The Effect of Lactation Counseling on Mothers' Breastfeeding Ability with the LATCH Method Approach

Authors

  • Kurniati Devi Purnamasari Universitas Galuh
  • Ratna Suminar Universitas Galuh
  • Adinda Laksmidara Universitas Galuh
  • Stephanie Putri Maharanie Universitas Galuh
  • Auliya Nur Hajah Patimah Universitas Galuh

DOI:

https://doi.org/10.21070/midwiferia.v11i2.1746

Keywords:

Breastfeeding, Lactation, LATCH

Abstract

Background: Breastfeeding success is influenced by a mother's breastfeeding skills. The LATCH score is an instrument used to objectively assess breastfeeding skills. However, many postpartum mothers still experience difficulties breastfeeding due to a lack of understanding of correct breastfeeding techniques. Counseling on breastfeeding techniques is an effort that can improve postpartum mothers' ability to breastfeed optimally. Objective: To determine the effectiveness of breastfeeding technique counseling on postpartum mothers' breastfeeding skills based on the LATCH score. Methods: This study used a quasi-experimental design with a pretest-posttest control group approach. The sample consisted of postpartum mothers who met the inclusion criteria (n =50), divided into an intervention group and a control group. The intervention group received breastfeeding technique counseling for 4 sessions, while the control group received standard care. The breastfeeding skills instrument used the LATCH observation sheet. Data analysis was performed using paired t-tests and independent t-tests. Results: The average LATCH score in the intervention group increased significantly after counseling (p < 0.05), while the control group showed no significant change. There was a significant difference in LATCH scores between the intervention and control groups after treatment. Conclusion: Breastfeeding technique counseling effectively improved postpartum mothers' breastfeeding skills, as measured by LATCH scores.

References

Apoorvari, M. A., Haji-Maghsoudi, S., & Ahmadi, A. (2025). Investigating the effect of breastfeeding counselling based on latch, position and Information-Motivation-Behavior model on maternal and neonatal indices: a clinical trial. BMC Pregnancy and Childbirth, 25(1), 639.

Bawamenewi, T. R., Saragih, E. F. M., Gulo, W., & Azzahra, W. (2025). The Relationship Between Lactation Counseling And Increasing Mothers’knowledge About Exclusive Breastfeeding. MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation, 6(2), 85–94.

Department of Economic and Social Affairs Sustainable Development. (2022). The Sustainable Development Goals Report 2022. Goal 2 Infographic, Source: Https://Unstats.Un.Org/Sdgs/Report/2022/.

Devasia, S., Nayak, S., Rao, S. V, & Kamath, N. (2025). Effectiveness of Lactation Counseling on Lactation Outcome among Primipara Mothers: A Pilot Study. Journal of Health and Allied Sciences NU, 15(01), 98–102.

DeYoreo, M., Kapinos, K., Waymouth, M., James, K. F., Demirci, J., & Uscher-Pines, L. (2025). The Impact of Telelactation on Breastfeeding Satisfaction at 6 Months Postpartum: Evidence from a Randomized Controlled Trial. Academic Pediatrics, 102837.

Engelhart, A., Mason, S., Nwaozuru, U., Obiezu-Umeh, C., Carter, V., Shato, T., Gbaja-Biamila, T., Oladele, D., & Iwelunmor, J. (2022). Sustainability of breastfeeding interventions to reduce child mortality rates in low, middle-income countries: a systematic review of randomized controlled trials. Frontiers in Health Services, 2, 889390.

Horta, B. L., de Sousa, B. A., & de Mola, C. L. (2018). Breastfeeding and neurodevelopmental outcomes. Current Opinion in Clinical Nutrition and Metabolic Care, 21(3), 174–178.

Idris, H., & Astari, D. W. (2023). The Practice of Exlusive Breastfeeding by region in Indonesia. Public Health, 217, 181–189.

Kemenkes, R. I. (2022). Profil data kesehatan Indonesia tahun 2022. Jakarta: Kementerian Kesehatan Republik Indonesia.

Meek, J. Y., Noble, L., & Breastfeeding, S. on. (2022). Policy statement: breastfeeding and the use of human milk. Pediatrics, 150(1), e2022057988.

Miremberg, H., Yirmiya, K., Rona, S., Gonen, N., Marom, O., Pohol, A., Kovo, M., Bar, J., & Weiner, E. (2022). Smartphone-based counseling and support platform and the effect on postpartum lactation: a randomized controlled trial. American Journal of Obstetrics & Gynecology MFM, 4(2), 100543.

Norman, A., Mortimer, S., Baptie, G., Percuklievska, N., & Ferrario, H. (2022). Breastfeeding experiences and support: identifying factors influencing breastfeeding behaviour. British Journal of Midwifery, 30(4), 190–201.

Oliveira, I. B. B., Leal, L. P., Coriolano‐Marinus, M. W. de L., Santos, A. H. da S., Horta, B. L., & Pontes, C. M. (2017). Meta‐analysis of the effectiveness of educational interventions for breastfeeding promotion directed to the woman and her social network. Journal of Advanced Nursing, 73(2), 323–335. https://doi.org/https://doi.org/10.1111/jan.13104

Peres, K. G., Cascaes, A. M., Nascimento, G. G., & Victora, C. G. (2015). Effect of breastfeeding on malocclusions: a systematic review and meta‐analysis. Acta Paediatrica, 104, 54–61.

Purkiewicz, A., Regin, K. J., Mumtaz, W., & Pietrzak-Fiećko, R. (2025). Breastfeeding: The Multifaceted Impact on Child Development and Maternal Well-Being. Nutrients, 17(8), 1326.

Rapheal, S. M., Rajaiah, B., Karupanan, R., Abiramalatha, T., & Ramakrishnan, S. (2023). LATCH score for identification and correction of breastfeeding problems—a prospective observational study. Indian Pediatrics, 60(1), 37–40.

Selçuk, A. K., Yanikkerem, E., & Erdoğan, S. Ü. (2025). The factors affecting breastfeeding self-efficacy, LATCH scores and effect of postnatal breastfeeding education on mothers’ self-efficacy. Revista Da Escola de Enfermagem Da USP, 59, e20240281.

Siddiqi, S., Aftab, W., Siddiqui, F. J., Huicho, L., Mogilevskii, R., Friberg, P., Lindgren-Garcia, J., Causevic, S., Khamis, A., & Shah, M. M. (2020). Global strategies and local implementation of health and health-related SDGs: lessons from consultation in countries across five regions. BMJ Global Health, 5(9), e002859.

Sowjanya, S., & Venugopalan, L. (2018). LATCH score as a predictor of exclusive breastfeeding at 6 weeks postpartum: a prospective cohort study. Breastfeeding Medicine, 13(6), 444–449.

Victora, C. G., Bahl, R., & D Barros, A. J. (2016). Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Breastfeeding in the 21st Century: Epidemiology, Mechanisms, and Lifelong Effect. Lancet, 387, 475–490.

WHO. (2023). Breastfeeding. World Health Organization. https://www.who.int/health-topics/breastfeeding#tab=tab_1

Downloads

Published

2025-10-31

Issue

Section

Postnatal Care

Categories