To evaluate the effect of oral ginger supplementation, in combination with early maternal oral feeding, on breast milk volume in women undergoing scheduled C-section. Ginger, Early feeding, Cesarean section, Breastfeeding, Lactation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age 18 years old or more 2.Term, singleton pregnancy 3.Undergo elective low transverse cesarean section under spinal anesthesia with intrathecal morphine during 08.00 a.m.- 04.00 p.m. 4.Has a healthy newborn infant 5.Intend to breastfeed 6.Speak and understand Thai language
Exclusion criteria
Exclusion criteria: 1. Contraindications for breastfeeding (maternal HIV infection, taking antiretroviral medication, maternal illegal drug use, and maternal active tuberculosis) 2. History of breast cancer or breast surgery 3. Uncontrolled medical complications or obstetric complications (Severe hypertension,Poor-controlled DM,Heart diseases ,Placenta previa) 4. Postoperative complications include postpartum hemorrhage or infection 5. Ginger allergy 6. Mother-newborn infant separation Respiratory distress ( transient tachypnea of newborn (TTN), Early-onset neonatal sepsis, respiratory distress syndrome (RDS), Meconium aspiration syndrome (MAS), Hypothermia ), Neonatal hypoglycemia,Neonatal jaundice (Blood transfusion range) ,Neonatal arrhythmia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Breast milk volume at 72 hours postpartum (ml) 72 hours post partum volume | — |
Secondary
| Measure | Time frame |
|---|---|
| Time to onset of lactation by maternal perception within one week after end of the intervention hours,Side effect of ginger and early feeding between 3 day pospartum in hospital symptoms heartburn, upset stomach, diarrhea, nausea and vomiting, warm extremities,Neonatal outcomes Third day pospartum before discharge neonatal weight loss more than 10% from birth weight before discharge, neonatal jaundice | — |
Countries
Thailand
Contacts
Khon Kaen hospital