Care Based on the Lactation Management Model Provided to Mothers With Babies in the Intensive Care Unit

The Effect of Lactation Management Model-Based Care Provided to Mothers With Babies in the Intensive Care Unit on the Amount of Breast Milk and Breastfeeding Duration

Using breast stimulating techniques (skin-to-skin contact, relaxation exercises, breast massage, nipple stimulation, hot application, etc.) stimulates the secretion of milk and increases its amount. This study aimed to determine the effect of care based on the lactation management model offered to mothers whose babies are in the neonatal intensive care unit, on the amount of breast milk and duration of breastfeeding.

Study Overview

• Status: Completed
• Conditions: Amount of Breast Milk
• Intervention / Treatment: Other: Lactation Management Model

Detailed Description

Support of prolactin and oxytocin hormones is needed for adequate production and secretion of breast milk. Many factors affect the levels of oxytocin and prolactin in the blood, such as the health status of the mother and the baby after birth, their separation for a while, nutrition, light, stress, fear, and lack of social support. Using breast stimulating techniques (skin-to-skin contact, relaxation exercises, breast massage, nipple stimulation, hot application, etc.) stimulates the secretion of milk and increases its amount. This study aimed to determine the effect of care based on the lactation management model offered to mothers whose babies are in the neonatal intensive care unit, on the amount of breast milk and duration of breastfeeding.

• Study Type: Interventional
• Enrollment (Actual): 80
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Mersin
    • Yenisehir, Mersin, Turkey
      • Mersin University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Between the ages of 18-35,
• The baby is still in intensive care,
• Gave birth at 34 weeks of gestation and above,
• The baby was taken to intensive care within the first 3 days after birth,
• The baby will stay in the neonatal intensive care unit for at least 3 more days,
• The baby has started breastfeeding,
• Giving breast milk to the baby by expressing it,
• Not using any medication that will affect milk quantity,
• Does not have a psychiatric disease that will affect breastfeeding in the postpartum period,
• Availability by phone, language, etc. Mothers who do not have communication problems.

Exclusion Criteria:

• Not between the ages of 18-35,
• The baby is discharged from intensive care,
• Those whose gestational age is less than 34 weeks,
• The baby is taken to intensive care after the first 3 days after birth,
• The baby is in the neonatal intensive care unit for at least 3 days,
• The baby has not started breastfeeding,
• Breastfeeding,
• Those who use medication that will affect the amount of milk,
• Having a psychiatric disease that will affect breastfeeding in the postpartum period,
• Mothers with communication problems.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Lactation Management Model-Experimental; The women in the experimental group were told about the care technique in accordance with the Lactation Management Model and were asked to apply it regularly for 3 days.The content of the Lactation Management Model includes skin-to-skin contact, hot application to the breast, relaxation and breast massage, and process monitoring.In this regard, the mother should apply skin-to-skin contact to her baby 12 times a day, 8 times on the 2nd day, 4 times on the 3rd day, hot application to the breast (5 minutes), relaxation technique (3 minutes) and breast massage (5 minutes manual milking, 2 minutes . nipple stimulation, stroking for 3 minutes).	Other: Lactation Management Model; The mother provides skin-to-skin contact to her baby 12 times a day, 8 times on the 2nd day, 4 times on the 3rd day, hot application to the breast (5 minutes), relaxation technique (3 minutes) and breast massage (5 minutes by hand milking, 2 minutes by breast massage). Head stimulation, stroking for 3 minutes) were asked.
No Intervention: Non-application group- Control; No treatment was performed on women in the control group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Scoring system for the amount of breast milk the baby receives	The form developed to evaluate the amount of breast milk the baby receives consists of 5 sections: urine amount, breast condition, stool amount, weight and satisfaction. Each section is grouped into 3 groups in terms of its features and is evaluated over 0, 1, 2 points. In the evaluation, 10 points mean that breast milk is received in the best way, and 7 points and below mean that breast milk is inadequate.	Change from before implementation and 4th week of practice

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Breast Milk and Breastfeeding Monitoring Form	It is a form consisting of 5 questions about breastfeeding (2 questions), breast milk (2 questions) and baby's weight (1 question), developed by the researcher in line with the literature.	Change from before implementation and 4th week of practice

Collaborators and Investigators

• Sponsor: Mersin University

Study record dates

Study Major Dates

• Study Start (Actual): January 10, 2022
• Primary Completion (Actual): September 1, 2022
• Study Completion (Actual): January 10, 2023

Study Registration Dates

• First Submitted: November 4, 2023
• First Submitted That Met QC Criteria: November 4, 2023
• First Posted (Actual): November 9, 2023

Study Record Updates

• Last Update Posted (Actual): May 9, 2025
• Last Update Submitted That Met QC Criteria: May 6, 2025
• Last Verified: May 1, 2025

More Information

Terms related to this study

• Keywords: Breastfeeding; Breast Milk; Neonatal Intensive Care; Lactation Management Model
• Other Study ID Numbers: Mersin University Midwifery

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No