Effect of breast crawl on placental separation among the primi parturient mothers

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Lekshmi Sudhish Nair, Jyoti Avinash Salunkhe, S. V. Kakade

Abstract

Background: Breast crawl is the procedure in which baby is placed on abdomen of mother and observing for the movement towards the nipple and attach to it for breastfeeding all by themselves. Methodology: The present study aimed at evaluating effect of “breast crawl on placental separation among primi parturient mothers.  This study was conducted in the Krishna Hospital Karad. Experimental – Post test only design was used, with convenient sampling technique 371 mothers selected who delivered at full term. Breast crawl technique was performed and observed with the routine hospital procedure. Time of separation of placenta, mode of placental separation was assessed. Results: among successful breast crawl majority 277 (81%) mothers had placental separation within 5-10 minutes, followed by 49 (14%) and 18 (5%) mothers had placental separation within 11 -15 minutes and 16 -20 minutes respectively. 327 (95%) of mothers placenta was delivered spontaneously whereas only 10 (3%). Among unsuccessful breast crawl majority 8 (30%) of the mothers had placental separation within 5-10 minutes, and 16–20 minutes, followed by 6 (22%) mothers had placental separation within 11 -15 minutes. 22 (81%) of mothers placenta was spontaneously delivered. Conclusion: The result shows that maximum mothers had placental separation due to breast crawl. It would be very effective to utilize the evidence of breast crawl for improvement of maternal and fetal outcome and reducing the maternal mortality.

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