Mothers after cesarean section experience challenges in achieving successful breastfeeding in Thailand, with breastfeeding rates remaining below the targets established by the World Health Organization. One of the factors contributing to unsuccessful breastfeeding among mothers after cesarean section is the delayed onset of lactation and insufficient breast milk production. oxytocin massage/ first milk secretion/ milk ejection/ cesarean section/ primiparous mothers
Conditions
Interventions
The participants in the intervention group received routine nursing care in combination with the dual massage program. The total duration of the intervention was 72 hours, during which participants at
Experimental Other,No Intervention No treatment
Sponsors
None listed
Eligibility
Sex/Gender
Female
Age
20 Years to No maximum
Inclusion criteria
Inclusion criteria: Maternal Factors 1.Mothers with severe postpartum complications or illnesses, such as postpartum hemorrhage requiring blood transfusion, infection, or severe postoperative complications. 2.Mothers with contraindications to breastfeeding, such as human immunodeficiency virus (HIV) infection or substance abuse. 3.Mothers receiving medications that stimulate milk secretion, such as metoclopramide or domperidone. Infant Factors 1. Infants with feeding or swallowing difficulties, such as severe ankyloglossia (tongue-tie), cleft lip, or cleft palate.
Exclusion criteria
Exclusion criteria: 1. Mothers and infants who are separated during the first 72 hours postpartum, such as infants with tachypnea, neonatal jaundice requiring phototherapy, or admission to the neonatal intensive care unit (NICU). 2.Mothers with grade 3 nipple fissures. 3.Participants who are unable to complete all procedures of the research protocol.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Onset time of milk flow At 24 hour after cesarean section Mean time to onset of milk flow(Minutes and Hour) | — |
Secondary
| Measure | Time frame |
|---|---|
| The level of milk flow At 72 hours postpartum Mean milk flow score at 72 hours postpartum(Milk flow level score) | — |
Countries
Thailand
Contacts
Public ContactOrapan Phudphong
Faculty of Nursing, Mahidol University
Outcome results
None listed