Effect of Antenatal Breast Milk Expression at Term Pregnancy to Improve Post Natal Lactational Performance
Sunita Lamba, Simmy Chopra, Mamta Negi, Sunita Lamba, Simmy Chopra, Mamta Negi
Abstract
Objectives: To study the effect of antenatal breast milk expression at term pregnancy and subsequent effect on postnatal lactation performance.
Methods: A sample size of 200 pregnant women who had completed 37 weeks of gestational period was selected. The sample size was divided equally into study (group 1) and control (group 2). The pregnant women in study (group 1) were advised to gently manually express their breasts at least once daily at any time, preferably during bathing. The remaining women constituted the group 2. At the time of delivery, all the mothers were advised to initiate breastfeeding their baby within half an hour of delivery. The time from initiation of lactation to full lactation when no top feed is required was noted. Assessment of sufficient lactation was judged by the objective and subjective criteria.
Result: In the group 1, 89 % of the cases established full lactation within 6 h of delivery, whereas in the group 2 only 72 % of the cases had established full lactation within 6 h. The difference in the group 1 and the group 2 is statistically significant (P < 0.05) with regard to time interval from initiation of lactation to full lactation. Maternal perception of satisfactory lactation was statistically significantly higher in group 1 compared with group 2. In the group 1, 100 % of vaginal delivery (FTND) cases had established full lactation within 6 h compared with 81 % in the group 2. The result is statistically significant (P < 0.10). In the group 1, 80 % of the lower segment cesarean section deliveries established full lactation within 6 h, whereas in the group 2, it was 61 %. The result is statistically significant (P < 0.10). In objective criteria, the post-feed weight gain was higher in the group 1.
Conclusions: Antenatal manual breast milk expression at term shortens the time taken to from initiation to full establishment of lactation, thus significantly improving postnatal lactational performance by early establishment of plentiful milk secretion.
Keywords: Breast milk expression; Breastfeeding failure rate; Lactational performance.
References
- Haughton J, Gregorio D, Perez-Escamilla R. Factors associated with breastfeeding duration among Connecticut special supplemental nutrition programme for women, infants and children participants. J Hum Lact. 2010;26(3):266–273. doi: 10.1177/0890334410365067.
- Walker A. Breastmilk as the gold standard for protective nutrients. J Pediatr. 2010;156(2 Suppl):S3–S7. doi: 10.1016/j.jpeds.2009.11.021.
- Singh G, Dasgupta E. Effect of antenatal expression of breast milk at term to improve lactational performance: a prospective study. J Obstet Gynaecol India. 2009;59(4):308–311.
- Singh G, Chouhan R, Sidhu K. Effect of Antenatal expression of breast milk at term in reducing breast feeding failures. Med J Armed Forces India. 2009;65(2):131–133. doi: 10.1016/S0377-1237(09)80125-1.
- Lumbiganon P, Martis R, Laopaiboon M, et al. Antenatal breastfeeding education for increasing breastfeeding duration. Cochrane Database Syst Rev. 2012;12(9):CD006425.
- Wright NE, Cordes R. ABM Clinical protocol # 3: hospital guidelines for the use of supplementary feedings in the healthy term breastfed Neonate, Revised 2009. Acad Breastfeed Med. 2009;4(3):175–182. doi: 10.1089/bfm.2009.9991.
- Soltani H, Scott AMS. Antenatal breastmilk expression in women with diabetes: outcomes from a retrospective cohort study. Int Breastfeed J. 2012;7:18. doi: 10.1186/1746-4358-7-18.
- Forster DA, McEgan K, Ford R, et al. Diabetes and Antenatal milk expressing: a pilot project to inform the development of a randomised controlled trial. Midwifery J. 2011;27(2):209–214. doi: 10.1016/j.midw.2009.05.009.
- Prior E, Santhakumaran S, Gale C, et al. Breastfeeding after cesarean delivery: a systematic review and metaanalysis of world literature. American Journal Of Clinical nutrition, AJCN. 2012;95(5):1113–1135. doi: 10.3945/ajcn.111.030254.
- Malik S, Dasgupta U, Naskar S, et al. Knowledge of breast-feeding and timely initiation of it amongst post natal mothers: an experience from a baby-friendly teaching hospital of a metropolitan city. IOSR J Dent Med Sci. 2013;4(1):25–30. doi: 10.9790/0853-0412530.
Source: PubMed