Abstract
Background: Mothers of infants who are dependent on expressed breast milk often find difficulty to express adequate quantity of breast milk to ensure exclusive breast feeding to their babies and it has become a major stress factor among these mothers. Many cost-effective adjuvant techniques are proved to be very useful in improving the quantity and quality of expressed breast milk.
 Objective: To determine the effect of two traditional breast stimulation techniques such as warm compress and breast massage as adjuvant to breast milk expression on maternal and lactational outcomes.
 Methodology: A hospital-based cross over trial will be considered to compare the effects of two interventions such as breast massage and warm compress, adjuvant to breast milk expression method (breast pump) on lactational outcomes (Quantity and quality of expressed breast milk) and maternal outcomes (Nipple pain, anxiety and experience of breast milk expression). The setting of the study will be selected tertiary level hospital of New Delhi. Approval from Institutional the Ethical approval is obtained from Institutional Ethical Committee, DMIMS (DMIMS (DU)/IEC/2017-18/6979) and also from the institutional ethical committee of armed forces medical services hospital of New Delhi where the study will be conducted. The data collected will be entered to an electronic data sheet and analysis will be done using SPSS.
 Expected Results: There will be a positive impact of interventions on locational outcomes such as quantity of expressed breast milk and quality of expressed breast milk.
 There will be a positive impact of interventions on maternal outcomes such as nipple pain. Anxiety and breast milk expression experience.
 This nurse led interventions will be made as a part of hospital policy to provide routine care to the mothers who are expressing breast milk in hospital settings.
 Conclusion: Conclusion will be drawn after the analysis of data collected from the predetermined sample size. The findings of the study will be published in an open access peer reviewed journal.
Highlights
Breast milk is the most ideal and exclusive nutrient for the newborn and is one the key concept of essential newborn care
World Health Organisation and the American Academy of Paediatrics (AAP) has given much emphasis on exclusive breast feeding as it promotes healthy living for both mother and baby
The interventions will be followed by breast milk expression by a standardised hospital grade double electrical breast pump (Ameda elite TM) applied to both breasts simultaneously which is set in vacuum pressure (232mmH g) and number of cycles (60 per minute) for a duration of 20 minutes
Summary
Breast milk is the most ideal and exclusive nutrient for the newborn and is one the key concept of essential newborn care. Exclusive breast feeding has proved to have multiple health benefits and incredible future health outcomes in newborns. Exclusive feeding of own mother’s milk (OMM) [2]
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