mothers after cesarean delivery acupressure breast milk cesarean section lactation Thailand
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. age 19-35 years, 2. planned, full-term, first, singleton pregnancy, 3. planned cesarean section, 4. receive spinal anesthesia, 5. no lactation upon admission to the postpartum unit, assessed by placing the thumb and index finger on the areola, pressing toward the mother, and expressing milk, 6. normal nipple appearance, assessed by grasping the nipple with the thumb and index finger, 7. no postpartum conditions or complications that could affect milk production and secretion, such as hypothyroidism, polycystic ovarian syndrome, hypertension, hemorrhage, or diabetes, 8. no history of divorce or loss of family members within 3 months prior to delivery, 9. healthy newborn, with an APGAR score of 8 or higher at 1 minute and 5 minutes, normal birth weight (2,500-4,000 grams), and no contraindications of breastfeeding, 10 able to communicate in Thai, and 11. willing to participate in the study
Exclusion criteria
Exclusion criteria: 1. the mother and the infant are separated on the first day of birth, such as due to infant complications and admission to the Neonatal Intensive Care Unit (NICU), and 2. APGAR scores of lower than 7 at 1 minute or lower than 10 at 5 minutes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| onset of lactation upon admission to the hospital, at 6 hours after cesarean section, at 24 hours after cesarean section, and at 48 hours after cesarean section The onset of lactation record form,milk volume at 72 hours after cesarean section The milk volume record form | — |
Secondary
| Measure | Time frame |
|---|---|
| N/A N/A N/A | — |
Countries
Thailand
Contacts
McCormick Faculty of Nursing, Payap University