Breast Massage for Breastfeeding Promotion and Problem Solving: Evidence-based Nursing Practice Evidence-based Nursing Practice
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Abstract
Although the benefits of breastfeeding are commonly acknowledged worldwide, exclusive breastfeeding rate at six months in Thailand is still much lower than the national target and the global average. Common problems are caused by insufficient milk volume and breast-related problems, including breast pain, breast engorgement, mastitis, and plugged ducts. These problems can be the important reasons for early quitted breastfeeding. Breast massage, a low risk treatment, is an alternative method of promoting milk production and solving breast-related problems. According to literature review, the purposes of breast massage are to help promoting milk flow and volume and decreasing breast pain, breast engorgement, and plugged ducts symptoms. However, it cannot be concluded which method of breast massage is the most effective. For the clinical practice, breast massage and breast milk expression are temporary solutions; thus, nurse professionals should emphasize the prevention for breast-related problems via developing screening assessment for a high-risk case, providing breastfeeding knowledge and necessary skills, and highlighting effective suckling infants. Continuing follow up should be performed to promote the sustainability of breastfeeding.
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References
Horta BL, Victora CG, World Health Organization. Short-term effects of breastfeeding: a systematic review on the benefits of breastfeeding on diarrhoea and pneumonia mortality. Geneva: World Health Organization; 2013. 54 p.
Binns C, Lee M, Low WY. The long-term public health benefits of breastfeeding. Asia Pac J Public Health. 2016;28(1):7-14. doi: 10.1177/1010539515624964.
Del Ciampo LA, Del Ciampo IRL. Breastfeeding and the benefits of lactation for women's health. Rev Bras Ginecol Obstet. 2018;40(6):354-9. doi: 10.1055/s-0038-1657766.
World Health Organization. Infant and young child nutrition [Internet]. Geneva: WHO; 2001 [cited 2014 Apr 24]. Available from: http://www.who.int/nutrition/topics/WHA54.2_iycn_en.pdf.
The United Nations Children’s Fund. Adopting optimal feeding practices is fundamental to a child’s survival, growth and development, but too few children benefit [Internet]. New York: UNICEF; 2019 [cited 2020 May 10]. Available from: https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding/
National Statistical Office, United Nations Children’s Fund. Thailand multiple indicator cluster survey 2015-2016: final report [Internet]. Bangkok: NSO and UNICEF; 2016 [cited 2020 May 10]. Available from: https://www.unicef.org/thailand/sites/unicef.org.thailand/files/2018-06/Thailand_MICS_Full_Report_EN_0.pdf.
Sokan-Adeaga M, Sokan-Adeaga A, Sokan-Adeaga E. A systematic review on exclusive breastfeeding practice in Sub-Saharan Africa: facilitators and barriers. Acta Scientific Medical Sciences. 2019;3(7):53-65.
Babakazo P, Donnen P, Akilimali P, Ali NMM, Okitolonda E. Predictors of discontinuing exclusive breastfeeding before six months among mothers in Kinshasa: a prospective study. Int Breastfeed J. 2015;10:19. doi: 10.1186/s13006-015-0044-7.
Hauck YL, Fenwick J, Dhaliwal SS, Butt J. A Western Australian survey of breastfeeding initiation, prevalence and early cessation patterns. Matern Child Health J. 2011;15(2):260-8. doi: 10.1007/s10995-009-0554-2.
Mangesi L, Zakarija-Grkovic I. Treatments for breast engorgement during lactation. Cochrane Database Syst Rev. 2016(6):CD006946. doi: 10.1002/14651858.CD006946.pub3.
Berens P, Brodribb W. ABM clinical protocol #20: engorgement, revised 2016. Breastfeed Med. 2016;11(4):159-63. doi: 10.1089/bfm.2016.29008.pjb.
Braun MB, Simonson SJ. Introduction to massage therapy. 2nd ed. Baltimore: Lippincott, Williams & Wilkins; 2007. 625 p.
Cho J, Ahn HY, Ahn S, Lee MS, Hur M-H. Effects of Oketani breast massage on breast pain, the breast milk pH of mothers, and the sucking speed of neonates. Korean J Women Health Nurs. 2012;18(2):149-58. doi: 10.4069/kjwhn.2012.18.2.149.
Witt AM, Bolman M, Kredit S, Vanic A. Therapeutic breast massage in lactation for the management of engorgement, plugged ducts, and mastitis. J Hum Lact. 2016;32(1):123-31. doi: 10.1177/0890334415619439.
Bolman M, Saju L, Oganesyan K, Kondrashova T, Witt AM. Recapturing the art of therapeutic breast massage during breastfeeding. J Hum Lact. 2013;29(3):328-31. doi: 10.1177/0890334413475527.
Kabir N, Tasnim S. Oketani lactation management: a new method to augment breast milk. J Bangladesh Coll Phys Surg. 2009;27(3):155-9. doi: 10.3329/jbcps.v27i3.4293.
Cotterman KJ. Reverse pressure softening: a simple tool to prepare areola for easier latching during engorgement. J Hum Lact. 2004;20(2):227-37. doi: 10.1177/0890334404264224.
Zhao C, Tang R, Wang J, Guan X, Zheng J, Hu J, et al. Six-step recanalization manual therapy: a novel method for treating plugged ducts in lactating women. J Hum Lact. 2014;30(3):324-30. doi: 10.1177/0890334414532314.
Kernerman E, Park E. Severe breast pain resolved with pectoral muscle massage. J Hum Lact. 2014;30(3):287-91. doi: 10.1177/0890334414535842.
Tilokskulchai F, Payakkaraung S, Nuampa S. Evidence-based guidelines for breastfeeding. Bangkok: Breastfeeding Policy Research Project; 2018. 193 p. (in Thai).
Salvo S. Massage therapy: principles and practice. 5th ed. Missouri: Elsevier; 2016. 777 p.
Dimitraki M, Tsikouras P, Manav B, Gioka T, Koutlaki N, Zervoudis S, et al. Evaluation of the effect of natural and emotional stress of labor on lactation and breast-feeding. Arch Gynecol Obstet. 2016;293(2):317-28. doi: 10.1007/s00404-015-3783-1.
Sulistyowati A. Effectiveness of breast care on the smooth delivery of breast milk. Nurse and Health: Jurnal Keperawatan. 2018;7(2):121-3. doi: 10.36720/nhjk.v7i2.46.
The Lactation Institute. Manual expression of breast milk Marmet Technique [Internet]. Encino, CA: The Lactation Institute; 2003 [cited 2020 May 1]. Available from: https://lllrochester.weebly.com/uploads/7/9/5/4/795404/marmet_technique_tearoff.pdf.
World Health Organization, UNICEF. Breastfeeding counselling: a training course [Internet]. Geneva: WHO; 1993 [cited 2020 Apr 24]. Available from: https://www.who.int/maternal_child_adolescent/documents/who_cdr_93_3/en/
Sulaeman ES, Yunita FAH, Yuneta AENK, Ada’ YR, Wijayanti R, Setyawan H, et al. The effect of oxytocin massage on the postpartum mother on breastmilk production in Surakarta Indonesia. Paper presented at: International Conference on Health and Well-Being (ICHWB); 2016 May 27-28; Surakarta, Central Java, Indonesia.
Rahayuningsih T, Mudigdo A, Murti B. Effect of breast care and oxytocin massage on breast milk production: a study in Sukoharjo Provincial Hospital. Journal of Maternal and Child Health. 2016;1(2):101-9. doi: 10.26911/thejmch.2016.01.02.05.
Indrasa N. The effect of stimulation methods on breast treatment for breast milk smoothness in postpartum mother. Journal of Medical Science & Clinical Research. 2019;7(4):244-9. doi: 10.18535/jmscr/v7i4.43.
Wambach K, Riordan J. Breastfeeding and human lactation. 5th ed. Burlington, MA: Jones & Bartlett Learning; 2016. 966 p.
Meng S, Deng Q, Feng C, Pan Y, Chang Q. Effects of massage treatment combined with topical cactus and aloe on puerperal milk stasis. Breast Dis. 2015;35(3):173-8. doi: 10.3233/BD-150401.
World Health Organization. Mastitis: causes and management. Geneva, Switzerland: World Health Organization; 2000. 44 p.
International Lactation Consultant Association. Clinician’s breastfeeding triage tool. Morrisville, NC: International Lactation Consultant Association; 2014. 16 p.
Witt AM, Bolman M, Kredit S. Mothers value and utilize early outpatient education on breast massage and hand expression in their self-management of engorgement. Breastfeed Med. 2016;11:433-9. doi: 10.1089/bfm.2016.0100.
Cooper BB, Kowalsky DS. Physical therapy intervention for treatment of blocked milk ducts in lactating women. J Womens Health Phys Therap. 2006;30(2):26. doi: 10.1097/01274882-200630020-00006.
Mitchell KB, Johnson HM, Eglash A, Academy of Breastfeeding Medicine. ABM clinical protocol# 30: breast masses, breast complaints, and diagnostic breast imaging in the lactating woman. Breastfeed Med. 2019;14(4):208-14. doi: 10.1089/bfm.2019.29124.kjm.
Kujawa-Myles S, Noel-Weiss J, Dunn S, Peterson WE, Cotterman KJ. Maternal intravenous fluids and postpartum breast changes: a pilot observational study. Int Breastfeed J. 2015;10:18. doi: 10.1186/s13006-015-0043-8.
Brownell E, Howard CR, Lawrence RA, Dozier AM. Delayed onset lactogenesis II predicts the cessation of any or exclusive breastfeeding. J Pediatr. 2012;161(4):608-14. doi: 10.1016/j.jpeds.2012.03.035.
Zhu P, Hao J, Jiang X, Huang K, Tao F. New insight into onset of lactation: mediating the negative effect of multiple perinatal biopsychosocial stress on breastfeeding duration. Breastfeed Med. 2013;8(2):151-8. doi: 10.1089/bfm.2012.0010.
World Health Organization. Implementation guidance: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised baby-friendly hospital initiative. Geneva: WHO; 2018. 52 p.