Introduction: Breastmilk is recognised as the best infant nutrition, but Exclusive Breastfeeding (EBF) rates remain as low as 63.7% in India and 48% worldwide. One barrier is the development of Musculoskeletal Disorders (MSDs) in postpartum mothers due to a lack of education on proper breastfeeding posture. These factors can impact the quality of the infant’s latch, resulting in early cessation of breastfeeding. Aim: This study aimed to assess the impact of ergonomic breastfeeding on the risk of developing MSD in lactating mothers and infant latch quality. Materials and Methods: The present quasi-experimental study was conducted in SDM Hospital, Dharwad, Karnataka, India, from August 2022 to January 2024, involving 70 participants. Postpartum mothers were evaluated to determine if they met the inclusion criteria. Baseline information was gathered, including the assessment of infant mouth attachment and effective suckling using the World Health Organisation (WHO) B-R-E-A-S-T feed observation form and Rapid Upper Limb Assessment (RULA). Mothers received ergonomic education on the advisable breastfeeding position during each session. On the discharge day, the mothers were reassessed. Statistical methods such as the Chi-square test, Wilcoxon matched pair test, and Mann-Whitney U test were used, with significance set at a p-value of <0.05. Results: Seventy lactating mothers participated, with a majority above 25 years 40 (57.14%) and multiparous 38 (54.3%). Cradle hold was the most preferred breastfeeding posture 56 (80%). Postintervention, significant improvements (73.23%) were noted in infant attachment and suckling scores (mean increase 5.47, p<0.0001) and maternal posture as per RULA scores for both right (2.41±1.47) and left side (2.54±1.39). No significant association was found with delivery type. Conclusion: Ergonomic breastfeeding education reduces MSD risk and promotes effective infant latch. This highlights the essential role of physiotherapists in promoting effective breastfeeding ergonomics and preventing musculoskeletal issues in postpartum mothers, irrespective of the type of delivery or parity.
Prayag et al. (Fri,) studied this question.