Effect of baby-led self-attachment breastfeeding technique in the postpartum period on breastfeeding rates: A randomized study

Caixin Yin, Xi Su, Qiuxia Liang, Fei Wan Ngai (Corresponding Author)

Research output: Journal article publicationJournal articleAcademic researchpeer-review

Abstract

Objective: To evaluate the effects of a baby-led self-attachment breastfeeding support intervention on the prevalence and duration of exclusive breastfeeding and nipple pain at 3 days, 6 weeks, 3 months, and 6 months postpartum among Chinese mothers.

Materials and Methods: A randomized study was conducted with 504 mother–infant dyads allocated to the baby-led self-attachment breastfeeding support intervention (n = 251) and standard postpartum care (n = 253). Data on the prevalence and duration of exclusive breastfeeding and nipple pain were collected at 3 days, 6 weeks, 3 months and 6 months postpartum.

Results: Mothers in the intervention group were significantly more likely exclusively breastfeeding at 3 days (mean difference = 12.1%, 95% confidence interval [CI]: 3.9–20.2%, p = 0.004) and 6 months postpartum (mean difference = 17.8%, 95% CI: 8.3–27.4%, p < 0.001). They were less likely to stop breastfeeding over the 6-month period, compared with the control group (Hazard ratio = 0.65; 95% CI: 0.49–0.87). They were also less likely to experience nipple pain at 3 days (mean difference = −8.1%, 95% CI: −15.9 to −0.4%, p = 0.04) and 3 months postpartum (mean difference = −4.9%, 95% CI: −8.7 to −1.2%, p = 0.01).

Conclusions: The baby-led self-attachment breastfeeding support is clinically effective in increasing the prevalence and duration of exclusive breastfeeding and reducing nipple pain among Chinese mothers.
Original languageEnglish
JournalBreastfeeding Medicine
DOIs
Publication statusPublished - 27 Apr 2021

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