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Journal of Human Lactation, Vol. 22, No. 3, 315-321 (2006)
DOI: 10.1177/0890334406290221

Effect of Intervention to Improve Breastfeeding Technique on the Frequency of Exclusive Breastfeeding and Lactation-Related Problems

Luciana Dias de Oliveira, RD, MSc

Faculdade de Nutrição da Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, Brazil

Elsa Regina Justo Giugliani, MD, PhD, IBCLC

Department of Pediatrics and Child Care at Faculdade de Medicina da Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil

Lílian Córdova do Espírito Santo, RN, MSc, IBCLC

Department of Mother-Child Nursing at Escola de Enfermagem da Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil

Maristela Cavalheiro Tamborindeguy França, CCC-SLP

Hospital Nossa Senhora da Conceição, Porto Alegre, Brazil

Enilda Maria Lara Weigert, RD

Hospital Moinhos de Vento, Porto Alegre, Brazil

Celina Valderez Feijó Kohler, RN, MSc

Secretary of Health, Rio Grande do Sul, Porto Alegre, Brasil

Ana Lúcia de Lourenzi Bonilha, RN, PhD

Escola de Enfermagem da Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil

This randomized clinical trial compared frequencies of exclusive breastfeeding and lactationrelated problems during the first 30 days among 74 mothers who received a 30-minute counseling session on breastfeeding technique in the maternity ward, and 137 controls. The frequency of exclusive breastfeeding among mothers who had received intervention was similar to controls by 7 days (79.7% vs 82.5%, respectively) and 30 days (60.8% vs 53.3%). There was no difference between groups in the frequency of sore nipples at 7 and 30 days, in breast engorgement and mastitis, and in the quality of breastfeeding technique at 30 days. Therefore, a single intervention at maternity was not sufficient to improve breastfeeding technique, increase exclusive breastfeeding rates, and reduce the incidence of breastfeeding problems during the first month.

Key Words: breastfeeding • exclusivebreastfeeding • lactationcounseling • lactationdisorders


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