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Published on: September 22, 2023
Effects of Traditional and Innovative Safe Breastfeeding Pillows on Postpartum Maternal Breastfeeding Self-Efficacy,
Ju-Fen Chou1, Chu-Hsuan Kuo2, Ka-Wai Tam3,4,5
1Department of Nursing, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan, tmu.edu.tw.
Objective:
To evaluate the effectiveness of an innovative "Safe Breastfeeding Pillow" on postpartum maternal self-efficacy, awareness, and comfort during breastfeeding.
Methods:
A participant- and outcome assessor-blinded, parallel randomized controlled trial was conducted. Postpartum mothers were randomized into intervention and control groups. The intervention group used the innovative Safe Breastfeeding Pillow, which includes a main pillow and an additional pillow that can be wrapped around the baby to maintain a stable feeding posture and reduce the risk of accidents due to maternal fatigue during breastfeeding. The control group used a U-shaped breastfeeding pillow as usual. Outcome measures included the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF), Breastfeeding Awareness Scale (BAS), Body Part Discomfort Scale (BPDS), and B-R-E-A-S-T-Feed Observation Form. Statistical analyses included Chi-squared tests, independent t-tests, and linear regression.
Results:
In total, 128 mothers (64 each in the intervention and control groups) were enrolled. No differences were found between the two groups in demographic characteristics. The BSES-SF did not significantly differ between the groups. The intervention group reported significantly higher scores for the BAS (3.58 ± 0.04 vs. 1.60 ± 0.15, p < 0.0001). In the BPDS, the intervention group showed significantly higher comfort levels in all body parts during breastfeeding compared to the control group (3.52 ± 0.13 vs. 1.70 ± 0.33, p < 0.0001). Both groups exhibited increased emotional bonding at the initial assessment and at discharge according to the B-R-E-A-S-T-Feed Observation Form.
Conclusions:
The innovative Safe Breastfeeding Pillow effectively improved maternal comfort, safety, and breastfeeding awareness compared to a traditional pillow. It provides essential support and warmth, enhancing the overall breastfeeding experience and maternal well-being.
Implications For Nursing Management:
Nursing leaders should incorporate the "Safe Breastfeeding Pillow" into routine care as a key strategy to ensure feeding safety, enhance maternal comfort, and improve breastfeeding rates.
Trial Registration:
ClinicalTrials.gov_identifier: NCT05687383.
