Effect of neonatal breast crawl on breastfeeding: a prospective cohort study

Yan Pang; Xin Wang; Huimin Li; Suhua Tu

doi:10.3389/fped.2023.1186585

Effect of neonatal breast crawl on breastfeeding: a prospective cohort study

Front Pediatr. 2023 Jun 8:11:1186585. doi: 10.3389/fped.2023.1186585. eCollection 2023.

Authors

Yan Pang¹, Xin Wang¹, Huimin Li¹, Suhua Tu²

Affiliations

¹ Department of Nursing, Chengdu Women and Children's Central Hospital, Chengdu, China.
² Department of Obstetrics, The Affiliated Hospital of Southwest Medical University, Luzhou, China.

Abstract

Aim: To analyse the effect of breast crawl on neonatal breastfeeding within 5 months of delivery.

Design: Prospective Cohort Study.

Methods: Neonates were divided into successful and failed groups, according to whether the newborn crawled to the breast and began sucking for the first time within 1 h after delivery. The initiation of lactation and breastfeeding duration of the two groups were analysed at 24 h, 48 h, 72 h, the feeding practices were followed-up on the 7th day, 42nd day, and 5th month in order to explore the long-term benefits of breast crawl on breastfeeding.

Results: A total of 163 neonates were included. The initiation time and the duration of first feeding, the lactation initiation in the successful group was earlier, the scores of first and in-hospital breastfeeding scales were higher.

Public contribution: Breast crawl is the preferred method for mothers to begin breastfeeding. The delivery room is the place where the first breast crawl occurs immediately after delivery. The midwife is the key person to protect this valuable behavior. Therefore, the midwife needs provide valuable opportunities for the breast crawl of the newborn and promote this behavior.

Keywords: autonomous milk seeking; breast crawl; breastfeeding; lactation; midwifery.

Grants and funding

Chengdu medical research project (2022144); Key Project of Nursing Research Of Chinese Medical Journals Publishing House, 2021-2022 (CMAPN-NRP2021006).