A study to assess the Lactation initiation practices among Intranatal Mothers admitted at labor room in Pravara Rural Hospital, Loni and its effects on Maternal and Fetal outcome

Background: Lactation is the secretion of milk by the mammary glands. The action of suckling an infant. Early initiation of breastfeeding is the first step in the success of a baby to learn to suckle first early after birth so that breast milk remains in production. Breast feeding is one of the oldest practices known to mankind for all infant, breast feeding remains the simple. Healthier and least expensive feeding method that fulfills the infant needs. It is considering as the most complete nutritional source for infants because breast milk contains the essential fats,carbohydrates, protein &immunological factors early initiation of breast feeding with one hours of birth is associated with a reduced risk of neonatal mortality. Methods: A observational research study was undertaken in labor room of Pravara Rural Hospital Loni Bk. A total of 60 intranatal mothers was selected with the help of systematic random sampling technique was used to assess the lactation initiation practices among intanatal mothers and to assess the maternal and neonatal outcome Latch score and APGAR SCORE was used to assess the neonatal outcome. Observational checklist was used to assess the lactation initiation practices and maternal outcome. Study Findings: The result showed that (81%) new born had all essential  newborn care after the birth only the 5% of it did not get enough new born care. in relation to LATCH score was assessed the score shows that mean score was (2±1.92) which indicates poor score of latching where as in audible swallowing mean score was (0.67±0.81) it also indicates poor latch score in type of nipple mean score was (2.41±7.71) it indicates moderate latch score comfortable position mean score was 1.91±0.86 it indicates poor score Holding position mean score (2.15±0.94) it indicates poor score. Frequency and Percentage wise distribution LACH Score neonatal shows that L-in that highest frequency and percentage i.e. score 0 shows38(63%), score 1shows 35(58%),Score 2shows 34(17%), A-Audible swallowing in that 0score shows 20(33%),1score shows22(36%),2 score s19(31%), T-Type of nipple in that 0score shows that 43(18%) 1Score shows 18(30%) score 2 shows 16(26% ) C-Comfort level in which 0 score shows 56(38%) 1 score shows 63(38%) 2 score shows 63(35%) HHolding position 0score shows 35(58%) 1score shows 43(17%) 2 score shows 42(70%).APGAR score after the delivery within 15min new born APGAR score 91% newborn were mild depression ,5%were moderatelydepressed, 5% were severe depression it interprets that no neonatal mortality and morbidity. Conclusion: The intranatal mothers have lack of knowledge about breast feeding practices. This problem significantly have impact on maternal and fetal outcome, it was evident that nursing interventions such as lactation initiation practices does have significant impact in enhancing the maternal and fetal outcome.