A Study to Assess the Effectiveness of Structured Teaching Program on Knowledge Regarding Breastfeeding Positioning Among Postnatal Mothers in Selected Community Areas in Kanpur

Year : 2026 | Volume : 04 | Issue : 01 | Page : 1 23
    By

    Divya Dwivedi,

  • Muskan Chandra,

  • Laxmi Devi,

  • Arsh Faruqui,

  • Seema Pal,

  • Ajay Vishwakarma,

  1. Associate Professor, Department of Obstetrical and Gynecological Nursing, Chandni College of Nursing, Uttar Pradesh, India
  2. Student, Department of Nursing, Chandni College of Nursing, Uttar Pradesh, India
  3. Student, Department of Nursing, Chandni College of Nursing, Uttar Pradesh, India
  4. Student, Department of Nursing, Chandni College of Nursing, Uttar Pradesh, India
  5. Student, Department of Nursing, Chandni College of Nursing, Uttar Pradesh, India
  6. Student, Department of Nursing, Chandni College of Nursing, Uttar Pradesh, India

Abstract

Breastfeeding plays a crucial role in promoting infant health by providing complete nutrition, enhancing immunity, and strengthening maternal–infant bonding. Despite its benefits, many postnatal mothers experience challenges, such as nipple pain, breast engorgement, fatigue, and ineffective feeding, often due to improper breastfeeding positioning and poor latching techniques. Limited awareness and lack of structured education further contribute to these difficulties. Educating postnatal mothers on correct breastfeeding positioning is, therefore, essential to improve their knowledge, encourage correct practices, and support successful breastfeeding outcomes. This study aimed to assess the pre-test and post-test knowledge of postnatal mothers regarding breastfeeding positioning, evaluate the effectiveness of a structured teaching program, and determine the association between pre-test knowledge scores and selected demographic variables. A quantitative pre-experimental one-group pre-test post-test design was adopted. The study was conducted among 40 postnatal mothers selected through purposive sampling from an urban area of Kanpur, Uttar Pradesh. Data were collected using a self-structured questionnaire to assess knowledge on breastfeeding positioning. Following the pre-test, a structured teaching program with demonstration was administered, and a post-test was conducted to evaluate knowledge gain. The findings revealed that most of postnatal mothers were aged between 20–25 years (60%), had primary level education (45%), were homemakers (80%), multiparous (65%), and belonged to joint families (65%). Most participants had normal vaginal deliveries (47.5%) and were residents of rural areas (70%). In the pre-test, 20% of mothers demonstrated poor knowledge regarding breastfeeding positioning, whereas in the post-test, 80% of mothers achieved good knowledge levels. The mean knowledge score increased from 13.45 in the pre-test to 22.42 in the post-test, with a mean difference of 8.97. The paired t-test value of 4.44 indicated a statistically significant improvement in knowledge following the structured teaching program. The study concluded that the structured teaching program was effective in improving the knowledge of postnatal mothers regarding breastfeeding positioning, thereby emphasizing the importance of educational interventions in promoting optimal breastfeeding practices.

Keywords: Breastfeeding positioning, breastfeeding practices, knowledge assessment, postnatal mothers, structured teaching program

[This article belongs to International Journal of Women’s Health Nursing And Practices ]

How to cite this article:
Divya Dwivedi, Muskan Chandra, Laxmi Devi, Arsh Faruqui, Seema Pal, Ajay Vishwakarma. A Study to Assess the Effectiveness of Structured Teaching Program on Knowledge Regarding Breastfeeding Positioning Among Postnatal Mothers in Selected Community Areas in Kanpur. International Journal of Women’s Health Nursing And Practices. 2026; 04(01):1-23.
How to cite this URL:
Divya Dwivedi, Muskan Chandra, Laxmi Devi, Arsh Faruqui, Seema Pal, Ajay Vishwakarma. A Study to Assess the Effectiveness of Structured Teaching Program on Knowledge Regarding Breastfeeding Positioning Among Postnatal Mothers in Selected Community Areas in Kanpur. International Journal of Women’s Health Nursing And Practices. 2026; 04(01):1-23. Available from: https://journals.stmjournals.com/ijwhnp/article=2026/view=248322


References

  1. International Institute for Population Sciences (IIPS), ICF. National Family Health Survey (NFHS-5), 2019–21: India. Volume I. Mumbai: International Institute for Population Sciences; 2021. Available from: https://dhsprogram.com/pubs/pdf/FR375/FR375.pdf
  2. World Health Organization. (2023). Infant and young child feeding. [online] Geneva: World Health Organization. Available from: https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding.
  3. ‌Gupta A, Sobti J. Infant feeding practices among patients of paediatrics and general practitioners. Indian J Pediatr. 2008;75:193–196.
  4. Henderson J, Alderdice F, Redshaw M. Factors associated with maternal postpartum fatigue: an observational study. BMJ Open. 2019;9(7):e025927. doi:10.1136/bmjopen-2018-025927. PMID:31352411.
  5. World Health Organization. (2025). Ten steps to successful breastfeeding. [online] Geneva: World Health Organization. Available from: https://www.who.int/teams/nutrition-and-food-safety/food-and-nutrition-actions-in-health-systems/ten-steps-to-successful-breastfeeding
  6. ‌Vijayalakshmi V, Rajeswari D, Huldah J. Effectiveness of structured teaching programme on knowledge regarding the breast engorgement among postnatal mother with breast engorgement. Int J Adv Res. 2021;9(9):701–702. doi:10.21474/IJAR01/13469.
  7. Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 11th ed. Philadelphia: Wolters Kluwer; 2021.
  8. Burns N, Grove SK. The Practice of Nursing Research: Appraisal, Synthesis, and Generation of Evidence. 9th ed. St. Louis: Elsevier; 2020.
  9. World Health Organization. (2019). Breastfeeding. [Online] Geneva: World Health Organization. Available from: https://www.who.int/health-topics/breastfeeding
  10. United Nations Children’s Fund (UNICEF). Breastfeeding: A Mother’s Gift, for Every Child. New York (NY): UNICEF; 2018. Available from: https://www.unicef.org/media/48046/file/UNICEF_Breastfeeding_A_Mothers_Gift_for_Every_Child.pdf
  11. Lowdermilk DL, Perry SE, Cashion MC, Alden KR. Maternity & Women’s Health Care. 12th ed. St. Louis: Elsevier; 2020.
  12. Basavanthappa BT. Nursing Education. 2nd ed. New Delhi: Jaypee Brothers Medical Publishers; 2019.
  13. Nancy S, Sindhuri R, Arunagirinathan A, Dongre AR. Breastfeeding positioning and attachment among postnatal mothers: a mixed methods study in a tertiary care hospital in Puducherry, South India. Indian J Community Med. 2022;47(1):120–124. doi:10.4103/ijcm.ijcm_859_21. PMID:35368469.
  14. Aswathaman N, Sajjid M, Kamalarathnam CN, Arasar Seeralar AT. Assessment of breastfeeding position and attachment (ABPA) in a tertiary care centre in Chennai, India: an observational descriptive cross-sectional study. Int J Contemp Pediatr. 2018;5(6):2209–2216. doi:10.18203/2349-3291.ijcp20184282.
  15. Minarini G, Lima E, Figueiredo K, Pereira N, Carmona AP, Bueno M, Primo C. Mixed methods studies on breastfeeding: a scoping review. Healthcare (Basel). 2025;13(7):746. doi:10.3390/healthcare13070746. PMID:40218044.
  16. Goyal RC, Banginwar AS, Ziyo F, Toweir AA. Breastfeeding practices: positioning, attachment (latch-on) and effective suckling – a hospital-based study in Libya. J Fam Community Med. 2011;18(2):74–79. doi:10.4103/2230-8229.83372. PMID:21897915.
  17. Bala K, Sahni B, Bavoria S, Narangyal A. Knowledge, attitude, and breast-feeding practices of postnatal mothers in Jammu: a community hospital based cross sectional study. J Fam Med Prim Care. 2020;9(7):3433–3437. doi:10.4103/jfmpc.jfmpc_333_20. PMID:33102309.
  18. Wang Z, Liu Q, Min L, Mao X. The effectiveness of the laid-back position on lactation-related nipple problems and comfort: a meta-analysis. BMC Pregnancy Childbirth. 2021;21(1):248. doi:10.1186/s12884-021-03714-8. PMID:33761882.
  19. Mislu E, Kumsa H, Arage MW, Shitie A, Adimasu A. Effective breastfeeding techniques and associated factors among lactating women: a community-based study, north east Ethiopia. Front Public Health. 2024;12:1337822. doi:10.3389/fpubh.2024.1337822. PMID:38577276.
  20. Çetindemir EO, Cangöl E. The effect of breastfeeding education given through the teach-back method on mothers’ breastfeeding self-efficacy and breastfeeding success: a randomized controlled study. BMC Pregnancy Childbirth. 2024;24(1):453. doi:10.1186/s12884-024-06601-0. PMID:38951771.
  21. North K, Gao M, Allen G, Lee AC. Breastfeeding in a global context: epidemiology, impact, and future directions. Clin Ther. 2022;44(2):228–244. doi:10.1016/j.clinthera.2021.11.017. PMID:34973827.
  22. de Jesus PC, de Oliveira MIC, Fonseca SC. Impact of health professional training in breastfeeding on their knowledge, skills, and hospital practices: a systematic review. J Pediatr (Rio J). 2016;92(5):436–450. doi:10.1016/j.jped.2015.09.008. PMID:26893208.
  23. Dasgupta U, Mallik S, Bhattacharyya K, Sarkar J, Bhattacharya SK, Halder A. Breastfeeding practices: positioning, attachment and effective suckling—a hospital-based study in West Bengal/Kolkata. Indian J Matern Child Health. 2013;15(1):1–11.
  24. Palar R, Sujatha G. Impact of structured teaching program on knowledge regarding prevention of diabetic retinopathy. Int J Adv Nurs Manag. 2023;11(3):165–171. doi:10.52711/2454-2652.2023.00038.
  25. Assess the effectiveness of structured teaching programme on breast feeding among postnatal mothers: a pre-experimental study. Int J Midwifery Nurs Pract. 2025;8(2):49–52. doi:10.33545/26630427.2025.v8.i2a.212.
  26. Sandhi A, Nguyen CTT, Lin-Lewry M, Lee GT, Kuo SY. Effectiveness of breastfeeding educational interventions to improve breastfeeding knowledge, attitudes, and skills among nursing, midwifery, and medical students: a systematic review and meta-analysis. Nurse Educ Today. 2023;126:105813. doi:10.1016/j.nedt.2023.105813. PMID:37105124.
  27. Han Q, Gao T, Li C, Jing X. Effectiveness of a multidisciplinary team teaching method on breastfeeding knowledge of nursing students in China: a randomized controlled trial. BMC Med Educ. 2025;25(1):1443. doi:10.1186/s12909-025-08033-6. PMID:41107811.
  28. Gamit R, Jomy R, Rathod H, Abrahams N, Patel B, Mathew M, Poptani B, Mathew B, Solanki N. A study to assess the effectiveness of structured teaching programme on knowledge regarding breast feeding among postnatal mothers in Shri Vinoba Bhave Civil Hospital, Silvassa. Int J Adv Nurs Manag. 2021;9(1):4–6. doi:10.5958/2454-2652.2021.00002.0.
  29. Blanco S, Aboul-Enein BH, Benajiba N, Dodge E. A scoping review of breastfeeding interventions and programs conducted across Spanish-speaking countries. Health Promot Pract. 2025;26(1):168–191. doi:10.1177/15248399241237950. PMID:38528466.
  30. Haricharan KR, Vardhan K, Naidu R. Knowledge, attitude and practice of breastfeeding among postnatal mothers at rural tertiary hospital. J Pediatr Res. 2017;4(2):115–121. doi:10.17511/IJPR.2017.02.04.
  31. Vijayalakshmi P, Susheela T, Mythili D. Knowledge, attitudes, and breast feeding practices of postnatal mothers: a cross sectional survey. Int J Health Sci (Qassim). 2015;9:364–374. PMID:26715916.
  32. Heinig MJ. Host defense benefits of breastfeeding for the infant. Effect of breastfeeding duration and exclusivity. Pediatr Clin North Am. 2001;48:105–123. doi:10.1016/S0031-3955(05)70288-1. PMID:11236719.

Regular Issue Subscription Original Research
Volume 04
Issue 01
Received 25/12/2025
Accepted 02/02/2026
Published 22/02/2026
Publication Time 59 Days


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