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Assist. Enas Saeed Mohamed :: Publications:

Title:
Effect of Hoffman’s Exercise on Breastfeeding Level among Primiparous Women with Flat and Inverted Nipples
Authors: Not Available
Year: 2026
Keywords: Breastfeeding outcomes, flat nipples, Hoffman's exercise, inverted nipples, primipara
Journal: Not Available
Volume: Not Available
Issue: Not Available
Pages: Not Available
Publisher: Not Available
Local/International: Local
Paper Link: Not Available
Full paper Enas Saeed Mohamed _enas.pdf
Supplementary materials Enas Saeed Mohamed _enas.pdf
Abstract:

Flat and inverted nipples are common conditions that may negatively affect breastfeeding (BF) effectiveness and maternal satisfaction. Hoffman’s exercise is a simple, non-invasive technique employed to improve nipple protrusion and enhance postpartum BF outcomes. Aim: To assess the effect of Hoffman’s exercise on BF level among primiparous women with flat and inverted nipples. Research design: a Quasi-experimental research design. Research setting: The current research was done at the Obstetrics and Gynecology Outpatient Clinics at Benha University Hospital. Research sample: A purposive sample of 76 primiparous women was selected based on the inclusion criteria and allocated into two groups (38 women each).Tools for collecting data: Four tools were used: tool (I) a structured interview questionnaire with two sections (general characteristics and obstetric history); tool (II) Nipple Type and Inversion Grade Assessment Tool; tool (III) LATCH scale; and tool (IV) Maternal BF Evaluation Scale. Results: After implementing the approach, the study group's BF rates and mother satisfaction significantly improved compared to the control group (P < 0.001). There was a substantial positive correlation between total BF level and total mother satisfaction when the approach was implemented (P < 0.001). Conclusion: Hoffman’s exercise improved BF levels and increased maternal satisfaction among mothers with flat or inverted nipples during the postpartum period.Recommendation: Integrating Hoffman’s exercise into routine nursing care for mothers diagnosed with flat and inverted nipples.

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