A proof-of-concept randomized trial in 92 first-time mothers after vaginal birth compared the Ing Oun infant-back-support pillow with usual side-lying breastfeeding. It found signals of improved nipple-pain scores, positioning, continued suckling, and satisfaction, but did not establish long-term breastfeeding outcomes.
Key findings
- Nipple-pain distributions differed significantly despite both medians being 3 (IQR 2-4 versus 1-4; p
Why this matters globally
A low-cost nursing-designed aid could improve early comfort and technique, particularly in constrained settings. It should not replace assessment of latch problems, nipple injury, infant weight, or medical conditions.
Thai researcher contribution
The Ramathibodi School of Nursing, Mahidol University team developed and tested the device in Thai mothers, spanning prototype design and a randomized trial in routine postpartum care.
Limitations to consider
This small single-center proof-of-concept involved first-time mothers after vaginal birth. Blinding was likely difficult, outcomes were short-term scores and self-report, and milk transfer, infant weight, breastfeeding duration, home safety, and comparison with ordinary pillows were not established.
Verify the original sources
European Journal of MidwiferyRead the original article↗DOI: 10.18332/ejm/223935