Effect of Electric Breast Pump versus Conventional Breastfeeding on Onset of Lactation in Post-cesarean Women: A randomized controlled trial
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Abstract
Objectives: To study the time to onset of lactation (OL) when using an electric breast pump compared with conventional breastfeeding in post-cesarean women.
Materials and Methods: Thirty-four post-cesarean women under spinal block were randomized into two groups: the electric breast pump group (i.e. conventional breastfeeding combined with electric breast pump) and the conventional breastfeeding group. The electric breast pump group started using the electric breast pump within 3 hours of operation, 15 min for each pumping session, every 3 hours after breastfeeding until time to OL. The conventional breastfeeding group breastfed on demand at least 8 times in 24 hours. Post-cesarean women recorded time to OL by maternal perception when they had any one signs and/or symptoms of breast fullness, breast tingling, milk leakage.
Results: The time to OL in the electric breast pump group was significantly earlier than in the conventional breastfeeding group (43.8 ± 11.0 hours versus 68.3 ± 19.9 hours, respectively, p < 0.001). Maternal nipple pain after immediate use of the electric breast pump and breastfeeding (p = 0.74), and length of hospital stay (p = 0.88) were not statistically significant between groups.
Conclusion: Post-cesarean women in the electric breast pump group had significantly earlier time to OL compared with women in the conventional breastfeeding group.
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