Abstract
Effects of Three Methods of Breast Milk Expression on Breastfeeding Initiation, Breast Milk Extraction and Proportion of Exclusive Breastfeeding: An Open Label, Randomized Controlled Trial
Highlights
Background Direct breastfeeding hasmultiple health benefitsSome mothers need to express their breasts when directly breast feeding is unavailable after delivery
We aimed to investigate the effects of different methods of breast milk expression on breastfeeding initiation, efficacy of breast milk extraction, and on the rate of exclusive breastfeeding at 6 months
The two primary outcome measures were the time required for initiation of breastfeeding and the milk volume expressed in a 10-minute session at 3 days and at 6 weeks; a secondary outcome was the proportion of exclusive breastfeeding at 4 and 6 months
Summary
Background Direct breastfeeding hasmultiple health benefitsSome mothers need to express their breasts when directly breast feeding is unavailable after delivery. There is insufficient evidence regarding an effective method of breast milk expression in the absence of an infant's suction. We aimed to investigate the effects of different methods of breast milk expression on breastfeeding initiation, efficacy of breast milk extraction, and on the rate of exclusive breastfeeding at 6 months. For mothers of established breastfeeding it was believed that the excessive breast milk after direct breastfeeding should be removed and the breast milk should be expressed regularly in absence of direct breastfeeding in order to stimulate the breast milk production.[19,27,36,37,38] As a result, the breast expressing was recommended to nursing mothers in absence of infant suction after birth or after established lactation in context-specific manner
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