Faculty of Nursing, Child Health and Diseases Nursing, Inonu University, Malatya, Turkey.
Breastfeed Med. 2022 Jul;17(7):593-598. doi: 10.1089/bfm.2021.0071. Epub 2022 Apr 21.
In addition to suffering stress and anxiety owing to being separated from their babies, mothers whose babies are hospitalized in neonatal intensive care units suffer breastfeeding problems. Moreover, their breast milk production may decrease over time. Examining the effect of circular and oscillating breast massage on the amount of breast milk produced. This randomized controlled experimental study used a pretest-posttest model. The participants included 120 mothers (experimental group: 60, control group: 60) who went to a breast milk pumping unit of a hospital between December 1, 2017, and July 31, 2019. A circular and oscillating breast massage device was used to massage both breasts for 10 to 15 minutes, three times a day, for 3 days, and milk production was measured daily. The sociodemographic characteristics, perceptions regarding breast massage, and daily breast milk amounts of the mothers were collected. The average age of the mothers that participated in the study was 30.21 ± 5.58 years; the average birth week of their babies was 32.31 ± 4.10 weeks. There were no significant differences in the mothers' amounts of milk production before the procedure in the experimental and control groups. In the study group, milk production increased by 7.92%, 5.25%, and 5.02% on days 1, 2, and 3 of the procedure, respectively. The mothers' total amount of milk production before and after the procedure (3 days) increased by 22.28%. Significant differences were found between the study groups on days 1, 2, and 3 and the total amount of milk produced after the procedure. Our study found circular and oscillating breast massage increased the amount of breast milk produced and decreased breast pain and swelling. Similar studies on the clinical use of this treatment should be conducted in line with the results of this study.
除了因与婴儿分离而感到压力和焦虑外，婴儿在新生儿重症监护病房住院的母亲还会遇到母乳喂养问题。此外，随着时间的推移，她们的母乳产量可能会下降。检查循环和振荡式乳房按摩对母乳产量的影响。这是一项随机对照实验研究，采用了预测试-后测试模型。参与者包括 120 位母亲（实验组 60 位，对照组 60 位），她们于 2017 年 12 月 1 日至 2019 年 7 月 31 日期间前往医院的挤奶单位。使用循环和振荡式乳房按摩器对双侧乳房进行 10-15 分钟的按摩，每天 3 次，持续 3 天，并每天测量产奶量。收集了母亲的社会人口统计学特征、对乳房按摩的认知以及每天的母乳量。 参与研究的母亲的平均年龄为 30.21±5.58 岁；婴儿的平均出生周数为 32.31±4.10 周。实验组和对照组在手术前的母亲产奶量没有显著差异。在研究组中，产奶量分别在手术第 1、2 和 3 天增加了 7.92%、5.25%和 5.02%。手术前和手术后（3 天）母亲的总产奶量增加了 22.28%。研究组在手术第 1、2 和 3 天以及手术后的总产奶量上均有显著差异。 我们的研究发现，循环和振荡式乳房按摩增加了母乳产量，并减少了乳房疼痛和肿胀。应根据本研究的结果开展关于这种治疗方法的临床应用的类似研究。
