Validation of realistic simulators used for breastfeeding guidance: a quasi-experimental study

Abstract

Aim:  to  validate  low-fidelity,  handmade,  realistic  simulators  as  a breakthrough   educational   technology   for   guiding   puerperae   about   breastfeeding. Method:  this  is  an  exploratory,  cross-sectional  study,  with a  quantitative-qualitative approach,  divided  into  two  stages:  the  first  stage  a  piece  of  applied  research  and  the second  a  quasi-experimental  study.  An  intentional  sample  of  24  puerperae  staying  in rooming-in  facilities  of  a  public  maternity  hospital  was  taken.  The  sample  was  divided into two groups of 12: a control group and an experimental group. Results: the scientific literature showed biological and cultural difficulties regarding breastfeeding, such as with regard to breastfeeding position and holding, cracks in the nipples, the anatomy of the nipple,  breast  engorgement,  the  Brazilian  culture  of  "weak  milk"/not  enough  milk  and cramping  related  to  breastfeeding.    Breastfeed  handling  simulators  were  created  and validated  to  facilitate  the  learning  process.  Conclusion:  the use  of  simulators  as educational  technology  has  a  positive  impact  on  the  sample, reducing  the  difficulties related to breastfeeding. Practical implications: the use of these simulators was ground-breaking,  having  low  production  and  maintenance  costs,  also  in terms  of  changing the concepts and practices of the puerperae involved concerning the breastfeeding process.