Breast Feeding Knowledge and Practices among Primiparous Women with Caesarean Section: Impact on Breast Engorgement in Upper Egypt

Abstract

Background: The benefits of breast milk are greatly enhanced if breastfeeding starts within one hour after birth. Hunan milk contains a host of dynamic and unique feeding properties. Breast engorgement is one of the most common minor discomforts confronting nursing women after delivery, especially Primiparous. The aim of the study was to investigate the breastfeeding knowledge and practices among primiparous women with a cesarean section and its impact on breast engorgement in Upper Egypt. The study was conducted in the postnatal unit of Beni-Suef University Hospital. The study design was a descriptive study. The type of sample was a simple random sample. The study comprised 90 Primiparous cesarean section mothers; suffer from breast engorgement. Tools of Data Collection were interview questionnaire sheet, knowledge assessment sheet, observational checklist, and engorgement assessment scale. The study revealed that the studied women's knowledge and technique of breastfeeding were not adequate among the whole study sample. Breast engorgement was more prevalent among the younger, less educated, housewives, low social class's women and those who were rural dwellers. Recommendation: Providing the mother with guidance and support on positioning and latching and modification of hospital practices are effective in reducing breast problems.

Self-Care Practices of Primipara Women Regarding Breast Engorgement

“…On the other hand, this finding is inconsistent with Hassan H., EL-Kholy G., Ateya A., and Hassan A (2020) (16) who mention that most of the studied women haven't enough income. This may be explained from the researcher point of view due to different of socioeconomic circumstance among the studied groups.…”

“…This result was in agreement with Abdallah N., Eldin S., and Gad A (2018) (17) who studied breast and nipple problems encountered among puerperal primipara women in Zagazig, they mentioned that the majority of the studied women were from rural areas. The present study is on contrast with Jhade J., and Shiju D (2019) (18) who assessed the effectiveness of the (16) who clarified that the studied women mean age at marriage was 21.62 ± 6.25 years and the duration of current marriage was 4.05 ± 3.05. This difference may stem from…”

“…This study is in match with Aneesha V., Baby M., Neena K., Sunny R., and Souparnika P (2019) (23) who mentioned that half of studied women belong to nuclear family. On the other hand, the result is contradicted with Hassan H., EL-Kholy G., Ateya A., and Hassan A (2020) (16) who reported that more than half of studied women were from extended families. From the researcher point of Regarding the number of family members;…”

“…It is contradicted with Hassan H., EL-Kholy G., Ateya A., and Hassan A (2020) (16) who reported that more than half of the women had more than five family members. From the researcher point of view this discrepancy may be related to that the studied women belong to extended family.…”

“…of women mentioned that their family was the primary source of knowledge regarding breast engorgement, while 31.9% of them stated that friends, as well as doctor or nurse, media, books and magazine were other sources of their knowledge (reported by 19.3%, 5.7% and 2.3% respectively). (2020) (16) who implied that the women age ranged from 20-30 years with a mean age 23.25 years ± 5.75 in their study of breastfeeding knowledge and practices among primiparous women with caesarean section: impact on breast engorgement in upper Egypt. From the researcher point of view these similarity may be due to that it is the normal age of childbirth.…”