Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Effects of Breast Massage on Breast Pain, Breast-milk Sodium, and Newborn Suckling in Early Postpartum Mothers

유방마사지가 산욕초기 어머니의 유방 통증, 유즙 소디움, 신생아 흡유 횟수에 미치는 효과

  • Ahn, Suk-Hee (College of Nursing, Chungnam National University) ;
  • Kim, Jin-Hee (Nursing, Graduate School, Chungnam National University) ;
  • Cho, Jung-Suk (Nursing, Graduate School, Chungnam National University)
  • 안숙희 (충남대학교 간호대학) ;
  • 김진희 (충남대학교 대학원 간호학) ;
  • 조정숙 (충남대학교 대학원 간호학)
  • Received : 2011.01.25
  • Accepted : 2011.08.04
  • Published : 2011.08.31
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Abstract

Purpose: In this study the effects of breast massage on breast pain, breast-milk sodium, and newborn suckling in early postpartum mothers were investigated. Methods: The design was a non-synchronized nonequivalent control group pretest-post-test design. Sixty postpartum mothers who were admitted to a postpartum care center and had problems with breastfeeding were recruited. Of these mothers, 44 were assigned to the intervention group and received two 30-minute breast massages within 10 days of postpartum period. The others were assigned control group and received only routine care. Breast pain was measured using a numeric pain scale and number of times newborns suckled was observed throughout breastfeeding. Breast milk was self-collected to evaluate breast-milk sodium. Results: Mean age of postpartum mothers was 30 years old. Compared to the control group, women in the intervention group reported significant decreases in breast pain (p<.001), increases in number of times newborns suckled after the first and second massage (p<.001), and a decrease in breast-milk sodium after the first massage (p=.034). Conclusion: Breast massage may have effects on relieving breast pain, decreasing breast-milk sodium, and improving newborn suckling. Breast massage can be used to solve breast problems. Further research is needed to validate our findings.

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References

  1. Boensch, M., Oberthuer, A., Eifinger, F., & Roth, B. (2011). Life-threatening hypernatremic dehydration in a 7-week-old exclusively breastfed infant as a cause of a decline in breastmilk volume and parental language barriers in a North African family. Klinische Padiatrie, 223, 40-42. doi:10.1055/s-0030-1267931
  2. Chan, S. M., Nelson, E. A., Leung, S. S., & Li, C. Y. (2000). Breastfeeding failure in a longitudinal postpartum maternal nutrition study in Hong Kong. Journal of Paediatric Child Health, 36, 466-471. https://doi.org/10.1046/j.1440-1754.2000.00544.x
  3. Chiu, J. Y., Gau, M. L., Kuo, S. Y., Chang, Y. H., Kuo, S. C., & Tu, H. C. (2010). Effects of Gua-Sha therapy on breast engorgement: A randomized controlled trial. Journal of Nursing Research, 18, 1-10. doi:10.1097/JNR.0b013e3181ce4f8e
  4. Cho, J. S. (2006). Eects of Oketani's breast massage on the breast discomfort, breast milk pH of mothers and the sucking speed of neonate. Unpublished master's thesis, Eulji University, Daejeon.
  5. Eum, G. R., Sohn, H. S., & Kim, H. Y. (2007). Breastfeeding rate and related factors in Busan. Journal of Korean Society of Maternal and Child Health, 11, 78-85. https://doi.org/10.21896/jksmch.2007.11.1.78
  6. Hill, P. D., & Aldag, J. C. (2007). Predictors of term infant feeding at week 12 postpartum. Journal of Perinatal Neonatal Nursing, 21, 250-255. doi: 10.1097/01.JPN.0000285816.44022.a3
  7. Hossain, M., Haque, N. I., Siddiqui, A. B., & Bari, M. I. (2005). Activities of lactation management centre of Rajshahi. Journal of Teachers Association, 18, 189-192.
  8. Humenick, S. S., Hill, P. D., Thompson, J., & Hart, A. M. (1998). Breast-milk sodium as a predictor of breastfeeding patterns. Canadian Journal of Nursing Research, 30(3), 67-81.
  9. Jang, G. J., Kim, S. H., & Jeong, K. S. (2008). Effect of postpartum breast-feeding support by nurse on the breast-feeding prevalence. Journal of Korean Academy of Nursing, 38, 172-179. https://doi.org/10.4040/jkan.2008.38.1.172
  10. Jeong, I. H., Kang, J. M., Min, D. Y., Son, S. K., & Eun, H. C. (2010). Medical dictionary. Seoul: Hyunmoon.
  11. Kabir, N., & Tasnim, S. (2009). Oketani lactation management: A new method to augment breast milk. Journal of Bangladesh College of Physicians and Surgeons, 27, 155-159.
  12. Kim, E. K. (2010). Physiology of lactation. Hanyang Medical Reviews, 30(1), 1-7. https://doi.org/10.7599/hmr.2010.30.1.1
  13. Kim, Y. (2009). Effects of a breastfeeding empowerment program on exclusive breastfeeding. Journal of Korean Academy of Nursing, 39, 279-287. doi:10.4040/jkan.2009.39.2.279
  14. Lawrence, R. A., & Lawrence, R. M. (2005). Breastfeeding: A guide for the medical profession (6th ed.). St Louis, MO: Mosby.
  15. Lee, S. O., Chung, E. S., Ahn, S. H., Moon, K. N., & Park, N. H. (2003). A study of predictors of breastfeeding. Journal of Korean Academy of Child Health Nursing, 9, 368-375.
  16. Lowdermilk, D., & Perry, S. (2007). Maternity & women's health care (9th ed.). Philadelphia, PA: Mosby Elsevier.
  17. Manganaro, R., Marseglia, L., Mamì, C., Palmara, A., Paolata, A., Loddo, S., et al. (2007). Breast milk sodium concentration, sodium intake and weight loss in breast-feeding newborn infants. British Journal of Nutrition, 97, 344-348. doi:10.1017/S0007114507280572
  18. Mass, S. (2004). Breast pain: Engorgement, nipple pain and mastitis. Clinical Obstetrics and Gynecology, 47, 676-682. https://doi.org/10.1097/01.grf.0000135652.49154.75
  19. Morton, J. A. (1994). The clinical usefulness of breast milk sodium in the assessment of lactogenesis. Pediatrics, 93, 802-806.
  20. Morton, J. A. (1995). Salty milk-when to worry. Western Journal of Medicine, 163, 488-489.
  21. Neville, M. C. (2009). Introduction: Tight junctions and secretory activation in the mammary gland. Journal of Mammary Gland Biology & Neoplasia, 14, 269-270. doi:10.1007/s10911-009-9150-8
  22. Neville, M. C., & Morton, J. (2001). Physiology and endocrine changes underlying human lactogenesis II. Journal of Nutrition, 131, 3005S-3008S. https://doi.org/10.1093/jn/131.11.3005S
  23. Neville, M. C., Morton, J., & Umemura, S. (2001). Lactogenesis. The transition from pregnancy to lactation. Pediatric Clinics of North America, 48, 35-52. https://doi.org/10.1016/S0031-3955(05)70284-4
  24. Newton, E. R. (2004). Breastmilk: The gold standard. Clinical Obstetrics and Gynecology, 47, 632-642. https://doi.org/10.1097/01.grf.0000136184.19927.98
  25. Oketani Lactation Management Association. (2004). Oketani lactation management: Japanese breast massage manual. Tokyo: Author.
  26. Ozbek, A., Kumral, A., Guvenir, T., Tas, F. V., Gencer, O., Duman, N., et al. (2008). Maternal psychosocial aspects in hypernatremic dehydration with high sodium concentrations in breast milk: A case-control study. Journal of Paediatrics and Child Health, 44, 38-43. doi:10.1111/j.1440-1754.2007.01208.x
  27. Park, S. O. (2004). The effects of a breastfeeding support program on the attitude and knowledge of breastfeeding, level of $Na^+$ within milk, and continued breastfeeding. Unpublished doctoral dissertation, Pusan National University, Busan.
  28. Storr, G. B. (1988). Prevention of nipple tenderness and breast engorgement in the postpartal period. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 17, 203-209. https://doi.org/10.1111/j.1552-6909.1988.tb00426.x
  29. Walker, M. (2008). Conquering common breastfeeding problems. Journal of Perinatal Neonatal Nursing, 22, 267-274. doi:10.1097/01.JPN.0000341356.45446.23

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