Effect of Self-Breast Massage Program on Milk Ejection of First-Time Mothers
Keywords:
Self-breast Massage, Milk Ejection, First-time MothersAbstract
This quasi-experimental study aimed to measure the effect of a self-breast massage program on
milk ejection among first-time mothers. The sample consisted of 50 first-time mothers who were receiving
antenatal, intrapartum, and postpartum care at a community hospital. Purposive sampling was used to
recruit the mothers, who were then assigned to an experimental group (n = 25) or a control group (n = 25).
The control group received standard care, while the experimental group received the self-breast massage
program. The research instrument consisted of: 1) the self-breast massage program, 2) the data-collecting
instruments (a personal data form, and a milk ejection assessment form), and 3) the experimental-control
instruments, it is to say a record ofself-breast massage in the postpartum period. The tools were approved
by three experts, yielding a content validity index of .80. The reliability of the milk ejection assessment form
was examined using interrater of reliability, yielding a value of .90. Data were analyzed using frequency,
percent, average, standard deviation, chi-square, independent t-test, and Kruskal Wallis test.
The results of the study were as follows. First-time mothers who received the self-breast massage
program had mean scores of milk ejection after intervention at 4, 12, 24, and 48 hours significantly higher
than the control group ( = 4.99, p < .05), ( = 14.05, p < .001), ( = 7.23, p < .01), and ( = 20.85, p < .001),
respectively. The result showed that the self-breast massage program increased milk ejection. Thus, nurses
should apply the self-breast massage program to promote breastfeeding of first-time mothers.
References
Anukoolprasert, P. (2007). Comparison between breast massage alone and breast massage combined with a warm compress in increasing milk production in post-partum mothers. Journal of Public Health Systems, 1(3-5), 430-38.
Aontrakul, S. (2010). Early problem in breastfeeding. In Woramongkol, N. (editors), Breastfeeding Specialist
Training Manual (2nd ed., pp. 116-44). Bangkok: Veterans Affairs Organization. (in Thai)
Bai, Y., Wunderlich, S. M., & Fly, A. D. (2011). Predicting intentions to countinue exclusive breastfeeding for
6 months: A comparison among racial/ethnic group. Maternal Child Health Journal, 15(8), 1257-64.
Burns, N., & Grove, S. K. (2005). The practice of nursing research: conduct, critique, andutilization. St. Louis, Mo.: Elsevier Saunders.
Cetthkrikul, N., Topothai, C., Topothai, T., Pongutta, S., Kunpeuk, W., Prakongsai, P., &Thammarangsi, T. (2016). Situation of breastfeeding among mothers receiving services in Public Hospitals in Thailand. Journal of Health Science, 25(4), 657-668.
Charoensunti, J. (2011). Assessing the health status of pregnant women and their families. In Charuvatchapanjakul, A. (Editor), Introduction to Midwifery Nursing 1, 273-94.
Danthes, D. (2016). Breastfeeding promotingprogram/ attitude to exclusive breastfeeding/ intention to exclusive breastfeeding/ working pregnant women. A Thesis the Degree of Master of Nursing Science Burapha University, Chonburi.( in Thai)
Hankimnart, P., Akrapride, S., Todsanid, R., & Techakraisri, K. (2011). Successful6month exclusive breastfeeding in postnatal mothers at Siriraj Hospital. Journal of Public Health, 20(5), 766-77.
Hangchovanic,Y.(2012).Promotionofbreastfeedingduringpregnancy.InMuttaram,S.,Shusin,K.,Suthatworavut,U., Saengtaweesin, V., & Chevawan, Y. (editors), Breastfeeding Texts (pp. 99-106) Bangkok: The Breastfeeding Foundation of Thailand. (in Thai)
Janpia, C. (2012). Anatomy of the breast The physiology of the creation and secretion of milk And the sucking mechanism of the baby. In Vijitsukon, K., Sangmuang, P., Yatavoyu, N., Ruangjitsutra, S., & Tayakruang, S. (editors), Breastfeeding (pp. 61-82). Bangkok: Pre-One.(in Thai)
Jongpensukles,Y.(2012).Breast-feedingpracticesinpostnatalcare.InMuttaram,S.,Shusin, ,Suthatworavut,U., Saengtaweesin, V., & Chevawan, Y. (editors), Breastfeeding Texts (page 123-134). Bangkok: The Breastfeeding Foundation of Thailand. (in Thai)
Kala, S. (2018). Breastfeeding support: Nurses’Role. Songkla: Chanmuang Printing. (in Thai)
Kala, S. & Khoonphet, C. (2017). Experience in promoting breastfeeding of registered nurses working in postpartum units. Princess of Naradhiwas University Journal, 9(3), 1-10
Kent, JC., Prime, DK., & Garbin, CP. (2012). Principles for maintaining or increasing breast milk Production.Journal Gynecol Neonatal Nurse, 41(1), 114-121.
Lawrence, R. A., & Lawrence, R. M. (2016). Breastfeeding: A guide for the medical profession (8th ed.). United States of America: Elsevier.
Mamak, N. & Turner, K. (2016). Nurses’ roles and promoting the participation of husbands or relatives for the success of breast feeding. Journal of Nursing, 43(3), 114-126.
Navawong, T., Thongpeng, P., Ambumrung, P., & Thiencharoen, M. (2013). A Comparison of the effect of breast massage on nursing behavior by nursing staff, husband and woman, postpartum self-masturbation on lactation and maternal postpartum stress. The National Breastfeeding Society proceeding book, 4 (p. 118). Bangkok: The Breastfeeding Center of Thailand.(in Thai)
Panngam, N., Theerasopon, P., & Ungpansattawong, S. (2015). The effect of warm moist polymer gel pack comparison on the onset of milk production in primiparous mother. Journal of Pharpokklao Nursing College, 27(1). 28-38.
Payakkaraung, S. (2012). Factors influencing to breastfeeding. In Vijitsukon, K., Sangmee, P., Vatayu, N., Ruangjirustthip, S., & Payakruang, S. (editors), Breastfeeding (pp. 21-42). Bangkok: Pre-One. (in Thai)
Polit, D., & Beck, C.T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9thed.). Philadelphia, PA: Lippincott Williams and Wilkins
Pranpanas, S., Antrakan, S., & Hangchivanic, Y. (2012). Anatomy of the breast and mechanism of formation and secretion of milk. In Muttaram, S., Schusin, K., Suthatworavut, U., Saengtaweesin, V., & Hangchivanic, Y.(editors), Textbooks for Breastfeeding (pp. 1-13). Bangkok: The Breastfeeding Foundation of Thailand. (in Thai)
Sakontarat, P. & Pakdechote, S. (2012). Comparison between hot herbal comparison and warm Comparison in increasing milk production in pospartum mothers, Sakonnakhon Hospital. Journal of Sakon Nakhon Hospital, 15(3), 1-10.
Sawasdiworn, S. (2010). Specificity of breastfeeding and infant health. In Niponporn Woramongkol (Editor),Breastfeeding Specialist Training Manual. (2nd ed, pp. 116-144). Bangkok: Veterans Affairs Organization. (in Thai)
Sriwichai, P., & Suriyachi, P. (2014). The success of the exclusive breastfeeding among teenage mothers in the firfist 6 months after birth at Phayao Hospital. Journal of Nursing, King Chulalongkorn University, 26(1), 17-24.
Tangsuksan, P. (2012). Breastfeeding practices during pregnancy. In Vijitsukon, K., Sangmee, P., Vatayu, N., Ruangjirustthip, S., & Payakruang, S. (editors), Breastfeeding (pp. 129-145). Bangkok: Pre-One. (in Thai)
Trainapakul, C., Chaiyawattana, M., Kanavitoon, W., Tiumtaogerd, R., Naka, S., Mitrniyodom, W., & Panlap, S. (2010). Effect of milk ejection performance of postpartum mother after breasts massage and compression with mini hot bag and herbal compress. Nursing and Education, 3(3), 75-91.
Tucker, C. M., Wilson, E. K., & Samandari, G. (2011). Infant feeding experiences among teen mothers in North Carolina: Finding from a mixed-methods study. International Breastfeeding Journal, 6(1), 14.
UNECEF. (2016). Infant and Yong Child-feeding. Retrieve, form http://data.unicef.org/topic/nutrition/ infant-and-yong-child-feeding/
Wongsiri, A. (2013). Breast massage: a way to add milk. The National Breastfeeding Society proceeding book, 4 (pp. 75-79). Bangkok: The Breastfeeding Center of Thailand. (in Thai)
Wongwan, S. (2013). Massage and breast massage with herbs in postpartum women. The National Breastfeeding Society proceeding book, 4 (pp. 101-04). Bangkok: The Breastfeeding Center of Thailand. (in Thai)
Aontrakul, S. (2010). Early problem in breastfeeding. In Woramongkol, N. (editors), Breastfeeding Specialist
Training Manual (2nd ed., pp. 116-44). Bangkok: Veterans Affairs Organization. (in Thai)
Bai, Y., Wunderlich, S. M., & Fly, A. D. (2011). Predicting intentions to countinue exclusive breastfeeding for
6 months: A comparison among racial/ethnic group. Maternal Child Health Journal, 15(8), 1257-64.
Burns, N., & Grove, S. K. (2005). The practice of nursing research: conduct, critique, andutilization. St. Louis, Mo.: Elsevier Saunders.
Cetthkrikul, N., Topothai, C., Topothai, T., Pongutta, S., Kunpeuk, W., Prakongsai, P., &Thammarangsi, T. (2016). Situation of breastfeeding among mothers receiving services in Public Hospitals in Thailand. Journal of Health Science, 25(4), 657-668.
Charoensunti, J. (2011). Assessing the health status of pregnant women and their families. In Charuvatchapanjakul, A. (Editor), Introduction to Midwifery Nursing 1, 273-94.
Danthes, D. (2016). Breastfeeding promotingprogram/ attitude to exclusive breastfeeding/ intention to exclusive breastfeeding/ working pregnant women. A Thesis the Degree of Master of Nursing Science Burapha University, Chonburi.( in Thai)
Hankimnart, P., Akrapride, S., Todsanid, R., & Techakraisri, K. (2011). Successful6month exclusive breastfeeding in postnatal mothers at Siriraj Hospital. Journal of Public Health, 20(5), 766-77.
Hangchovanic,Y.(2012).Promotionofbreastfeedingduringpregnancy.InMuttaram,S.,Shusin,K.,Suthatworavut,U., Saengtaweesin, V., & Chevawan, Y. (editors), Breastfeeding Texts (pp. 99-106) Bangkok: The Breastfeeding Foundation of Thailand. (in Thai)
Janpia, C. (2012). Anatomy of the breast The physiology of the creation and secretion of milk And the sucking mechanism of the baby. In Vijitsukon, K., Sangmuang, P., Yatavoyu, N., Ruangjitsutra, S., & Tayakruang, S. (editors), Breastfeeding (pp. 61-82). Bangkok: Pre-One.(in Thai)
Jongpensukles,Y.(2012).Breast-feedingpracticesinpostnatalcare.InMuttaram,S.,Shusin, ,Suthatworavut,U., Saengtaweesin, V., & Chevawan, Y. (editors), Breastfeeding Texts (page 123-134). Bangkok: The Breastfeeding Foundation of Thailand. (in Thai)
Kala, S. (2018). Breastfeeding support: Nurses’Role. Songkla: Chanmuang Printing. (in Thai)
Kala, S. & Khoonphet, C. (2017). Experience in promoting breastfeeding of registered nurses working in postpartum units. Princess of Naradhiwas University Journal, 9(3), 1-10
Kent, JC., Prime, DK., & Garbin, CP. (2012). Principles for maintaining or increasing breast milk Production.Journal Gynecol Neonatal Nurse, 41(1), 114-121.
Lawrence, R. A., & Lawrence, R. M. (2016). Breastfeeding: A guide for the medical profession (8th ed.). United States of America: Elsevier.
Mamak, N. & Turner, K. (2016). Nurses’ roles and promoting the participation of husbands or relatives for the success of breast feeding. Journal of Nursing, 43(3), 114-126.
Navawong, T., Thongpeng, P., Ambumrung, P., & Thiencharoen, M. (2013). A Comparison of the effect of breast massage on nursing behavior by nursing staff, husband and woman, postpartum self-masturbation on lactation and maternal postpartum stress. The National Breastfeeding Society proceeding book, 4 (p. 118). Bangkok: The Breastfeeding Center of Thailand.(in Thai)
Panngam, N., Theerasopon, P., & Ungpansattawong, S. (2015). The effect of warm moist polymer gel pack comparison on the onset of milk production in primiparous mother. Journal of Pharpokklao Nursing College, 27(1). 28-38.
Payakkaraung, S. (2012). Factors influencing to breastfeeding. In Vijitsukon, K., Sangmee, P., Vatayu, N., Ruangjirustthip, S., & Payakruang, S. (editors), Breastfeeding (pp. 21-42). Bangkok: Pre-One. (in Thai)
Polit, D., & Beck, C.T. (2012). Nursing research: Generating and assessing evidence for nursing practice (9thed.). Philadelphia, PA: Lippincott Williams and Wilkins
Pranpanas, S., Antrakan, S., & Hangchivanic, Y. (2012). Anatomy of the breast and mechanism of formation and secretion of milk. In Muttaram, S., Schusin, K., Suthatworavut, U., Saengtaweesin, V., & Hangchivanic, Y.(editors), Textbooks for Breastfeeding (pp. 1-13). Bangkok: The Breastfeeding Foundation of Thailand. (in Thai)
Sakontarat, P. & Pakdechote, S. (2012). Comparison between hot herbal comparison and warm Comparison in increasing milk production in pospartum mothers, Sakonnakhon Hospital. Journal of Sakon Nakhon Hospital, 15(3), 1-10.
Sawasdiworn, S. (2010). Specificity of breastfeeding and infant health. In Niponporn Woramongkol (Editor),Breastfeeding Specialist Training Manual. (2nd ed, pp. 116-144). Bangkok: Veterans Affairs Organization. (in Thai)
Sriwichai, P., & Suriyachi, P. (2014). The success of the exclusive breastfeeding among teenage mothers in the firfist 6 months after birth at Phayao Hospital. Journal of Nursing, King Chulalongkorn University, 26(1), 17-24.
Tangsuksan, P. (2012). Breastfeeding practices during pregnancy. In Vijitsukon, K., Sangmee, P., Vatayu, N., Ruangjirustthip, S., & Payakruang, S. (editors), Breastfeeding (pp. 129-145). Bangkok: Pre-One. (in Thai)
Trainapakul, C., Chaiyawattana, M., Kanavitoon, W., Tiumtaogerd, R., Naka, S., Mitrniyodom, W., & Panlap, S. (2010). Effect of milk ejection performance of postpartum mother after breasts massage and compression with mini hot bag and herbal compress. Nursing and Education, 3(3), 75-91.
Tucker, C. M., Wilson, E. K., & Samandari, G. (2011). Infant feeding experiences among teen mothers in North Carolina: Finding from a mixed-methods study. International Breastfeeding Journal, 6(1), 14.
UNECEF. (2016). Infant and Yong Child-feeding. Retrieve, form http://data.unicef.org/topic/nutrition/ infant-and-yong-child-feeding/
Wongsiri, A. (2013). Breast massage: a way to add milk. The National Breastfeeding Society proceeding book, 4 (pp. 75-79). Bangkok: The Breastfeeding Center of Thailand. (in Thai)
Wongwan, S. (2013). Massage and breast massage with herbs in postpartum women. The National Breastfeeding Society proceeding book, 4 (pp. 101-04). Bangkok: The Breastfeeding Center of Thailand. (in Thai)
Additional Files
Published
2019-05-14
How to Cite
Masae, M., Kala, S., & Chatchawet, W. (2019). Effect of Self-Breast Massage Program on Milk Ejection of First-Time Mothers. Princess of Naradhiwas University Journal, 11(3), 1–14. Retrieved from https://li01.tci-thaijo.org/index.php/pnujr/article/view/134150
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