The Effect of Lactation Management Intervention on the Success of Bounding Attachment

Abstract

Early Breastfeeding Initiation (EBI) within the first hour after birth is crucial for improving breastfeeding success and neonatal health. However, obstacles related to the mother's physiological and psychological conditions, as well as the delivery environment, affect its implementation in healthcare facilities. Auditory stimulation, as a non-pharmacological intervention, has the potential to create a calmer environment, which may support EBI. This quasi-experimental study aimed to analyze the effect of auditory stimulation on the success of EBI at the North Minahasa Medical Center Hospital. The sample consisted of 30 mothers who gave birth, selected through accidental sampling. The intervention, auditory stimulation, was provided to newborns during the EBI process. The mothers’ knowledge levels were assessed using a structured questionnaire, while the success of EBI was observed using an observation sheet. Data analysis was done with univariate and bivariate methods using the Wilcoxon signed-rank test. Results showed a significant improvement in knowledge post-intervention. Before the intervention, most respondents had moderate or poor knowledge, while after the intervention, the majority had good knowledge. The Wilcoxon test confirmed a significant difference (p = 0.000). The study concludes that auditory stimulation significantly enhances mothers' knowledge and supports EBI success, providing a simple, safe, and integrable approach to hospital delivery services.