A study to assess the effectiveness of nurses led breast feeding Mobile clinic (NLBMC) on breast feeding outcomes in lactating mothers at selected areas of Gurugram
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Introduction: Breastfeeding is critical to infant and maternal health, yet many mothers encounter barriers that limit optimal breastfeeding practices, especially in underserved areas. The Nurses-Led Breastfeeding Mobile Clinic (NLBMC) model was developed to deliver accessible, community-based lactation support and counselling. This study aims to assess the effectiveness of NLBMC in enhancing breastfeeding self-efficacy and maternal satisfaction among lactating mothers in selected areas of Gurugram, Haryana.
Methods: A quasi-experimental research design was employed with 100 lactating mothers, divided equally into experimental and control groups using systematic random sampling. The experimental group received structured lactation counselling through the NLBMC in addition to conventional care, while the control group received only conventional postnatal support. Data collection tools included a validated breastfeeding self-efficacy scale and a maternal satisfaction level scale. Statistical analysis was conducted using unpaired t-tests.
Results: The experimental group exhibited a significantly higher mean breastfeeding self-efficacy score (12.2 ± 1.9) compared to the control group (7.4 ± 1.2), with a mean difference of 4.8 (t=22.3, p=0.0001). Similarly, maternal satisfaction scores were significantly greater in the experimental group (67.1 ± 4.4) than in the control group (37.3 ± 3.9), with a mean difference of 29.8 (t=35.6, p=0.0001). These findings suggest a substantial positive impact of NLBMC services.
Discussion: The results indicate that nurse-led mobile breastfeeding support effectively enhances both breastfeeding self-efficacy and maternal satisfaction. These outcomes align with previous studies advocating structured lactation counselling as a strategy to improve breastfeeding practices. The implementation of mobile clinics staffed by trained nurses offers a scalable solution for improving maternal-child health outcomes in resource-constrained settings.
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Şimsek-Çetinkaya Ş, Gümüş Çaliş G, Kibris Ş. Effect of Breastfeeding Education Program and Nurse-led Breastfeeding Online Counselling System (BMUM) for Mothers: A Randomized Controlled Study. J Hum Lact. 2024 Feb;40(1):101-112. doi: 10.1177/08903344231210813. Epub 2023 Nov 25. PMID: 38006250.
Madhan, Jamuna1; Ethiraj, Theranirajan2; Rajendran, Shankar Shanmugam3; Vijayalakshmi, Valveeman4; Murugan, Uma1; Wilson, Vinitha1. Enhancing Breastfeeding Outcomes: Nurse-Led Interventions in Breast Hygiene for Primigravida Mothers—A Mixed-Methods Analysis. Journal of Pharmacy And Bioallied Sciences ():10.4103/jpbs.jpbs_1698_24, February 10, 2025. | DOI: 10.4103/jpbs.jpbs_1698_24.
Sanageri B. Effectiveness of structured teaching programme on knowledge and practice regarding breast feeding hygiene among primipara mothers in select hospitals of hosapete. Galore Int J Appl Sci Humanit 2022; 6:45–50.
Shafaei FS, Mirghafourvand M, Havizari S. The effect of prenatal counselling on breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding: a randomized controlled clinical trial. BMC Womens Health. 2020 May 5;20(1):94. doi: 10.1186/s12905-020-00947-1. PMID: 32370804; PMCID: PMC7201717.
Breastfeeding. title>Who.int Available from: https://www.who.int/health-topics/breastfeeding.
Sonam Km, Devi M.A, Devi Madhubala, Sharma Deepak, Lactational counselling on breast feeding behaviour and breastfeeding problem among postnatal mothers: a quasi- experimental study. 2022 Aug 22;
Guideline: Counselling of Women to Improve Breastfeeding Practices [Internet]. Geneva: World Health Organization; 2018 [cited 2025 Mar 25]. (WHO Guidelines Approved by the Guidelines Review Committee). Available from: http://www.ncbi.nlm.nih.gov/books/NBK539314/.
Yadav N, Vyas H, Nebhinani M, Goyal M. Effectiveness of prenatal lactation counseling on breastfeeding practices, breast engorgement, and newborn feeding behavior among postnatal mothers at a teaching institution. Journal of Family Medicine and Primary Care. 2022 Mar 1;11:1146.
Gavhale PR, Moon SH. To Evaluate the Effectiveness of Lactational Counseling on Prevention of Breast Engorgement among Postnatal Mothers. jemds. 2021 Mar 8;10(10):663–6.
Gavhale P, Moon S. To Assess the Efficacy of Lactational Counseling for Prevention of Breast Engorgement. Journal of Pharmaceutical Research International. 2021 Sep 3;8–14.
Effectiveness of a new breastfeeding counselling intervention on breastfeeding prevalence, infant growth velocity and postpartum weight loss in overweight women: a randomized controlled trial | International Breastfeeding Journal | Full Text [Internet]. [cited 2025 Mar 25]. Available from: https://internationalbreastfeedingjournal.biomedcentral.com/articles/10.1186/s13006-025-00703-x
Patel S, Patel S. The Effectiveness of Lactation Consultants and Lactation Counselors on Breastfeeding Outcomes. J Hum Lact. 2016 Aug 1;32(3):530–41.
Mufdlilah M, Johan R, Ningsih S. Breastfeeding Knowledge and Behavior in Lactational Amenorrhea Method (LAM) as a Natural Contraceptive. Kesmas: National Public Health Journal. 2021 Nov 1;16.
Krol KM, Grossmann T. Psychological effects of breastfeeding on children and mothers. Bundesgesundheitsblatt Gesundheitsforschung Gesundheit Schutz. 2018;61(8):977–85.
Aylyyewa G, Topatan S. Improving Exclusive Breastfeeding Behavior of Primipara Mothers With Lactation Education and Individualized Counselling Intervention. Clinical Lactation. 2022 May 24;13:112–20.
Singhai A, Verma S. Breast feeding practices and lactational counselling at a tertiary care centre of central India. Indian journal of applied research. 2020 Nov 1;57–9.
Shafaei FS, Mirghafourvand M, Havizari S. The effect of prenatal counselling on breastfeeding self-efficacy and frequency of breastfeeding problems in mothers with previous unsuccessful breastfeeding: a randomized controlled clinical trial. BMC Women’s Health. 2020 May 5;20(1):94.
Rohini AM, Elavally S, Saradakutty G. Effectiveness of breastfeeding education compared to standard hospital information on exclusive breastfeeding among mothers: A systematic review. J Educ Health Promot. 2022 Apr 28; 11:125.
AlQurashi A, Wani T, Alateeq N, Heena H. Effect of Counseling Service on Breastfeeding Practice among Saudi Mothers. Healthcare (Basel). 2023 Mar 17;11(6):878.
Geddes D, Perrella S. Breastfeeding and Human Lactation. Nutrients. 2019 Apr 9;11(4):802.
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