Effect of Antenatal Breast Milk Expression at Term Pregnancy to Improve Post Natal Lactational Performance

Lamba, Sunita; Chopra, Simmy; Negi, Mamta

doi:10.1007/s13224-014-0648-7

Cited by 14 publications

(32 citation statements)

References 10 publications

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“…AME was also found to have a beneficial effect on exclusive breast milk feeding in the first 24 hr post birth (aRR 1.15) and during hospitalization (aRR 1.16; Forster et al, ). In addition to these studies, a small RCT conducted among healthy nulliparous and multiparous women in India found that significantly more women randomized to antenatal hand expression of colostrum after 37 weeks established “full lactation” where no “top feed” was required within 6 hr postpartum, as compared with usual care (Lamba, Chopra, & Negi, ).…”

Section: Discussionmentioning

confidence: 99%

“…In addition to these studies, a small RCT conducted among healthy nulliparous and multiparous women in India found that significantly more women randomized to antenatal hand expression of colostrum after 37 weeks established "full lactation" where no "top feed" was required within 6 hr postpartum, as compared with usual care (Lamba, Chopra, & Negi, 2016).…”

Section: Discussionmentioning

confidence: 99%

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“It gave me so much confidence”: First‐time U.S. mothers' experiences with antenatal milk expression

Demirci

Glasser

Fichner

et al. 2019

Maternal & Child Nutrition

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Antenatal milk expression (AME) involves maternal hand‐expression, collection, and storage of breast milk during pregnancy for the purposes of reducing the early formula use in breastfed infants. AME is not widely practiced in the United States, despite its growing popularity elsewhere. In this study, we examined the experiences of first‐time mothers recruited from a U.S. midwife practice who engaged in AME within the context of a pilot randomized controlled trial. The AME intervention involved demonstration and practice of AME with a lactation consultant beginning at 37 weeks of gestation, reinforcement at weekly study visits until delivery, and daily home practice. Nineteen women participated in a semistructured interview at 1–2 weeks postpartum regarding their study experiences. Major themes included (1) perceived benefits and impact of AME, (b) AME implementation, and (c) use of AME milk. Women perceived multiple benefits of AME, most notably that it increased their confidence that they would be able to make milk and breastfeed successfully postpartum. Women expressed some concern that no/little milk expressed could be indicative of postpartum milk production problems. Regarding implementation, women found that the AME protocol fit well into their daily routine. There was mixed feedback regarding comfort with practicing AME in the presence of partners. Reasons for postpartum use of AME milk varied; barriers to provision included inadequate milk storage options at the birth hospital and unsupportive hospital providers/staff. With few caveats, AME appears to be an acceptable breastfeeding support intervention among a sociodemographically homogeneous group of first‐time mothers in the United States.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“It gave me so much confidence”: First‐time U.S. mothers' experiences with antenatal milk expression

Demirci

Glasser

Fichner

et al. 2019

Maternal & Child Nutrition

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“…In study conducted by Lamba S et al the study group 89 (89 %) of the cases established full lactation within 6 h of delivery, whereas in the control group 72 (72 %) of the cases had established full lactation within 6 h. 10 The difference in both the groups was statistically significant (P <0.05) with regard to time interval from initiation of lactation to full lactation. Findings of these studies are comparable to present study which is suggestive of time interval between initiation of lactation to establishment of lactation in study group being significantly less than control group.…”

Section: Discussionmentioning

confidence: 86%

Antenatal breast milk expression at term increases postnatal lactational performance

Uikey

Agrawal

Khandale

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Breast milk contains balanced nutrients for the complete growth of body and brain of neonates and infants. Breast feeding is rich in anti-infective factors and improves immune system, thus reducing the child mortality rate. Objective of present work was to study the effect of antenatal breast milk expression at term in improving lactational performance as compared to control group.Methods: The prospective, comparative study was conducted for 2 years to observe effects of antenatal expression of breast milk on postnatal lactational performance in a tertiary care centre in Central India. 200 Subjects after 37 weeks of pregnancy divided in two groups of 100 each 1) study group 2) control group by systematic random sampling technique. Prior examination was done to exclude any inverted or cracked nipples and appropriate treatment instituted. The women with diseased breast and conditions, high risk pregnancy, congenitally anomalous fetus and drugs affecting lactation were excluded from study. Study group women were counselled to express milk 2-3 times every day preferably during bathing. All women were followed up in hospital and postnatal lactation performance was observed in both groups.Results: The study group did not find it difficult to initiate breast feeding after vaginal or caesarean delivery and in 78% of patients time interval from initiation of lactation to establishment of lactation was less than half hour as compared to control group (38%) P value <0.001. Statistical analysis showed significant difference in the results of those groups.Conclusions: Daily antenatal breast milk expression after 37 weeks of pregnancy significantly reduced the time for establishing full breast feeding and reduced breast feeding failures.

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“…An interesting finding of this study was AME promoted the lactogenesis II, and the time to lactogenesis II was advanced with the increase of AME frequency. Though another study had documented AME shortens the time taken to from initiation to full establishment of lactation, but the relationship between the frequency of AME and lactogenesis II was not been analyzed [16]. The baby sucking on the mother's nipple and effectively removes the milk plays a major role in the lactogenesis II [17].…”

Section: Discussionmentioning

confidence: 99%

“…Women who delayed lactogenesis II are more likely to stop breastfeeding prematurely than that do not. Antenatal milk expression (AME) has been suggested as a potential intervention to address these issues [14][15][16]. AME refers to extracting colostrum from the breast before birth by hand expressing.…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of the effects of antenatal milk expression on breastfeeding among first-time mothers in China

Chen¹,

Meng²,

Zhang³

et al. 2020

Preprint

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Background Limited research outside China suggest that antenatal milk expression in late pregnancy (AME) may promote breastfeeding. A few studies have evaluated the safety and efficacy of AME in women with diabetes in pregnancy, little or no evidence exists to explore its effects on breastfeeding self-efficacy and early breastfeeding, particularly in first-time mothers. The objective of this study was to explore the effect of AME on breastfeeding for the first-time mothers during the postpartum hospitalization. Methods A randomized controlled trial was conducted in a tertiary hospital in Haikou, Hainan. We recruited pregnant women who had completed 37 weeks of gestation and randomly assigned them to either the intervention group (n = 45) or the control group (n = 45). The pregnant women in the intervention group were advised to rhythmic self-massage of breasts three times daily at any time. The control group was given routine midwifery and obstetric care. The breastfeeding self-efficacy scale(BSES)was used to measure the self-efficacy of breastfeeding at 37 weeks, 38 weeks and the third day postpartum. The time to lactogenesis II and the rate of exclusive breastfeeding was measured three times every day by the researcher in the ward. Results Compared with the control group, the intervention group had higher breastfeeding self-efficacy scores measured by the scale of BSES(P < 0.05), the intervention group had higher exclusive breastfeeding rate on the first day, second day, third-day postpartum, and the difference was statistically significant༈P < 0.05). The time to lactogenesis II in the intervention group was earlier than that in the control group(P < 0.05). Conclusions Antenatal breast milk expression at term improved the confidence in the ability to breastfeed and produce milk postpartum, thus significantly improving the behavior of exclusive breastfeeding, and increasing the percentage of breastfed infants during their hospital stay, these infants were able to avoid infant formula milk in this important early period.

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Effect of Antenatal Breast Milk Expression at Term Pregnancy to Improve Post Natal Lactational Performance

Cited by 14 publications

References 10 publications

“It gave me so much confidence”: First‐time U.S. mothers' experiences with antenatal milk expression

“It gave me so much confidence”: First‐time U.S. mothers' experiences with antenatal milk expression

Antenatal breast milk expression at term increases postnatal lactational performance

A randomized controlled trial of the effects of antenatal milk expression on breastfeeding among first-time mothers in China

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