A Comparative Study to Assess the Breast Milk Volume among the Mothers of Preterm Babies with Manual Expression and Breast Pump Expression in Selected a Hospital at Kolar
DOI:
https://doi.org/10.26463/rjns.15_1_8Keywords:
Milk volume, Manual method, Breast pump method, Milk expression, Preterm babiesAbstract
Background and aim: Prematurity is a crucial problem associated with large numbers of perinatal mortality and morbidity in developed and developing countries. Taking measures in early feeding the preterm babies with breast milk reduces the mortality and morbidity. Breast milk is the best nutrition for preterm neonates. Early initiation and breast milk expression benefit the preterm babies and their mothers. Hence the present study was conducted to evaluate breast milk volume among the mothers of preterm babies by comparing manual and breast pump methods of expression.
Methods: A non-experimental comparative study was carried out to estimate the human milk quantity expressed through hand and via electric pump techniques. A randomized sampling method was employed to choose the 40 mothers of preterm babies admitted to R.L. Jalappa Hospital Research Centre. Breast milk volume was assessed for 7 days continuously in the morning, afternoon, and evening. Data was recorded in a breast milk volume assessment score sheet and analyzed.
Results: There was no significant difference between manual and breast pump expression methods.
Conclusion: Regardless of this, mothers can choose any method of expression that will help in initiating and early establishment of breastfeeding.
References
1. Liu L, Oza S, Hogan D, et al. Global, regional, and national causes of child mortality in 2000-13, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet. 2015; 385(9966):430-40.
2. WHO. World Health Organization. Nacimientos Prematuros. 2015. Available online: http://www. who.int/mediacentre/factsheets/fs363/es/ (accessed on 15 February 2021).
3. Lawn JE, Davidge R, Paul VK, et al. Born too soon: care for the preterm baby. Reprod Health 2013;10: 1-9.
4. Luu TM, Rehman Mian MO, et al. Long-Term Impact of Preterm Birth: Neurodevelopmental and Physical Health Outcomes. Clin Perinatol 2017;44(2):305-314.
5. Cerasani J, Ceroni F, De Cosmi V, et al. Human milk feeding and preterm infants’ growth and body composition: a literature review. Nutrients 2020;12(4):1155.
6. Farah E, Barger MK, Klima C, et al, Hershberger P. Impaired lactation: review of delayed lactogenesis and insufficient lactation. Journal of midwifery & women's health. 2021;66(5):63140.
7. Lau C. Development of suck and swallow mechanisms in infants. Ann Nutr Metab 2015;66(Suppl 5):7-14.
8. Breastfeeding and the use of human milk. Policy statement. American Academy of Pediatrics. Pediatrics 2005;115(2), 496-506.
9. Hurst NM, Meier P. Breast feeding the preterm baby. Breastfeeding and Human Lactation 2005(3),367-400.
10. Vohr BR, Poindexter BB, Dusick AM, et al. Beneficial effects of breast milk in the neonatal intensive care unit on the developmental outcome of extremely low birth weight infants at 18 months of age. Pediatrics 2006;118(1):e115-23.
11. Sharma, IK, Byrne, A. Early initiation of breastfeeding: a systematic literature review of factors and barriers in South Asia. Int Breastfeed J 2016;11, 17.
12. Maggio L, Costa S, Zecca C, Giordano L. Methods of enteral feeding in preterm infants. Early Hum Dev 2012;88(Suppl 2):S31-S33.
13. Steurer LM, Smith JR. Manual expression of breast milk: A strategy to aid in breastfeeding success. The Journal of perinatal & neonatal nursing 2018 ;32(2):102-3.
14. Ru X, Huang X, Feng Q. Successful full lactation achieved by mothers of preterm infants using exclusive pumping. Front Pediatr 2020;8:191.
15. Glynn L, Goosen L. Manual expression of breast milk. J Hum Lact 2005;21(2):184-6.
16. Slusher T, Slusher IL, Biomdo M, et al. Electric breast pump use increases maternal milk volume in African nurseries. J Trop Pediatr 2007;53(2):125- 30.
17. Becker GE, Smith HA, Cooney F. Methods of milk expression for lactating women. Cochrane Database Syst Rev. 2016;9(9):CD006170.
18. Çınar N, Karakaya Suzan Ö, et al. Investigation of the effect of human milk expression techniques on milk content: a systematic review. J Trop Pediatr 2021;67(6):fmab108.
19. Dhanawat A, Behura SS, Panda SK. Manual Method vs Breast Pump for Breast Milk Expression in Mothers of Preterm Babies During First Postnatal Week: A Randomized Controlled Trial. Indian Pediatr 2022;59(8):608-12.
20. Lussier MM, Brownell EA, Proulx TA, et al. Daily breastmilk volume in mothers of very low birth weight neonates: A repeated-measures randomized trial of hand expression versus electric breast pump expression. Breastfeed Med 2015;10(6):312-7.
21. Dlima A, Sreekumar K, Silveira MP. Daily breastmilk volume in mothers of very-low-birthweight neonates: a randomized trial of hand expression versus electric pump form expression. Breastfeed Rev 2024;32(1).
