The effect of breast massage at different time in the early period after cesarean section
10.3760/cma.j.issn.0253-9624.2017.11.016
- VernacularTitle: 剖宫产术后早期不同时段乳房按摩对产妇泌乳情况的影响
- Author:
Jianying CHU
1
;
Lei ZHANG
;
Yujian ZHANG
;
Meiju YANG
;
Xiaowei LI
;
Linlin SUN
Author Information
1. Department of Gynaecology and Obstetrics, Qilu Hospital of Shandong University, Jinan 250012, China
- Publication Type:Journal Article
- Keywords:
Massage;
Breast;
Lactation disorders;
Cesarean section
- From:
Chinese Journal of Preventive Medicine
2017;51(11):1038-1040
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the effect of breast massage at different time in the early period on maternal lactation after cesarean section.
Methods:80 women delivered by cesarean section were randomly selected from maternity ward of a hospital in Shandong province during Jan. 2013 to Jan. 2015; which were divided into four groups, with 20 patients in each. Three groups received 3 times of breast massage every 24 hoursbeginning from 2, 12 and 24 h after cesarean section, respectively. The control group didn't receive any breast massage. The starting time and status of lactation were observed and recorded after cesarean section. 5 ml venous blood sample was drawn from each patient respectively at 2 h before cesarean, 6, 12, 24, 48 and 72 h after cesarean to test the level of serum prolactin. The lactation status of each group was compared.
Results:The P50 (P25-P75) of starting time of lactation of the three massage groups and control group were 3 (2-6) h, 4 (2-8) h, 4 (3-12) h and 4 (2-12) h, respectively, whose differences showed no statistical significance (H=3.32, P=0.345).The number of delivered women with adequate lactation 24 hours after cesarean was 10 in the group who received massage beginning from 2 h after cesarean; while the number was only 2 in the control group. The number of delivered women with adequate lactation 48 hours after cesarean was 18 in the group who received massage beginning from 2 h after cesarean; while the number was 8 in the control group. The differences showed statistical significances (P values were 0.021 and 0.008, respectively). The serum prolactin level in the group of delivered women who received massage from 2 h after cesarean was separately (195.9±78.5), (176.0±96.5), (216.4±110.0), (190.0±56.8) and (184.8±69.6) μg/L at 2, 12, 24, 48 and 72 h after cesarean, which were significantly higher than those in the control group (which were (128.8±40.6), (127.3±66.8), (162.2±58.8), (145.1±64.7) and (141.7±49.3) μg/L, respectively) (P=0.007).
Conclusion:Breast massage beginning from 2 hours after cesarean section can effectively improve the lactation status of delivered women.
