The Effect Of Football Hold (Pinch) Breastfeeding Position On Pasca Sectio Caesarea Pain In Banda Aceh, Indonesia

Abstract

Sectio caesarea is an obstetric surgery to deliver the baby through abdomen wall and uterus wall incision. Sectio caesarea caused tissue destruction and pain. The pain after surgery probably caused any discomfort and difficulty for mother to breastfeeding. Hence, finding the comfortable breastfeeding position is important. The positions that commonly used to breastfeeding were sit down position and laying down position, while the football hold position is never used. By performing the football hold position, the baby will not getting contact to surgery wound. This study aimed to identify the effect of football hold breastfeeding position on pasca sectio caesarea pain in obstetric ward of Zainoel Abidin General Hospital Banda Aceh. This study was conducted on 13th until 25th Mei 2014, using quasi-experimental design by the pretest-posttest with the control group. The number of subjects in this study was 15 for intervention group and 15 for control group selected based on inclusion criteria using the purposive sampling. The data was collected by leading interview and measuring pain intensity level using Numerical Rating Scale (NRS), then analyzed by statistical paired t-Test. The findings revealed that there was significance difference level of sectio caesarea pain before and after football hold breastfeeding position with the p-value=0,0001 (≤0,05). It also indicated the significance effect of breastfeeding football hold position on pasca sectio caesarea pain. This study provided the valuable information regarding the importance of having a standard operating procedure (SOP) to advocate the hospital institution in breastfeeding position by nursing service to improve the level of patient’s comfort.