J Korean Acad Nurs.  2011 Aug;41(4):451-459. 10.4040/jkan.2011.41.4.451.

Effects of Breast Massage on Breast Pain, Breast-milk Sodium, and Newborn Suckling in Early Postpartum Mothers

Affiliations
  • 1College of Nursing, Chungnam National University, Daejeon, Korea. sukheeahn@cnu.ac.kr
  • 2Graduate School, Chungnam National University, Daejeon, Korea.

Abstract

PURPOSE
In this study the effects of breast massage on breast pain, breast-milk sodium, and newborn suckling in early postpartum mothers were investigated.
METHODS
The design was a non-synchronized nonequivalent control group pretest-posttest design. Sixty postpartum mothers who were admitted to a postpartum care center and had problems with breastfeeding were recruited. Of these mothers, 44 were assigned to the intervention group and received two 30-minute breast massages within 10 days of postpartum period. The others were assigned control group and received only routine care. Breast pain was measured using a numeric pain scale and number of times newborns suckled was observed throughout breastfeeding. Breast milk was self-collected to evaluate breast-milk sodium.
RESULTS
Mean age of postpartum mothers was 30 years old. Compared to the control group, women in the intervention group reported significant decreases in breast pain (p<.001), increases in number of times newborns suckled after the first and second massage (p<.001), and a decrease in breast-milk sodium after the first massage (p=.034).
CONCLUSION
Breast massage may have effects on relieving breast pain, decreasing breast-milk sodium, and improving newborn suckling. Breast massage can be used to solve breast problems. Further research is needed to validate our findings.

Keyword

Breast feeding; Massage; Pain; Sodium; Sucking behavior

MeSH Terms

Adult
*Breast Feeding
Female
Humans
Infant, Newborn
Lactation
Male
*Massage
Mastodynia/*therapy
Milk, Human/*chemistry
Postpartum Period
Sodium/*analysis

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Reference

1. Boensch M, Oberthuer A, Eifinger F, Roth B. Life-threatening hypernatremic dehydration in a 7-week-old exclusively breastfed infant as a cause of a decline in breastmilk volume and parental language barriers in a North African family. Klinische Padiatrie. 2011. 223:40–42. doi:10.1055/s-0030-1267931.
2. Chan SM, Nelson EA, Leung SS, Li CY. Breastfeeding failure in a longitudinal postpartum maternal nutrition study in Hong Kong. Journal of Paediatrics and Child Health. 2000. 36:466–471.
3. Chiu JY, Gau ML, Kuo SY, Chang YH, Kuo SC, Tu HC. Effects of Gua-Sha therapy on breast engorgement: A randomized controlled trial. Journal of Nursing Research. 2010. 18:1–10. doi: 10.1097/JNR.0b013e3181ce4f8e.
4. Cho JS. Effects of Oketani's breast massage on the breast discomfort, breast milk pH of mothers and the sucking speed of neonate. 2006. Daejeon: Eulji University;Unpublished master's thesis.
5. Eum GR, Sohn HS, Kim HY. Breastfeeding rate and related factors in Busan. Journal of the Korean Society of Maternal and Child Health. 2007. 11:78–85.
6. Hill PD, Aldag JC. Predictors of term infant feeding at week 12 postpartum. Journal of Perinatal Neonatal Nursing. 2007. 21:250–255. doi: 10.1097/01.JPN.0000285816.44022.a3.
7. Hossain M, Haque NI, Siddiqui AB, Bari MI. Activities of lactation management centre of Rajshahi. Journal of Teachers Association. 2005. 18:189–192.
8. Humenick SS, Hill PD, Thompson J, Hart AM. Breast-milk sodium as a predictor of breastfeeding patterns. Canadian Journal of Nursing Research. 1998. 30(3):67–81.
9. Jang GJ, Kim SH, Jeong KS. Effect of postpartum breast-feeding support by nurse on the breast-feeding prevalence. Journal of Korean Academy of Nursing. 2008. 38:172–179.
10. Jeong IH, Kang JM, Min DY, Son SK, Eun HC. Medical dictionary. 2010. Seoul: Hyunmoon.
11. Kabir N, Tasnim S. Oketani lactation management: A new method to augment breast milk. Journal of Bangladesh College of Physicians and Surgeons. 2009. 27:155–159.
12. Kim EK. Physiology of lactation. Hanyang Medical Reviews. 2010. 30(1):1–7.
13. Kim Y. Effects of a breastfeeding empowerment program on exclusive breastfeeding. Journal of Korean Academy of Nursing. 2009. 39:279–287. doi: 10.4040/jkan.2009.39.2.279.
14. Lawrence RA, Lawrence RM. Breastfeeding: A guide for the medical profession. 2005. 6th ed. St Louis, MO: Mosby.
15. Lee SO, Chung ES, Ahn SH, Moon KN, Park NH. A study of predictors of breastfeeding. Journal of Korean Academy of Child Health Nursing. 2003. 9:368–375.
16. Lowdermilk D, Perry S. Maternity & women's health care. 2007. 9th ed. Philadelphia, PA: Mosby Elsevier.
17. Manganaro R, Marseglia L, Mamì C, Palmara A, Paolata A, Loddo S, et al. Breast milk sodium concentration, sodium intake and weight loss in breast-feeding newborn infants. British Journal of Nutrition. 2007. 97:344–348. doi: 10.1017/S0007114507280572.
18. Mass S. Breast pain: Engorgement, nipple pain and mastitis. Clinical Obstetrics and Gynecology. 2004. 47:676–682.
19. Morton JA. The clinical usefulness of breast milk sodium in the assessment of lactogenesis. Pediatrics. 1994. 93:802–806.
20. Morton JA. Salty milk-when to worry. Western Journal of Medicine. 1995. 163:488–489.
21. Neville MC. Introduction: Tight junctions and secretory activation in the mammary gland. Journal of Mammary Gland Biology and Neoplasia. 2009. 14:269–270. doi: 10.1007/s10911-009-9150-8.
22. Neville MC, Morton J. Physiology and endocrine changes underlying human lactogenesis II. Journal of Nutrition. 2001. 131:3005S–3008S.
23. Neville MC, Morton J, Umemura S. Lactogenesis. The transition from pregnancy to lactation. Pediatric Clinics of North America. 2001. 48:35–52.
24. Newton ER. Breastmilk: The gold standard. Clinical Obstetrics and Gynecology. 2004. 47:632–642.
25. Oketani Lactation Management Association. Oketani lactation management: Japanese breast massage manual. 2004. Tokyo: Author.
26. Ozbek A, Kumral A, Guvenir T, Tas FV, Gencer O, Duman N, et al. Maternal psychosocial aspects in hypernatremic dehydration with high sodium concentrations in breast milk: A case-control study. Journal of Paediatrics and Child Health. 2008. 44:38–43. doi: 10.1111/j.1440-1754.2007.01208.x.
27. Park SO. The effects of a breastfeeding support program on the attitude and knowledge of breastfeeding, level of Na+ within milk, and continued breastfeeding. 2004. Busan: Pusan National University;Unpublished doctoral dissertation.
28. Storr GB. Prevention of nipple tenderness and breast engorgement in the postpartal period. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 1988. 17:203–209.
29. Walker M. Conquering common breastfeeding problems. Journal of Perinatal Neonatal Nursing. 2008. 22:267–274. doi: 10.1097/01.JPN.0000341356.45446.23.
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