Materials and Methods
This present study was conducted in
newborns with complete CL-CP admitted at the 2B
postpartum unit at Srinagarind Hospital, Faculty of
Medicine, Khon Kaen University. The newborn was
either born at the hospital or transferred from another
health care setting between January 1, 2008 and
December 31, 2009. The newborn’s hospital physical
records and the mother’s breastfeeding records were
examined to retrieve relevant data. Later, the mother
was interviewed or contact via telephone call to learn
about their breastfeeding practices and their newborns
perceptions.
The protocol of this study has been reviewed
and approved by the Ethics Committee of Khon Kaen
University, based on the Declaration of Helsinki and
written informed consent was obtained for each patient.
The inclusion criteria
A newborn was recruited if the mother agreed
to participate and the newborn reached all of the
following criterias:
1.Born with complete CL-CP
2.Had no major complications during hospi
talization
3.Could be followed up (mother could be
contacted via telephone and could bring her baby to
doctor appointments)
4.Was full-term and stay with mother from
admission through discharge
5.Was exclusively breastfed
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Techniques
For successful exclusive breastfeeding:
1. An experienced RN initially educated the
mother regarding advantages of breastfeeding,
especially for newborns with complete CL-CP. The RN
instructed the mother how to: hold her baby, support
and squeeze her breast, and assist her baby to latch
on.
2. Holding the newborn properly is very
important. during, The mother should use the upright
foot ball position or upright cross cradle position
breastfeeding her newborn. The newborn’s head should
be upright in a sitting position. A small pillow is usually
needed to support the mother’s arm (Fig. 1-2).
3. While breastfeeding, the mother needs to
support her breast by using the C-Hold, U-Hold, or
Dancer Hand position with 4 fingers underneath the
breast, pressing the thumb on the upper areola area to
help straightening the nipple. When the newborn opens
her mouth widely, the nipple should be inserted in the