The Effects of Hot Moist Gel Pack Breast Compression Combined with NippleStimulation on The Onset of Milk Ejection and Milk Flow Among Cesarean SectionMothers with Sick Babies


  • Khanittha Phon-ngam King Chulalongkorn Memorial Hospital.
  • Ratchanart Mankong King Chulalongkorn Memorial Hospital.


               The objectives of this quasi experimental research were to compare : 1)  onset of milk ejection, and  2) the milk flow score of mothers in the experimental group who received hot moist gel pack compression combined with nipple stimulation versus that of mothers in the control group who received breast massage. The study sample comprised 60 mothers, each with a sick baby, receiving care at the Obstetric Ward; those mothers had undergone cesarean section. In addition, 6 hours after surgery the mothers still had problems with insufficient milk, and their babies had problems sucking at the breast to stimulate milk flow.  Participants were randomly assigned to either the experimental group (n=30) or comparison group (n=30). The research instruments of :1) hot moist gel pack compression and nipple stimulation versus breast massage, 2) demographic data forms, and 3) log tables for recording activity and milk expression assessment. The control group received breast massage, while the experimental group received the hot moist gel pack compression  combined with  nipple stimulation. Statistics used for data analysis included frequency, percentage, means, standard deviation and independent  t-test.

               The results showed that 1) the duration until the onset of milk production of the experimental group was significantly shorter than that of the control group at the .01 level   (t = -7.46, P <.01), and 2) the experimental group had higher milk flow scores than those of the control group, with statistical significance at the level of .01 ( t = 7.35, P <.01).

               Therefore, this study suggests that nurses who take care of mothers whose babies are unable to stimulate milk by sucking should apply hot moist gel pack compression with  nipple stimulation in order to promote an effective milk ejection that helps sick babies receive breast milk earlier.


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