Effect of Breast Crawl Technique during Third Stage of Labor on Maternal and Neonatal Outcomes.

Mohammed Abd-Elazzem, Hend; Abdallah Elsayed Afifi, Hend; Mohamed Abd Elhakam, Eman; Abdel-Wahab Afifi, Ola

doi:10.21608/jnsbu.2025.458311

Effect of Breast Crawl Technique during Third Stage of Labor on Maternal and Neonatal Outcomes.

Authors

¹ Demonstrator of Obstetrics and Gynecology Nursing, Faculty of Nursing, Benha University

² Professor of Obstetrics and Gynecology Nursing, Faculty of Nursing, Benha University

³ Assistant Professor of Obstetrics and Gynecology Nursing, Faculty of Nursing, Benha University

10.21608/jnsbu.2025.458311

Abstract

Background: The breast crawl technique is a remarkable method that reduces maternal and neonatal morbidity as well as mortality. Aim of the study: The current study aimed to investigate the effect of breast crawl technique during third stage of labor on maternal and neonatal outcomes. Study design: A Quasi-experimental research design. Study setting: This study was conducted at labor unit of Obstetrics and Gynecology Department affiliated to Benha University Hospital. Study sample: A purposive sample of 130 parturient women divided equally into study group (65) and control group (65). Tools of data collection: Five tools were used: I) A structured interviewing questionnaire, II) Maternal clinical assessment sheet, III) Neonatal clinical assessment sheet, IV) Mother-to-Infant Bonding Scale and V) Maternal satisfaction regarding breast crawl technique. Results: The mean duration of third stage of labor was shorter in study group15.03 ± 7.16 minutes than control group 21.45 ± 8.23 minutes (p≤0.001), significantly decreased mean of blood loss among the study group 255.23 ± 21.80 ml compared to 320 ± 38.87 ml of the control group (p≤0.05). Also, indicated that the mean score of immediate initiation of breastfeeding, infant breastfeeding competence and mother-to-infant bonding was significantly higher in study group compared to control group (p≤0.05 and p≤0.001) and more than two thirds of women in study group had high satisfaction regarding breast crawl technique. Conclusion: Breast crawl technique had positive effect on shorting duration of the third stage of labor, reducing blood loss, lowering episiotomy pain during suture, enhancing immediate initiation of breastfeeding, infant breastfeeding competence and strengthening bonding between mother and newborn. Recommendations: The breast crawl technique is recommended to be integrated with routine labor care to enhance maternal and neonatal outcomes.

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