Abstract
Introduction: Breastfeeding is an important tool for reducing infant mortality in developing countries like India. The present study was an attempt at identifying the effectiveness of a simple, easily adaptable and public health system friendly methods apart from conventionally used methods to promote lactation among postpartum mothers. In India, back massage had been practised in many cultures/societies to promote/sustain breastfeeding.
Methods: A case control study was performed at postnatal ward of a tertiary level hospital, with aiming to study the effect of back massage on lactation among postnatal mothers. During the study total 100 mothers of postnatal wards were included which were randomly divided into two groups: group A (N=50)–mothers who has received back massage in first three postnatal days and group B (N=50) -mothers who had not received back massage. The study was carried out in mothers of healthy full term appropriate for gestational age neonates which were born to primi mothers without medical illness or breast abnormalities, vaginally delivered and had normal feeding reflexes. The massage was started on mothers and its effect on various parameters like post feed weight gain, sleep duration, number of urine and stools passed per day etc were assessed.
Results: There was significantly higher mean post feed weight gain, mean number of urine and stool passed per day and mean duration of sleep in back massage group than control group.
Conclusion: The back massage is effective in improving the lactation among postnatal mother. Back massage is specifically can be used in postnatal mothers who are facing the problems in initiating and sustaining breastfeeding
Keywords: Back massage, Lactation, Breast milk, letdown reflex, lactation failure, postnatal mothers, exclusive breastfeeding.
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Corresponding Author
Dr Aditya Kushwah
Resident doctor Department of Paediatrics
DOI: https://dx.doi.org/10.18535/jmscr/v9i1.01
