LATCH score as a tool to predict Exclusive breastfeeding at six month post partum- A cross sectional study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 118
- 试验地点
- 1
- 主要终点
- use LATCH score as an assessment and educational tool to promote breastfeeding
研究概览
简要总结
All mother will be educated and motivated about proper breastfeeding technique, beforeintiation of first feed within 1 hour of life both in spontaneous vaginal delivery as well as inbabies delivered via caesarean section.
Feeding will be observed and checked for all five variables of LATCH score (table-1) objectives and will be first recorded at 8 hours of life .Each variable will be given a maximum score of 2and The score will be recorded again at 48 hours.
A final LATCH score at 48 hours of more than 8, will be a positive predictor that the baby willbe breast feed for next 6 months. If the score in less than 8 at 48 hours, it will be taken as anindicator that the mother will be having difficulty in feeding the baby and will go for earlyweaning. Such mother will be intervened at that point of time and will be again educated aboutthe importance of breastfeeding.If any problems flat/ inverted nipple, sore / cracked nipple,fullness /engorgement of breast, block duct , mastitis or breast abscess, poor attachments arefound, they will be managed accordingly.
Before beginning the study nurses and pediatrics team will be trained in latch score evaluation and breastfeeding support. Mothers will be counselled and educated using pictures and videos over serval sessions as well as practical instructions under the close supervision of the study’s researcher,The study team will offer support and counselling to mother in accordance with issues with breastfeeding that will be discovered during the initial assessment and educate mother on correct Breastfeeding technique and boost their confidence in Breastfeeding before discharge from hospital.
At 6 weeks mother will be contacted during routine immunization if they are coming forimmunization or by telephone and again will be contacted on telephone at 6 months to know ifbaby is on Exclusive Breast feeding or not .
If not, reason for early weaning will be enquired and noted at 6 weeks and 6 months respectively.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 0.00 Day(s) 至 6.00 Month(s)（—）
- 性别
- All
入选标准
- •All mother who will deliver at ≥34 week and physiologicaly stable babies.
- •Patients attendent who will and give informed and written consent.
排除标准
- •Babies delivered < 34 weeks of gestations.
- •Sick babies.
- •Babies with absolute contraindication for Breastfeeding.
- •Babies with congenital anomalies.
结局指标
主要结局
use LATCH score as an assessment and educational tool to promote breastfeeding
时间窗: at birth, 1 week, 4 week, 6 month
次要结局
- to help mothers with Low LATCH scores, sustain exclusive breast feeding by councelling and education(at birth, 1 week, 4 week, 6 month)
研究者
Dr Kusum chandrakar
Rohilkhand medical college and hospital