The effect of pestle acupuncture for patients with lactation insufficiency after cesarean section

Abstract

Introduction: Cesarean section is a common operation in obstetrics, and the incidence of insufficient breast milk is high in parturients undergoing cesarean section. Studies have shown that acupuncture or massage at related acupoints can promote the secretion and excretion of milk. These external treatments are quick, safe, and effective. On the other hand, they can avoid the potential risk of changes in milk composition that may be caused by the use of drugs. Pestle needle therapy is a new branch of traditional acupuncture, and pestle needle operation does not need to break the skin. The pestle needle has good clinical efficacy and safety in cervical spondylosis, insomnia, fatigue, depression, and so on, but few studies have focused on the effect of pestle acupuncture for patients with lactation insufficiency after cesarean section. This study aims to determine whether pestle needle therapy is effective and safe in the treatment of postpartum milk deficiency. Methods: This is a 2 parallel-group, assessor-blinded, randomized controlled trial.128 patients with lactation insufficient after cesarean section will be recruited and randomly divided into control group and the pestle needle group in a 1:1 ratio. The control group will receive routine nursing care of milk deficiency. In the pestle needle group, pestle needles will be used to operate on the acupoints such as bilateral Shao ze (S11), bilateral Ru gen (ST18), Dan zhong (DU14), 8 array acupoints of Shen dao (DU11) and so on. It will be operated once a day for 5 days. The primary outcomes are milk yield, degree of breastfilling, degree of milk siltation and other milk deficiency symptom, and serum prolactin. Secondary outcomes include syndrome of traditional Chinese medicine, such as facial expression, fatigue, loss of appetite, and so on. Discussion: Pestle needle therapy based on acupoint and meridian theory may increase milk secretion and excretion, which will provide a new intervention means to promote breastfeeding and have great significance to guide clinical treatment. Trial registration number: ChiCTR2000039752.

The Difference Between Acupuncture Therapy and Katuk Leaf Extract on Breast Milk Production in Breastfeeding Mothers in Duwetan Ngunut Jumantono Karanganyar

“…Previous research by Sa'roni et al, (2004) explained that giving katuk leaf extract to the group of mothers giving birth and breastfeeding at a dose of 3x300 mg/day for 15 days starting from day 3 after giving birth can increase milk production 50.7% more compared to mothers giving birth and breastfeeding their babies who were not given katuk leaf extract, giving katuk leaf extract could reduce the number of subjects with less milk production by 12.5% [5] .…”

“…Katuk leaves can be consumed easily, katuk leaves can be boiled and produced as phytopharmaca which is efficacious to launch breast milk. 5 Acupuncture significantly increases exclusive breastfeeding, besides acupuncture is a method that can be used to reduce breast engorgement in mothers. 6 Acupuncture therapy helps smooth energy, blood circulation, lymph flow and nervous system so that it can affect the mechanism of action of hormones.…”

Estratégias para aumento da produção do leite materno entre lactantes

“…Além disso, a técnica pode promover prazer, aliviar a dor, eliminar a tensão e indiretamente a secreção e a excreção do leite. O estudo não conseguiu realizar o cegamento dos operadores e sujeitos, o que pode afetar teoricamente os resultados (DONGSHUANG LI, et al, 2021).…”

Efek Ekstrak Basah Daun Plectranthus amboinicus (L.) Terhadap Produksi Susu, Konsumsi Pakan, Pertumbuhan Bobot Badan Tikus dan Anakan

“…Namun demikian, insufisiensi atau kegagalan laktasi relatif sering terjadi pada wanita, terutama setelah operasi caesar (Li et al, 2021). Laporan terbaru menemukan bahwa rasio neutrofil-limfosit dalam darah ibu yang menjalani operasi caesar lebih tinggi daripada persalinan melalui vagina (Kociszewska-Najman et al, 2020), dan sintesis mitokondria adenosin trifosfat menurun, mengakibatkan laktasi tertunda atau insufisiensi laktasi (He & Xia, 2019).…”