A PROSPECTIVE OBSERVATIONAL STUDY ON LATCH SCORE AS A PREDICTOR OF EXCLUSIVE BREASTFEEDING IN MOTHERS ADMITTED IN THE POSTNATAL WARD AT A TERTIARY CARE HOSPITAL
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Abstract
Background: Breast milk is the best nutrition and it is intended specifically for newborns because it consists of various antibody components, complete nutrition and is easily digested by newborns. WHO and UNICEF recommend to give optimal nutrition for newborns through a program of exclusive breastfeeding for six months.The skills of breastfeeding babies can be mastered naturally in every mother, mothers must still understand good and correct techniques during breastfeeding.It is often failure to breastfeed due to the wrong position and placement of the baby. LATCH score is an effective assessment tool to figure out those mother infant pairs who require support for breastfeeding and a low score below the derived cut off may denote that the mother requires breastfeeding support. Earlier the breastfeeding is established, better was the chance of successful breastfeeding in the days. Hence interventions should be done in the early phase after birth of the baby.
Aim and objective : To study the utility of LATCH score in predicting exclusive breastfeeding rates at 6 weeks postpartum along with an optimum cut off. Primary objective -To study the relationship between the LATCH score assessed in the first 24 hours after delivery and non-exclusive breastfeeding.
Materials: A hospital based prospective observational study was conducted at postnatal ward in KMCT Medical College, Kohikode. 269 postnatal mothers were included and the LATCH score was calculated once within 24 hours after delivery. The association between LATCH score and non exclusive breastfeeding at 6 weeks and 6months were tested.
Results: Among the study population, 76.6% had good total LATCH score,22.7% had moderate and poor score for 0.7%.. All participants with poor LATCH score and 78.7% of partcipants with moderate LATCH score followed non- exclusive breast feeding at 6 weeks. There was statistically significant association between LATCH score and non-exclusive breast feeding at 6 weeks and 6 months.
Conclusions: There is a statistically significant association between LATCH score and non exclusive breastfeeding at 6 weeks and 6 months.Cut off value between 7.5-8.5 showed maximum sensitivity and specificity in predicting breastfeeding status. Health workers should be made aware of components of LATCH score and should be trained regarding skillful assessment of breastfeeding technique. Antenatal and post natal advice regarding initiation and techniques of breastfeeding should be given to mothers.
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Nileena Paul
Assistant Professor, Department of Pediatrics, KMCT Medical College, Kozhikode
Shabila P R
Junior resident, Department of Pediatrics, KMCT Medical College, Kozhikode
Soumya Jose
Professor, Department of Pediatrics, KMCT Medical College, Kozhikode
Riyazudheen A
Professor, Department of Pediatrics, KMCT Medical College, Kozhikode