Effect of Antenatal Expression of Breast Milk at Term in Reducing Breast Feeding Failures

Singh, Garima; Chouhan, R; Sidhu, K

doi:10.1016/s0377-1237(09)80125-1

Cited by 29 publications

(39 citation statements)

References 9 publications

(7 reference statements)

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“…In spite of knowing the health benefits of mother's milk, most mothers fail to establish early and satisfactory lactation in the initial postpartum period, and formula milk is introduced to the neonates, which hampers the process of lactation, and thus, a vicious cycle starts [4].…”

Section: Discussionmentioning

confidence: 99%

“…It is feared that antenatal breast milk expression may cause loss of colostrum and may initiate premature contraction leading to preterm onset of labor and also that the infant will lose health benefits of colostrum. Many studies have found that in follow-up of these babies born in group 1, there was no increased incidence of growth compromise [4]. In certain studies, pregnant women are advised to store milk for their infants for postpartum period like in case of diabetic mothers [7,8].…”

Section: Discussionmentioning

confidence: 99%

“…The criterion for lactation to be satisfactory was, if after breastfeeding baby does not cry for a minimum of two hours for want of milk and passes urine five to six times a day [3,4]. The time intervals from initiation to full lactation of the two groups were compared.…”

Section: Methodsmentioning

confidence: 99%

“…Parental educational levels, attitude, and social status; mother's physical and mental health; and employment, partner's attitude, and family support strongly influence breastfeeding [3,4].…”

Section: Introductionmentioning

confidence: 99%

“…Often during this period, even if the family encounters a trivial problem in breastfeeding they feel that the baby would be hungry and to avoid this, they start top feeding [4]. This has a negative impact on establishment of breastfeeding.…”

Section: Introductionmentioning

confidence: 99%

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

Lamba

Chopra

Negi

2015

J Obstet Gynecol India

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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. 123Conclusions 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.

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Section: Discussionmentioning

confidence: 99%