Breast feeding practices: positioning and attachment among postnatal mothers - a hospital based cross sectional study in Nagpur, Maharashtra

Background: Breastfeeding is a critical aspect of infant care, contributing significantly to the overall health and well-being of newborns. Despite the established benefits of breastfeeding, challenges persist, with proper positioning and attachment playing pivotal roles in ensuring its success. This study aims to evaluate breastfeeding techniques among postnatal mothers and identify the factors that influence proper positioning and attachment during breastfeeding. Methods: A cross-sectional study was conducted among 265 mothers and infants in a tertiary health care centre in central India. Breastfeeding techniques were assessed using a checklist aligned with the Integrated Management of Neonatal and Childhood Illness guidelines. The key outcome variables included the percentage of mothers demonstrating proper positioning, correct attachment, and effective suckling. Data analysis was conducted using Epi Info software, with relevant statistical tests applied to interpret the results. Results: The proportion of mothers having correct breastfeeding position, attachment and effective suckling was 51.7%,75.8% and 74.7% respectively. Maternal educational status, parity, family type and education on breastfeeding technique are identified as significant factors associated with proper breastfeeding techniques. Term babies and those with a normal birth weight show significantly better attachment and more effective suckling compared to preterm and low birth weight infants. Conclusions: The findings emphasize the need for targeted education and support to enhance breastfeeding practices, contributing to improved maternal and infant health outcome.