Investigator understood primi caesarean mothers (PCM) inadequate knowledge of breastfeeding techniques (BFT) and breast engorgement (BE) and unsatisfied practice of BFT causes BE. Good positioning promotes latch, reducing nipple traction and help nipple, areola in infant’s mouth to draw milk, emptying breast. PCM need more support, in positioning babies for breastfeeding (BF). A PCM may BF soon after repair and is in recovery. Nurse must primarily give practical BF information, minimizing BF interference thus preventing BE. Therefore, the study aims assessing knowledge and practice of BFT and BEs. Settings for study were made in Father Muller Medical College Hospital and Government Lady Goshen Hospital, Mangalore, intended to find correlation between BFT and BE. This study helps us understanding problems and factors responsible for BE. Descriptive correlational approach describes relationship between BFT and BE. Data was collected using selected baseline variable, structured interview on knowledge of BFT and BE, observation checklist for practice of BFT and BE occurrence. Data from 100 PCM is tabulated, analysed and interpreted considering objectives and hypothesis of the study, using descriptive and inferential statistics. Found that 6% PCM had excellent, 34% good, 54% average and 6% very poor knowledge on BFT and BE. 11% of the PCM follow excellent, 25% good, 25% average 30% poor and 9% very poor practice of BFT. Above half of samples (53%) had BE. 25% had mild, 22% moderate and 6% had severe BE. Found negative correlation between practices of BFT and BE (¡=-0.571, p<0.05) showed that wrong practice increased BE. Positive correlation (r=0.701, p<0.05) between mothers knowledge on BFT, BE and practice of BFT showed that knowledgeable mothers practice better BFT. Investigator found inadequate knowledge of PCM, unsatisfactory BFT which increased BE. Health professionals can use the study in planning efficient services for PCM regarding BFT and BE knowledge, developing good practices, reducing complications, having a healthy mother and baby.
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