Enhancing Breastfeeding Outcomes: Nurse-Led Interventions in Breast Hygiene for Primigravida Mothers-A Mixed-Methods Analysis

改善母乳喂养效果:护士主导的初产妇乳房卫生干预——一项混合方法分析

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Abstract

BACKGROUND: Breastfeeding is vital for maternal and infant health, offering unparalleled benefits and fostering emotional bonding. However, many primigravida mothers face challenges such as latching issues, nipple pain, and concerns about milk adequacy. Insufficient knowledge and inconsistent breast hygiene practices exacerbate these difficulties. AIMS: This study explores breastfeeding experiences among primigravida mothers and evaluates a nurse-led intervention aimed at improving breast hygiene knowledge and practices. MATERIALS AND METHODS: Using a mixed-methods approach, qualitative data were analyzed phenomenologically, while quantitative data followed a quasi-experimental pre-test/post-test control group design. Sixty mothers were equally divided into experimental and control groups. Data collection included interviews and pre/post-intervention assessments. The experimental group underwent a structured breast hygiene education program. RESULTS: Key themes identified were physical challenges, emotional impacts, breastfeeding support, and knowledge about breastfeeding. Post-intervention, the experimental group showed significant improvements in breast hygiene knowledge (36.33% to 69.58%) and practices, unlike the control group. Sociodemographic factors, such as age, education, and family type, correlated with improved knowledge in the experimental group. CONCLUSION: Nurse-led educational interventions significantly enhance breast hygiene knowledge and practices in primigravida mothers. Tailored strategies should be integrated into maternal health programs to improve breastfeeding outcomes.

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