title: [Results of a health education intervention in the continuity of breastfeeding].
abstract: OBJECTIVE
  evaluate the efficacy of a nursing intervention based on active observation and resolution of the problems of breastfeeding in the period 24-48h post-partum as regards stopping breastfeeding in mothers who gave birth in Hospital General Universitario, Ciudad Real.
  
  
  METHODS
  A clinical trial was conducted on 100 healthy women who had given birth to a healthy baby in the maternity unit of the Hospital General Universitario Ciudad Real.
  
  
  RESULTS
  The results showed that 39.8% of women have problems, and 72% need help to initiate the breastfeeding. Approximately 79.9% continue with breastfeeding after hospital discharge as a result of our intervention. Breastfeeding was stopped by 31.1% of the control group, and by 10.9% in the experimental group (nursing intervention), with significant differences being observed in both groups, with RR 1.29 and 95% CI; 1.04-1.61. Hypogalactia (low milk production) was the most frequent reason for stopping, with no differences in both groups. At 3 months, 16.9% had stopped breastfeeding in the control group, and 9% in the experimental group. At 6 months, 19.3% of the control group did not continue with breastfeeding versus 15.9% in the experimental group.
  
  
  CONCLUSIONS
  Action, and not only intervention, protocols in the period 48h pospartum when there were problems with breastfeeding were effective for initiation breastfeeding at hospital discharge.
authors.affiliation: Servicio de Obstetricia, Hospital General Universitario de Ciudad Real, Ciudad Real, España. Electronic address: Patriciamd88@hotmail.com.
authors.forename: Patricia
authors.initials: P
authors.lastname: Molinero Diaz
authors.affiliation: Servicio de Obstetricia, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
authors.forename: María José
authors.initials: MJ
authors.lastname: Burgos Rodríguez
authors.affiliation: Servicio de Obstetricia, Hospital General Universitario de Ciudad Real, Ciudad Real, España.
authors.forename: Mercedes
authors.initials: M
authors.lastname: Mejía Ramírez de Arellano
mesh_terms: D000328:Adult; D001942:Breast Feeding; D004311:Double-Blind Method; D005260:Female; D006266:Health Education; D006801:Humans; D008425:Maternal Behavior; D049590:Postpartum Period
keywords: Abandono de lactancia materna; Breastfeeding; Breastfeeding cessation; Cesarean delivery; Cesárea; Contacto piel con piel; Educación sanitaria; Health education; Lactancia materna; Skin-to-skin contact