Identification and Correction of Early Breastfeeding Problems Using “Latch Score”

Background: Early breastfeeding is critical for neonatal and maternal health, yet many mothers encounter difficulties in the immediate postnatal period. The present study aimed to identify early breastfeeding problems using the LATCH score, provide targeted corrective interventions, and assess improvement within 6-12 hours postpartum. Material and Methods: This hospital-based cross-sectional observational study included 200 mother–infant dyads. LATCH scoring was performed at 6–12 hours postpartum. Mothers with scores <8 received individualized interventions including counselling, positioning guidance, and assisted latch. Reassessment was conducted at 24–48 hours. Statistical analysis was performed using SPSS, with p<0.05 considered significant. Results: A high prevalence of breastfeeding difficulties was observed, with 82.5% of mothers having LATCH scores <8 at 6–12 hours (mean 6.30±1.63). The most common problems were positional difficulty (26.0%) and poor attachment (18.5%). Corrective interventions were required in 82.5% of cases and showed a strong association with low LATCH scores (p=0.001). Following intervention, significant improvement was observed, with mean LATCH scores increasing to 9.19±1.25 (p<0.001). The proportion of mothers achieving adequate scores (≥8) rose from 17.5% to 86.0%, with 94.5% showing improvement and none deteriorating. Among mothers with initially low scores, 84.2% improved to ≥8. Significant factors associated with poor breastfeeding performance included younger maternal age (p=0.001), primiparity, lack of prior breastfeeding experience, delayed initiation, and non-exclusive feeding (p<0.001). Conclusion: Early breastfeeding difficulties are highly prevalent but largely modifiable. Use of the LATCH score with timely interventions leads to rapid and significant improvement in breastfeeding outcomes.