Association of Breast-Feeding Positions with Scapular Dyskinesia in Postpartum Females

Abstract

Background: Breastfeeding is a vital activity for the nurturing and development of infants. However, the postures adopted during breastfeeding may have implications for the physical well-being of postpartum females, particularly concerning scapular dyskinesia—a condition characterized by altered scapular movement and positioning, which can affect shoulder function. Objective: This study aimed to investigate the association between different breastfeeding positions and the prevalence of scapular dyskinesia among postpartum females, providing insights into the potential musculoskeletal implications of breastfeeding practices. Methods: An observational cross-sectional study was conducted involving 111 postpartum females aged 18-45 years, who had been breastfeeding for six months or more. Participants were recruited using non-probability convenient sampling from various hospitals in Lahore, Pakistan. Data on breastfeeding positions and the occurrence of scapular dyskinesia were collected through self-administered questionnaires and the Scapular Dyskinesia Test (SDT) by McClure, respectively. Descriptive statistics were used to summarize participant demographics and breastfeeding practices, while the chi-square test was employed to examine the association between breastfeeding positions and scapular dyskinesia. Results: Among the participants, the cradle hold was the most commonly used breastfeeding position (82.0%), followed by the cross cradle (13.5%), side-lying (3.6%), and laid-back positions (0.9%). The prevalence of scapular dyskinesia was 41.4%, with no statistically significant association found between breastfeeding positions and scapular dyskinesia (p-value = 0.06). Additionally, upper back pain was reported by 39.6% of the participants, indicating a notable presence of musculoskeletal discomfort. Conclusion: The study concluded that there is no significant association between breastfeeding positions and scapular dyskinesia among postpartum females. Despite the high prevalence of scapular dyskinesia and musculoskeletal discomfort, the type of breastfeeding position does not appear to influence the likelihood of developing scapular dyskinesia. These findings suggest the need for further research into the factors contributing to musculoskeletal health in postpartum females and the development of guidelines for breastfeeding practices that promote maternal comfort and physical well-being.