Onset of lactation in first time mothers Pregnancy and Childbirth
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Primiparous 2. Spontaneous vaginal deliveries mother without complications 3. 18 - 45 years 4. Singleton pregnancy 5. Term pregnancy > 37 weeks 6. Birth weight > 2500g 7. No serious illness/chronic disease 8. Ability to read and write, acceptable ability of listening and speaking to answer the questions 9. Intention to breastfeed 10. Can communicate in Malay or English
Exclusion criteria
Exclusion criteria: 1. Contraindication to breastfeeding 2. Postpartum complication e.g., haemorrhage, chorioamnionitis, retained placenta, any invasive procedures and blood transfusion 3. Newborns with complications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Time from birth to onset of lactation (lactogenesis stage II) [As reported by the mother on daily assessment] Breast fullness is rated on a 5-point scale: from 1 (no change) to 3 (noticeably full) to 5 (uncomfortably full). Onset of lactation is defined as the first breast fullness score of 3 or greater as reported by the mother. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Maternal satisfaction with their assigned mechanical massage chair experience using a 11 point (0-10) numerical rating scale prior to discharge. [As reported by the mother] 2. Baby's breastfeeding performance using Infant Breastfeeding Assessment Tool (IBFAT) prior to discharge. [As reported by the mother] 3. Baby's breastfeeding performance using Infant Breastfeeding Assessment Tool (IBFAT) at Day 10 after birth. [As reported by the mother] 4. Exclusive breastfeeding at Day 10 after birth. [As reported by the mother] IBFAT score of 10–12 indicates successful breastfeeding, a score of 7–9 relatively successful breastfeeding and a score of 0–6 unsuccessful breastfeeding. | — |
Countries
Malaysia