<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-7459</journal-id>
<journal-title><![CDATA[Horizonte sanitario]]></journal-title>
<abbrev-journal-title><![CDATA[Horiz. sanitario]]></abbrev-journal-title>
<issn>2007-7459</issn>
<publisher>
<publisher-name><![CDATA[Universidad Juárez Autónoma de Tabasco, División Académica de Ciencias de la Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-74592025000100305</article-id>
<article-id pub-id-type="doi">10.19136/hs.a24.1.5924</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efecto de medidas de corrección y capacitación a puérperas con problemas con la lactancia]]></article-title>
<article-title xml:lang="en"><![CDATA[Effect of corrective measures and training for puerperal women with breastfeeding problems]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuevas Acuña]]></surname>
<given-names><![CDATA[María Tula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villaseñor Godínez]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León Vázquez]]></surname>
<given-names><![CDATA[María de la Luz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mancilla Hernández]]></surname>
<given-names><![CDATA[Eleazar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[Apizaco Tlaxcala]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Autónoma de Tlaxcala  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  ]]></institution>
<addr-line><![CDATA[ Tlaxcala]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Colegio de Posgrado en el Área de la Salud  ]]></institution>
<addr-line><![CDATA[ Puebla]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>24</volume>
<numero>1</numero>
<fpage>305</fpage>
<lpage>317</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-74592025000100305&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-74592025000100305&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-74592025000100305&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  Evaluar el efecto de la capacitación y medidas de corrección en puérperas con dificultades con la lactancia.  Materiales y métodos:  Estudio cuasi-experimental. Se incluyeron puérperas entre 16 y 45 años, que tuvieron recién nacidos (RN) sanos de 36 a 41 semanas de gestación. Se aplicó un cuestionario y obtuvieron antecedentes obstétricos y del RN. El investigador presenció durante 10 min el amamantamiento, para evaluar la forma como la puérpera lactaba al RN: habilidad de agarre del RN al pecho, deglución audible, tipo de pezón, comodidad y postura (escala LATCH); de acuerdo al problema identificado, se capacitó a la madre y se otorgaron medidas de corrección. Se realizó una segunda evaluación entre el 3er y 5to día posterior. Se realizó estadística descriptiva y analítica (T pareada, Rangos de Wilcoxon, Mc Nemar, prueba G de Hedges), considerando significancia estadística p &lt; 0.05, mediante el software estadístico SPSS V25.  Resultados:  Se incluyeron 150 binomios, edad de puérperas, mediana 26 años, 29.4 % fueron primigestas, la edad de los RN mediana 39 semanas de gestación, peso 3030 grs. Al comparar el puntaje pre y post intervención, el 77.3 % mejoraron en los cinco dominios de la escala LATCH (p &lt;0.05), en el 19.3% no hubo cambios y 3.3% disminuyeron su calificación en relación con la evaluación inicial, los dominios donde disminuyó la calificación fueron: confort y tipo de pezón.  Conclusiones: La escala LATCH es una herramienta sencilla, accesible que puede utilizarse para identificar las necesidades de capacitación y medidas correctivas; la presencia de dolor en mamas y tipo de pezón pueden ser factores que favorecen el abandono temprano de la lactancia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To evaluate the effect of training and corrective measures in postpartum women with breastfeeding difficulties.  Materials and methods:  Quasi-experimental study. The study included postpartum women between 16 and 45 years of age, who had healthy newborns from 36 to 41 weeks of gestation. A questionnaire was applied, and obstetric and newborn history was obtained. The researcher witnessed breastfeeding for 10 min, to evaluate the way the mother breastfed the newborn: latching ability, audible swallowing, type of nipple, comfort and posture (LATCH scale); according to the problem identified, the mother was trained, and corrective measures were provided. A second evaluation was performed between the 3rd and 5th day. Descriptive and analytical statistics were performed (paired T, Wilcoxon Ranks, Mc Nemar, Hedges G test), considering statistical significance p &lt; 0.05, using SPSS V25 statistical software.  Results:  150 pairs were included, median age of postpartum women was 26 years, 29.4 % were primigravidae, median age of the newborns was 39 weeks of gestation, weight 3030 grams. When comparing the pre and post intervention score, 77.3 % improved in the five domains of the LATCH scale (p &lt;0.05), in 19.3 % there was no change and 3.3 % decreased their score in relation to the initial evaluation, the domains where the score decreased were comfort and type of nipple.  Conclusions:  The LATCH scale is a simple, accessible tool that can be used to identify training needs and corrective measures; the presence of breast pain and nipple type may be a factor favoring early breastfeeding cessation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lactancia materna]]></kwd>
<kwd lng="es"><![CDATA[Puérperas]]></kwd>
<kwd lng="es"><![CDATA[Capacitación]]></kwd>
<kwd lng="en"><![CDATA[Breastfeeding]]></kwd>
<kwd lng="en"><![CDATA[postpartum women]]></kwd>
<kwd lng="en"><![CDATA[training]]></kwd>
</kwd-group>
</article-meta>
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