The Impact of LATCH Score-Based Education on Latch Accuracy in Primigravida Mothers
Abstract
Introduction: Improper infant positioning and attachment during breastfeeding is a common problem among mothers, mainly due to a lack of knowledge about breastfeeding techniques. This lack of understanding regarding correct breastfeeding technique contributes to nipple fissures and breast engorgement, ultimately impacting infant nutrition. This study aimed to assess how LATCH-based education method influences the proper latching of breastfeeding mothers in Magelang City
Methods: This study employed a quasi-experimental pre-post design conducted in Magelang City. The participants were breastfeeding mothers who were doing it for the first time. A total of 44 participants were enrolled as samples through purposive sampling. The tools used included a questionnaire and an evaluation observation sheet to gauge the effectiveness of breastfeeding techniques. The data analysis was performed using the Wilcoxon Signed-Rank Test.
Results: The results showed that three respondents had good attachment accuracy (6.8%), 38 mothers had sufficient latch (86.6%), and 3 had inadequate latch (6.8%). After receiving education, 32 respondents (72.7%) had a good latch, while 12 respondents (27.3%) had a sufficient latch. Respondents who achieved LATCH-Score indicators increased, including LATCH-on, audible swallowing comfort, and hold with a total increase of respondents of 5 (12%), 24 (76%), 20 (46%), and 15 (34%), respectively. There was a significant relationship between latch accuracy before and after being given education about breastfeeding techniques in primigravida breastfeeding mothers in the Magelang City area (P value= 0.000).
Conclusion: Latch score-based breastfeeding education on breastfeeding techniques affects how well new mothers attach their infants during breastfeeding. It is potentially used to support successful breastfeeding.
References
Binns, C., Lee, M. and Low WY. The Long-Term Public Health Benefits of Breastfeeding. Asia-Pacific Journal of Public Health. 2016;28(1):7–14.
WHO. WHO. 2023. Kematian Ibu.
Dinas Kesehatan. Profil Dinas Kesehatan Kota Magelang 2020. 2020;
de Barros NR, dos Santos RS, Miranda MCR, Bolognesi LFC, Borges FA, Schiavon JV, et al. Natural latex-glycerol dressing to reduce nipple pain and healing the skin in breastfeeding women. Ski Res Technol. 2019;25(4):461–8.
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):1–14.
Who. Bersama-sama, dukung ibu sukses menyusui dan bekerja. Who [Internet]. 2023;1. Available from: https://www.who.int/indonesia/news/events/world-breastfeeding-week/2023
Nancy, S Arulmohi M, Vinayagamoorthy V, R. DA. 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;42(1):147–50.
Prajapati AC, Chandwani H, Rana B, Sonaliya KN. A community based assessment study of positioning , attachment and suckling during breastfeeding among 0-6 months aged infants in rural area of Gandhinagar district , Gujarat , India. 2016;3(7):1921–6.
Nagendra K, Shetty PN, Rudrappa S, Jaganath S, Nair R. Evaluation of breast feeding techniques among postnatal mothers and effectiveness of intervention: Experience in a tertiary care centre. Sri Lanka Journalof Child Heal. 2017;46(1):39–43.
Mokhtari Sorkhani T, Namazian E, Komsari S, Arab S. Investigating the Relationship between Childbirth Type and Breastfeeding Pattern Based on the LATCH Scoring System in Breastfeeding Mothers. Rev Bras Ginecol e Obstet. 2021;43(10):728–35.
Maria C, Helena M AC. LATCH as a systematic tool for assessment of the breastfeeding technique in maternity. ACTA Paul Enferm. 2022;35:1–9.
Bai YK, Alsaidi M. Sustainable Breastfeeding: A State-of-the Art Review. J Hum Lact. 2024;40(1):57–68.
Grady J, Blair A, Brimdyr K, Cadwell K. Psychometric Properties of the Lactation Assessment and Comprehensive Intervention Tool (LAT). Nurs Reports. 2024;14(4):4119–28.
Merkle M. Weak Convergence of Probability Measures. Math Sci Eng. 1977;129(C):24–35.
Hollander, M. & W DA. Nonparametric Statistical Methods (2nd ed.). 1991 p.
Natsun LN. Women’s of Reproductive Age Health. Soc Secur Insights. 2020;3(3):167–81.
Steyn R. The The influence of education on knowledge and character. Interdiscip J Educ Res. 2024;6(1994):1–12.
Wang J, Xiu G, Shahzad F. Exploring the determinants of online health information-seeking behavior using a meta-analytic approach. Sustain. 2019;11(17).
Gamage LAA, Dehideniya DMSCPK, Ekanayake SY. behavioral sciences Student Achievements. Behav Sci (Basel). 2021;
Rahmawati NI. Pendidikan ibu berhubungan dengan teknik menyusui pada ibu menyusui yang memiliki bayi usia 0-12 bulan. JNKI (Jurnal Ners Dan Kebidanan Indones J Nurs Midwifery). 2017;5(1):11–9.
Abdulahi M, Fretheim A, Magnus JH. Effect of breastfeeding education and support intervention (BFESI) versus routine care on timely initiation and exclusive breastfeeding in Southwest Ethiopia: Study protocol for a cluster randomized controlled trial. Vol. 18, BMC Pediatrics. 2018.
Anggraini, F. D., Zuwariah, N., & Zulaikha LI. The Effect of Supporting Education in Third Trimester Pregnant Women To Preparation for Exclusive Breastfeeding. Int J Nurs Midwifery Sci. 2022;6(3):307–12.
Gupta SA, Sharma M, Ekka A, Verma N. Effect of health education on breastfeeding initiation techniques among postnatal mothers admitted in a tertiary care centre of Raipur city, Chhattisgarh. Int J Community Med Public Heal. 2018;5(10):4340.
Alyousefi NA. Determinants of successful exclusive breastfeeding for saudi mothers: Social acceptance is a unique predictor. Int J Environ Res Public Health. 2021;18(10).
Omer AM, Haile D, Shikur B, MacArayan ER, Hagos S. Effectiveness of a nutrition education and counselling training package on antenatal care: A cluster randomized controlled trial in Addis Ababa. Health Policy Plan. 2020;35:I65–75.
Kronborg, H., Harder, I., & Hall EO. First time mothers’ experiences of breastfeeding their newborn. Sex Reprod Healthc. 2015;6(2):82–7.
van Dellen S a., Wisse B, Mobach MP, Dijkstra a. The effect of a breastfeeding support programme on breastfeeding duration and exclusivity: a quasi-experiment. BMC Public Health. 2019;19(1):993.
Karen Glanz , Barbara K. Rimer KV. Perilaku Kesehatan dan Pendidikan Kesehatan: Teori, Penelitian, dan Praktik. John Wiley & Sons; 2008.
Li L, Wu Y, Wang Q, Du Y, Friesen D, Guo Y, et al. Determinants of breastfeeding self-efficacy among postpartum women in rural China: A cross-sectional study. PLoS One [Internet]. 2022;17(4 April):1–18. Available from: http://dx.doi.org/10.1371/journal.pone.0266273
MD RAL. Breastfeeding: A Guide for the Medical Profession 8th Edition. 9 th. 2021.
Eldomiaty MA, Alanazi MS, Esamalden S, Alahmadi WK, Alrashidi RR, Almutairi SA, et al. Breastfeeding problems experienced by lactating mothers in Almadinah Almonawarah province and the probable maternal and fetal risk factors. 2025;9(December 2024):86–94.
Nurdjaya M. Pengaruh Konseling Breastfeeding Terhadap Posisi Dan Pelekatan Pada Bayi Saat Menyusu Di Puskesmas Puuwatu Kota Kendari. J Ilm Kesehat Diagnosis. 2024;19(2):36–41.
Darling-Hammond L, Flook L, Cook-Harvey C, Barron B, Osher D. Implications for educational practice of the science of learning and development. Appl Dev Sci [Internet]. 2020;24(2):97–140. Available from: https://doi.org/10.1080/10888691.2018.1537791
Aktürk NBK, Kolcu M. The effect of postnatal breastfeeding education given to women on breastfeeding self-efficacy and breastfeeding success. Rev Assoc Med Bras. 2023;69(8):1–6.
Owan VJ, Ekpenyong JA, Chuktu O, Asuquo ME, Ogar JO, Owan MV, et al. Innate ability, health, motivation, and social capital as predictors of students’ cognitive, affective and psychomotor learning outcomes in secondary schools. Front Psychol. 2022;13(October).
Lau Y, Htun P, Lim PI, Ho-Lim S, Klainin-Yobas P. Maternal, infant characteristics, breastfeeding techniques, and initiation: Structural equation modeling approaches. PLoS One. 2015;10(11):1–17.
Fadiloglu E, Karatas E, Tez R, Cagan M, Unal C NM. Assessment of Factors Affecting Breastfeeding Performance and Latch Score: A Prospective Cohort Study. Z Geburtshilfe Neonatol. 2021;225(4):353–60.
Abbas IM, Hasan RT. Assessment of LATCH Tool Regarding Initiation of Breastfeeding among Women after Childbirth. IOSR J Eng www.iosrjen.org ISSN [Internet]. 2015;05(05):1–38. Available from: www.iosrjen.org
Fadiloglu E, Karatas E, Tez R, Cagan M, Unal C, Nar M, et al. Assessment of Factors Affecting Breastfeeding Performance and Latch Score: A Prospective Cohort Study. Z Geburtshilfe Neonatol. 2021;225(4):353–60.
Verma S, Srivastava A. Evaluating The Role Of Latch Scoring Tool In Identifying And Correcting Breastfeeding Problems. 2025;14(32):7712–21.
Halgar K, Mangshetty RB, B. AA. LATCH score: a tool for identification and correction of breastfeeding problems in a tertiary care hospital of North Karnataka. Int J Contemp Pediatr. 2024;11(3):272–6.
Copyright (c) 2025 Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with Media Publikasi Promosi Kesehatan Indonesia retain the copyright of their work. The journal applies a Creative Commons Attribution-ShareAlike 4.0 International License (CC BY-SA 4.0), which grants the following rights:
-
Copyright Retention: Authors retain the copyright of their work, maintaining full control over their intellectual property without restrictions.
-
Right of First Publication: Authors grant the journal the right of first publication of their work. This ensures that the work is initially published and credited in Media Publikasi Promosi Kesehatan Indonesia.
-
License to Share and Reuse: The work is licensed under CC BY-SA 4.0, allowing others to copy, distribute, remix, and build upon the work for any purpose, even commercially, as long as proper credit is given to the authors, and any new creations are licensed under the same terms.
