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All Journal Best Journal (Biology Education, Sains and Technology) Jurnal Doppler Indonesian Journal of Global Health research JURNAL PENELITIAN KEBIDANAN & KESPRO Journal of Midwifery Care Nursing and Health Sciences Journal (NHSJ) Jurnal Pengabdian Masyarakat Putri Hijau Jurnal Kesehatan
Mutiara Dwi Yanti
Faculty of Midwifery, Institut Kesehatan Deli Husada Deli Tua, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary

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Effectiveness of a LATCH-Based Midwife Training Program on Breastfeeding Attachment and Mastitis Risk: A Randomized Controlled Trial mutiaradwiyanti; Siagian, Nurul Aini; Purba, Tetty Junita; Ariani, Peny; lubis, kholilah
Jurnal Kesehatan - STIKes Prima Nusantara Vol 17 No 2 (2026): Jurnal Kesehatan (on progress)
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v17i2.1689

Abstract

Background: Most literature indicates that direct contact between health workers and postpartum mothers, even when the mother is not in the hospital, is a significant intervention. In this model, health workers face time and distance constraints in implementing the intervention. This study proposes an intervention model based on education and additional training for midwives. This improvement in midwives' knowledge and skills is expected to significantly contribute to breastfeeding practices. Objective: This study aims to analyze the effectiveness of LATCH score-based midwife training on breastfeeding attachment quality (latch) and reducing the risk of mastitis. Methods: This study involved 130 postpartum mothers at Sembiring Hospital, North Sumatra Province, Indonesia. Randomization was conducted at the level of the mothers, who were allocated to the midwives on duty. Data collection was carried out from June to August 2025 and was divided into three periods. Data were analyzed using descriptive statistical methods, the Mann–Whitney test, and the Chi-Square test. Results: The breastfeeding practice profiles of the study participants have been described. The mean LATCH scores for each period were 6.16 (±1.69), 7.13 (±1.71), and 7.47 (±1.70). Statistically significant differences in LATCH scores were found between the intervention and control groups at each period. A significant association between group type and mastitis incidence was observed only in the early postpartum period and was not significant after maternal discharge. Conclusion: Training is effective in the short term, but for long-term impact a more comprehensive model is needed.
Co-Authors ANGELINA HALAWA Ariani, Peny Ariescha, Putri Ayu Yessy Eka Sri Wahyuni Eka Sriwahyuni G.F. Agustina Siregar Hikmah, Khairatul Krisna, Putri Lubis, Kholilah Manalu, Andayani Boang Mimin Ria Jayanti Nurhamidah Siregar Peny Ariani Pitri, Zilfi Yola Purba, Tetty Junita Ria Novita Sari Riska Fadia Rita Rosnanci Silaban Salina, Hana Isal SHINTA ANDRIA CHAIRANI Shinta Andria Chairani Siagian, Nurul Aini Siahaan, Jekson Martiar Silaban, Rita Rosnanci Siregar, G.F. Agustina Sitorus, Friska Ernita Sriwahyuni, Eka Tetty Junita Purba Tetty Junita Purba Vitrilina Hutabarar