Nursing Care Guideline for the Breast Disorders among Post Cesarean Section Women

Document Type : Original Article

Authors

1 Bachelor degree in nursing 2010- Faculty of Nursing – El Minia University -Egypt

2 Professor of Maternity &Gynecological Nursing Faculty of Nursing –Ain Shams University-Cairo- Egypt.

3 Assistant Professor of Maternity &Gynecological Nursing Faculty of Nursing –Ain Shams University-Cairo-Egypt.

Abstract

Background: Caesarean sections may lead to delayed breastfeeding and difficulties in
maternal linkage with the newborn which leads to common breast complications such as
breast engorgement, painful nipple, nipple infection, mastitis, nipple trauma, breast abscess,
the present study Aimed to assess the effect of nursing care guideline for breast disorders
among post cesarean section women. An intervention study design (Quasi experimental
research design) was conducted at dairout general hospital. A purposive sample of 100
women was included in the study. Data were collected through seven types of tools;
Structured interviewing questionnaire sheet, observational checklist, engorgement scale,
modified visual pain analogue scale, the Nipple Trauma Score (NTS), Follow up card and
Supportive Material. The results of the study revealed Total knowledge score of women’s
of the study sample more than half of them were had poor knowledge before intervention,
while most of them had good knowledge after intervention, total self-care practices of
women's more than two thirds of the study sample were had low self-care practice before
intervention while most of them were had high self-care practices after intervention and there
was highly statistical significant relationship between women’s total knowledge score and
women’s total self-care practice score. The study Concluded that there was a positive effect
of nursing care guideline on women health status, knowledge and self-care practices post
cesarean section women with breast disorders, so the study Recommended that: apply
awareness program for post cesarean section women about the importance, prevention,
management of breast and nipple disorders (outpatient units and breast feeding clinics at ain
shams hospital).

Keywords