ผลของการนวดและประคบเต้านมด้วยความร้อนชื้นต่อการไหลของน้ำนมในมารดาหลังผ่าตัดคลอดบุตรทางหน้าท้อง

Orapin  Techarungsan; Usa Wongphinit

Authors

Orapin Techarungsan Queen Savang Vadhana Memorial Hospital
Usa Wongphinit Department of Maternal-Newborn Nursing and Midwifery, Srisavarindhira Thai Red Cross Institute of Nursing

Keywords:

breastfeeding, breast massage, hot moist compression, milk flow, cesarean section

Abstract

Milk flow is a significant concern for mothers after a cesarean section. This quasi-experimental study aimed to compare milk onset time and milk flow scores in mothers following cesarean section after receiving hot moist breast compression. The sample consisted of 42 postpartum cesarean section mothers receiving care at the Special Obstetrics Unit, Queen Savang Vadhana Memorial Hospital in Chonburi Province, from March to June 2024. Participants were divided into an experimental group and a control group, with 21 participants in each group. The experimental group received four sessions of hot moist breast compression at 6, 12, 18, and 24 hours postpartum. Subsequently, milk flow scores were assessed approximately 30 minutes after each session. The control group received routine nursing care, with milk flow scores assessed at the same time points: 6, 12, 18, and 24 hours postpartum. Data were analyzed using independent t-tests to compare milk flow scores and milk onset time between the experimental and control groups.

The results revealed a significantly faster time to milk onset in the experimental group compared to the control group (t = -8.05, p = .00). Additionally, the experimental group had significantly higher milk flow scores at 6, 12, 18, and 24 hours postpartum compared to the control group (t = 4.32, 6.69, 8.36, and 9.15, respectively; p = .00).

In conclusion, hot moist breast compression accelerates milk onset and increases milk flow. It should be considered a care strategy to enhance milk flow in mothers after cesarean section.

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References

Binns, C., Lee, M., & Low, W. Y. (2016). The long-term public health benefits of breastfeeding. Asia Pacific Journal of Public Health, 28(1), 7-14. https://doi.org/10.1177/1010539515624964

Brunton, P. J., & Walker, C. D. (2024). Regulation of the hypothalamo-pituitary-adrenal axis in pregnancy and lactation. In P. J. Brunton & D. R. Grattan (Eds.), Neuroendocrine Regulation of Mammalian Pregnancy and Lactation (pp. 93-131). Springer, Cham. https://doi.org/10.1007/978-3-031-51138-7_4

Chaikongkiat, P., Bunlap, P., & Harnnarong, A. (2020). Factors related to breastfeeding self-efficacy of mothers after cesarean section. Journal of Nursing and Health Research, 21(1), 16–28.

Chanetiyoung, A. (2021). The effects of breast massage and hot compress on stimulating of milk flow in postpartum mothers at Phusing hospital, Srisaket province. Journal of Traditional Thai Medical Research, 4(1), 41–52.

Department of Health of Ministry of Public Health. (2023). Cesarean section rate. Retrieved from https://dashboard.anamai.moph.go.th/dashboard/cesareansection/index?year=2023

Hobbs, A. J., Mannion, C. A., McDonald, S. W., Brockway, M., & Tough, S. C. (2016). The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy and Childbirth, 16, 90-98. https://doi.org/10.1186/s12884-016-0876-1

Lian, W., Ding, J., Xiong, T., Liuding, J., & Nie, L. (2022). Determinants of delayed onset of lactogenesis II among women who delivered via cesarean section at a tertiary hospital in China: A prospective cohort study. International Breastfeeding Journal, 17(1), 81. https://doi.org/10.1186/s13006-022-00523-3

Mata, S., & Thammaporn, C. (2023). Effect of massage and herbal compress to stimulate the flow of milk in postpartum mothers at Nangrong hospital, Nang Rong district, Buriram province. Thai Journal of Public Health and Health Sciences, 6(1), 59-71.

Masae, M., Kala, S., & Chatchawet, W. (2019). Effect of self-breast massage program on milk ejection of first-time mothers. Princess of Naradhiwas University Journal, 11(3), 1-14.

National Statistical Office of Thailand. (2023). Thailand multiple indicator cluster survey 2022, survey findings report. Retrieved from https://www.unicef.org/thailand/reports/thailand-multiple-indicator-cluster-survey-2022

Neville, M. C., & Morton, J. (2001). Physiology and endocrine changes underlying human lactogenesis II. The Journal of Nutrition, 131(11), 3005S-3008S. https://doi.org/10.1093/jn/131.11.3005S

Nuampa, S., Tangsuksan, P., Jitima, V., & Nguycharoen, G. (2020). Breast massage for breastfeeding promotion and problem solving: Evidence-based nursing practice. Nursing Science Journal of Thailand, 38(3), 4-21.

Pados, B. F., & Camp, L. (2024). Physiology of human lactation and strategies to support milk supply for breastfeeding. Nursing for Women's Health, 28(3), 177-186. https://doi.org/10.1016/j.nwh.2024.01.007

Pasuwan, D. (2020). Success of exclusive breastfeeding for at least the first 6 months: A case study of Nakhon Pathom province. Kuakarun Journal of Nursing, 27(1), 71-84.

Phon-ngam, K., & Mankong, R. (2021). The effects of hot moist gel pack breast compression combined with nipple stimulation on the onset of milk ejection and milk flow among cesarean section mothers with sick babies. Thai Red Cross Nursing Journal, 14(1), 156-169.

Pinyapirom, P., Sinsuksai, N., & Phahuwatanakorn, W. (2023). The effect of breast compression with warm moist cloth on the first milk secretion among primiparous mothers with cesarean section. Nursing Science Journal of Thailand, 41(2), 93–104.

Potipatsa, G., Tipmom, W., & Sungkasrisombut, K. (2022). Factors affecting exclusive breastfeeding in newborns: A systematic review. Journal of Sakon Nakhon Hospital, 25(3), 154-167.

Tharana, N. (2021). Promoting and supporting breastfeeding in postpartum mothers with cesarean section. Nursing Journal, 48(4), 234-335.

The Joanna Briggs Institute. (2011). Joanna Briggs Institute reviewers’ manual: 2011 edition. Retrieved from https://www.yumpu.com/en/document/view/15688429/jbi-reviewers-manual-the-joanna-briggs-institute

Treenuchakorn, M., Denchai, R., Kayaphard, B., Pongkeaw, S., & Anan, K. (2022). Effectiveness of breast massage on milk ejection of postpartum mothers. Journal of Health Science, 31(2), 269-279.

Trainapakul, C., Chaiyawattana, M., Kanavitoon, W., Tiumtaogerd, R., Naka, S., Mitrniyodom, W., & Panlap, S. (2010). Effect of milk ejection performance of postpartum mothers after breasts massage and compression with mini hot bag and herbal compress. Journal of Nursing and Education, 3(3), 75-91.

Ulfa, Y., Maruyama, N., Igarashi, Y., & Horiuchi, S. (2023). Early initiation of breastfeeding up to six months among mothers after cesarean section or vaginal birth: A scoping review. Heliyon, 9(6), e16235. https://doi.org/10.1016/j.heliyon.2023.e16235

World Health Organization. (2014). Infant and young child nutrition. Retrieved from https://www.who.int/health-topics/breastfeeding#tab=tab_1