The Brest Milk Pumping Diary Project to Promote Breast Milk Secretion in Mothers of Preterm Infants, A Randomized Intervention Study
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Abstract
Background: The separation mothers are more likely to struggle with breast milk secretion than mothers whose babies stay with them. Aims of this study were to evaluate the breast milk volume, maternal stress, complication of breast milk expression, necrotizing enterocolitis, neonatal mortality rate and neonatal length of hospital stay by using breast milk pumping diary and controlled group.
Methods: This is a randomized controlled trial performed in the separation mothers who had gestational age ≤ 34 weeks, aged 14-42 years old. The investigators educated the importance of breast milk and how to express breast milk at bedside within 24 hours after delivery then the mothers were randomized into 2 groups: used breast milk pumping diary and the controlled group. Collected data on the breast milk volume which sent to the newborn unit, maternal stress and complication of breast milk expression evaluated by phone during 7 days postpartum. Necrotizing enterocolitis, neonatal mortality rate and neonatal length of hospital stay were collected.
Results: Among 52 included mothers, the breast milk volume between 2 groups were not significantly different (p-value = 0.87). The breast milk volume in both groups were increased significantly on day 4th-7thafter delivery compared with the first day of delivery (p-value < 0.001). Maternal stress, complication of breast milk expression, necrotizing enterocolitis, neonatal mortality rate and neonatal length of hospital stay were not significantly different in both groups.
Conclusion: The breast milk volume, maternal stress, complication of breast milk expression, necrotizing enterocolitis, neonatal mortality rate and neonatal length of hospital stay were not significantly different in both groups. Early education and demonstration in breast milk expression at bedside within 24 hours after delivery significantly increased the breast milk volume on day 4th-7th after delivery, even though the mothers did not use the breast milk pumping diary.
Keywords: promote breast milk secretion in preterm infants, breast milk pumping diary
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References
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