Effect of Hand Expression and Lactation Support on Self-Efficacy of Primiparous Mothers and Quality of Breast-feeding

Document Type : Original Article


1 Asst. prof of Maternity, Obstetrics and Gynecological Nursing, Faculty of Nursing, Port Said University, Egypt

2 Lecturer of Community Health Nursing, Faculty of Nursing, Zagazig University, Egypt.

3 Assistant Professor of Pediatric Nursing, Faculty of Nursing, Zagazig University, Egypt.

4 Lecturer of Maternity, Obstetrics, and Gynecological Nursing, Faculty of Nursing - Port said University, Egypt.


Background: Any woman who wants to breastfeed her child may benefit from Hand Expression
and breastmilk storage, until recently, hand expressions with breastfeeding assistance were only
indicated for women, who were at high risk for breastfeeding issues. Aim: to evaluate the effect of
hand expression and lactation support on self-efficacy of primiparous mothers and quality of
breastfeeding. Design: A quasi-experimental one-group (pre-posttest) research design was utilized.
Setting: The study was conducted at the General Health Insurance-affiliated to specialist Hospital
for Obstetrics and Gynecology in Port Said governorate. Sample: A total of 100 women who
underwent immediate vaginal or cesarean deliveries at the specialized obstetrics and gynecology
facility during the study period were included in the study population. Tools: Three tools were used
for data collection namely, A structured interviewing questionnaire, Breastfeeding Self-Efficacy
Scale- Short Form, and LATCH (latching, audible swallowing sounds, nipple type, comfort, and
holding) score instrument. Results: Before and during the testing period, the study sample's overall
self-efficacy& lactation scale had significantly increased. Conclusion. The intervention had
successfully achieved its goal of improving overall self-efficacy and overall lactation scales among
the examined sample. Recommendations: To enhance or sustain self-efficacy and subsequently
enhance breastfeeding, healthcare providers and lactation consultants should offer lactation support
to the new mothers.