الفهرس 
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Abstract
Breast feeding promotion is a significant child survival strategy. However, in reality most of the mothers are unable to practice exclusive breastfeeding due to breast feeding problems. Intervention to improve early and correct infant feeding practice can result in considerable reduction in breast and nipple problems. The aim of this study was to evaluate the impact of an antenatal designed educational program about breast feeding on the occurrence of breast problems among women underwent CS. Research design, aquasi-experimental design was adopted in this study. Setting: this study was conducted at the antenatal clinic affiliated to rural and urban areas of Ismailia City (Elsheik Zaied and Abou Atwaa centers). Tools of data collection: Data were collected using an interview questionnaire and observational checklists. Results, statistical significant differences were observed post intervention between study and control groups regarding knowledge and practice of breastfeeding technique (p>0.001*). Moreover, the percentages of good knowledge about breast engorgement, nipple soreness, insufficiency of milk supply and mastitis were higher among women in the study group compared with those in the control group after implementation of the study intervention (P=<0.0001**). Meanwhile, women in the study group were less likely to suffer from breast engorgement and hardening of the breasts (36.4% & 42.1% vs. 57.9% & 65.4% respectively). Also, more women in the control group suffered from soreness and cracking of the nipple as well as the problem of overactive breast reflex compared to the study group post intervention (22.4% & 17.8% vs. 3.7% & 8.4% respectively), with statistical significant difference (P<0.0001** & P 0.043*). Conclusion, implementation of educational Programme for primpara women significantly improved the technique of breastfeeding and reduce occurrence of breastfeeding problems. Recommendation, The educational program which proved successful should be integrated in the ANC program at the study setting and in similar ones.