, this prolongation of action of local anesthetic had a significant effect in early mobilization and breast feeding and decrease in cost of analgesics. Nobody in our candidate had a post-operative infection, past operative pyrexia, Allergic reactions tar general anesthesia or complications with local anesthesia. Conclusion Adding of epinephrine to local anesthetics (such as lidocaine 2% in dose-related manner 1:200.0000) prolonged anesthetic effect by more than double of its original anesthetic time, This prolongation on anesthetic effect of local anesthesia by epinephrine helps in eariy mobilization; early breast feeding and less hospital duration stays. No complications (local nor systemic) developed with local infiltration of post-caesarean section incision with lidocaine 2% even aficr adding epinephrine in dose-related manner 1:200.000


2021 ◽  
pp. 25-27
Author(s):  
Jasmin Ara Begum ◽  
Rashmi Rekha Borah ◽  
Unmona Borgohain Saikia

Breast feeding has been seen as one of the unique biological and emotional inuence on the health of both mother and infant. It is an important determinant of infant health which prevents malnutrition and infections. Cesarean section is a surgery, it can certainly bring about some challenge for mothers who want to breastfeed. Whether it's planned or unexpected, the surgical delivery of a child can affect breastfeeding. Pain, anesthesia, the emotions of a Cesarean Section can affect breastfeeding. One of important factor increases the chances of a successful continuation of breastfeeding is early initiation of breastfeeding. Breastfeeding is associated with reduced infant and under-5 mortality and morbidity, protects the neonate from infection and promotes ideal nutrition with lower acute and severe malnutrition. The aim of the study was to assess the knowledge on breastfee Aim: ding and practices on initiation of breastfeeding among post caesarean mothers admitted in the selected hospitals, Goalpara, Assam with a view to develop an information booklet. Method and Materials: A descriptive design was used in this study and purposive sampling technique for obtaining adequate sample for the study. Study was undertaken on 100 post caesarean mothers in selected Hospitals of Goalpara, Assam. Study was umdertaken on 100 post caesarean mothers who fulls the inclusion criteria. Structured knowledge questionnaire and observation checklist was used to assess the knowledge and practices respectively. In this study, Nola j Pender's Modied health promotion model was used for Conceptual framework. A total of 100 post caesarean mothers Results: from Civil Hospital, Maternity & Child Health Centre Goalpara, Assam participated in this study. Out of 100 respondents it was found that majority i.e 75% of the respondents have inadequate knowledge, 25% of the respondents have moderate knowledge and none of them have adequate knowledge towards breastfeeding with the mean 6.54 and SD of 2.35. It was also found majority i.e 70% respondents had fair practice, 20% had poor practice and only 10% had good practice towards initiation of breastfeeding with mean of 4.91 and SD of 1.77. The co-relation between knowledge and practice were 0.278 which shows a fair positive correlation between knowledge and practice. There is signicant association of knowledge with no of parity and practices with age, educational level, monthly family income and number of parity on initiation of breast feeding among post caesarean mothers. Thus, this study gives the area to Conclusion: improve knowledge and practice of post caesarean mothers on initiation of breastfeeding. Educational and hands on training can be implemented.


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