Impact and feasibility of breast crawl in a tertiary care hospital.
OBJECTIVE
To determine the impact of breast crawl on breast feeding and its feasibility and acceptability in a busy labor room.


METHODS
A prospective, single blinded, randomized controlled clinical trial. Impact of breast crawl was studied in one group and the outcome was compared with the other group where breast crawl was not performed. Feasibility and acceptability was determined by analysis of questionnaire given to obstetricians and nurses. Descriptive statistics and χ(2)-analysis was applied to evaluate the questionnaire and to compare the outcome in the two groups.


RESULTS
Breast crawl had a significant positive impact on the onset of lactation (P=0.0005) as well as extent of neonatal weight loss on day 3 (0.032).


CONCLUSIONS
Our study adds to the body of evidence that breast crawl results in positive short-term breast feeding outcome but acceptability of breast crawl as a routine in a busy labor room remains a major issue.
Deparment of Pediatrics, NKP Salve Institute Of Medical Sciences and Research Center, Nagpur, India. min_gir@rediffmail.com
M
M
Girish
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N
Mujawar
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P
Gotmare
N
N
Paul
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S
Punia
P
P
Pandey
D000328:Adult; D001724:Birth Weight; D001942:Breast Feeding / Q000379:methods / Q000523:psychology; D061186:Breast Milk Expression; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007194:India; D018730:Infant Behavior / Q000502:physiology*; D007227:Infant Nutritional Physiological Phenomena; D007231:Infant, Newborn; D007774:Lactation / Q000502:physiology / Q000523:psychology; D008297:Male; D009034:Mother-Child Relations; D017063:Outcome Assessment, Health Care; D010812:Physical Stimulation / Q000379:methods*; D011795:Surveys and Questionnaires; D062606:Tertiary Care Centers