Effects of Thai Breast Massage on Breast Milk Production in Mothers with Agalactia at Nakornping Hospital in Chiang Mai Province

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Tidarat Kuntajam
Atchara Rakwannawong
Krittaporn Srikaew
Penkarn Kanjanarat
Panee Sirisa-ard
Maneerat Ananthanavanich
Autcharaporn Nakrit
Wimalux Nopsiri
Pattrarawadee Neelapamorn
Krit Pongpirul
Monthaka Teerachaisakul

Abstract

The objective of this research was to study the effect of Thai massage in stimulating breast milk production and flow rate in non-lactating or un-flow breast milk mothers at 48 hours postpartum. This was a cross-sectional study collecting data from the profiles of mothers admitted for childbirth service between January and December 2016, and had agalactia (breast milk flow rate = 0) within 24 hours after childbirth during at least 2 days of hospitalization. There were two groups of 306 non-lactating mothers under the study: the treatment group of 170 mothers receiving Royal Thai massage combined with Wat Pho-type massage and the control group of 136 mothers. Breast milk flow rates (flow rate > 1, or un-flow) were measured and recorded at 24 and 48 hours after giving birth; and the data were analyzed for Odds Ratio (OR). Both groups of participants had similar demographic and childbirth characteristics. The results showed that 143 mothers (84.12%) in the Thai massage group had a breast milk flow within 24 hours while the control group had no breast milk flow; and 168 mothers (98.82%) in the Thai massage group and 15 mothers (11.03%) in control group had breast milk flow within 48 hours. There was a significant relationship between Thai breast milk stimulating massage and breast milk production and flow (adjusted OR 6.13, 95% Cl: 4.95–7.86]). No adverse effects were observed during the massage.

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