Effect of pectoralis major myofascial release massage for breastfeeding mothers on breast pain, engorgement, and newborns’ breast milk intake and sleeping patterns in Korea: a randomized controlled trial
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: Supportive interventions to improve breastfeeding practice are needed in nursing. This study investigated the effects of pectoralis major myofascial release massage (MRM) on breast pain and engorgement among breastfeeding mothers and on breast milk intake and sleep patterns among newborns. Methods: Breastfeeding mothers who had delivered between 37 and 43 weeks and had 7- to 14-day-old newborns were recruited from a postpartum care center in Gunpo, Korea. Participants were randomized to the MRM or control group. The outcome variables were breast pain and breast engorgement among breastfeeding mothers and breast milk intake and sleep time among newborns. The experimental treatment involved applying MRM to separate the pectoralis major muscle and the underlying breast tissue in the chest. After delivery, the first MRM session (MRM I) was provided by a breast specialist nurse, and the second (MRM II) was administered 48 hours after MRM I. Results: Following MRM, breast pain (MRM I: t=−5.38, p<.001; MRM II: t=−10.05, p<.001), breast engorgement (MRM I: right, t=−1.68, p =.100; left, t=−2.13, p=.037 and MRM II: right, t=−4.50, p<.001; left, t=−3.74, p<.001), and newborn breast milk intake (MRM I: t=3.10, p=.003; MRM II: t=3.09, p=.003) differed significantly between the groups. Conclusion: MRM effectively reduced breast engorgement and breast pain in breastfeeding mothers, reducing the need for formula supplementation, and increasing newborns’ breast milk intake. Therefore, MRM can be utilized as an effective nursing intervention to alleviate discomfort during breastfeeding and to improve the rate of breastfeeding practice (clinical trial number: KCT0002436).
Abstract
Purpose: Supportive interventions to improve breastfeeding practice are needed in nursing. This study investigated the effects of pectoralis major myofascial release massage (MRM) on breast pain and engorgement among breastfeeding mothers and on breast milk intake and sleep patterns among newborns. Methods: Breastfeeding mothers who had delivered between 37 and 43 weeks and had 7- to 14-day-old newborns were recruited from a postpartum care center in Gunpo, Korea. Participants were randomized to the MRM or control group. The outcome variables were breast pain and breast engorgement among breastfeeding mothers and breast milk intake and sleep time among newborns. The experimental treatment involved applying MRM to separate the pectoralis major muscle and the underlying breast tissue in the chest. After delivery, the first MRM session (MRM I) was provided by a breast specialist nurse, and the second (MRM II) was administered 48 hours after MRM I. Results: Following MRM, breast pain (MRM I: t=−5.38, p<.001; MRM II: t=−10.05, p<.001), breast engorgement (MRM I: right, t=−1.68, p =.100; left, t=−2.13, p=.037 and MRM II: right, t=−4.50, p<.001; left, t=−3.74, p<.001), and newborn breast milk intake (MRM I: t=3.10, p=.003; MRM II: t=3.09, p=.003) differed significantly between the groups. Conclusion: MRM effectively reduced breast engorgement and breast pain in breastfeeding mothers, reducing the need for formula supplementation, and increasing newborns’ breast milk intake. Therefore, MRM can be utilized as an effective nursing intervention to alleviate discomfort during breastfeeding and to improve the rate of breastfeeding practice (clinical trial number: KCT0002436).
참고문헌 (21)
- Schanler RJ, "Outcomes of human milk-fed premature infants", Semin Perinatol, 35(1), pp.29~33 (2011)[DOI]
- Sosseh SAL, "Cultural beliefs, attitudes and perceptions of lactating mothers on exclusive breastfeeding in The Gambia : an ethnographic study", BMC Womens Health, 23(1), pp.18~ (2023)[DOI]
- Tran V, "Barriers and facilitators to exclusive breastfeeding among Black mothers : a qualitative study utilizing a modified Barrier Analysis approach", Matern Child Nutr, 19(1), pp.e13428~ (2023)[DOI]
- Pereira-Kotze C, "Maternity protection entitlements for non-standard workers in low-and-middle-income countries and potential implications for breastfeeding practices : a scoping review of research since 2000", Int Breastfeed J, 18(1), pp.9~ (2023)[DOI]
- Miller EB, "Collateral benefits from a school-readiness intervention on breastfeeding : a cross-domain impact evaluation", Matern Child Nutr, 19(1), pp.e13446~ (2023)[DOI]
- Prentice AM, "Breastfeeding in the modern world", Ann Nutr Metab, 78(Suppl 2), pp.29~38 (2022)[DOI]
- Kim HR, "Breastfeeding trends, affecting factors and policy options for breastfeeding promotion in Korea", Health Welf Policy Forum, 201, pp.49~60 (2013)
- "National Comprehensive Plan for Health Promotion: breastfeeding rate at 6 months after birth: from Korean National Health and Nutrition Examination Survey" (2020)[URL]
- "Domestic breastfeeding survey 2016" (2016)[URL]
- 조정숙, "유방울혈이 있는 제왕절개분만 산모를 위한 모유수유 증진 프로그램의 개발 및 평가", Journal of Korean Academy of Nursing, 44(2), pp.170~178 (2014), 한국간호과학회
- 엄길란, "부산지역의 모유수유 실태 및 관련요인", 한국모자보건학회지, 11(1), pp.78~85 (2007), 한국모자보건학회[DOI]
- Chan SM, "Breastfeeding failure in a longitudinal post-partum maternal nutrition study in Hong Kong", J Paediatr Child Health, 36(5), pp.466~471 (2000)[DOI]
- 정성훈, "Trends of Breastfeeding Rate in Korea (1994-2012): Comparison with OECD and Other Countries", Journal of Korean Medical Science, 28(11), pp.1573~1580 (2013), 대한의학회
- 송지아, "산욕기 산모의 유방간호에 대한 체계적 문헌고찰", 여성건강간호학회지, 25(3), pp.258~272 (2019), 한국여성건강간호학회[DOI]
- Kernerman E, "Severe breast pain resolved with pectoral muscle massage", J Hum Lact, 30(3), pp.287~291 (2014)[DOI]
- Schulz KF, "CONSORT 2010 Statement : updated guidelines for reporting parallel group randomised trials", BMC Med, 8, pp.18~ (2010)[DOI]
- Faul F, "G* Power (version 3.1. 9.2)", University of Kiel, ~ (2014)
- 강경애, "유방 마사지가 가임기 여성의 월경 전 주기적 유방통 완화에 미치는 효과", 한국융합학회논문지, 13(3), pp.353~362 (2022), 한국융합학회[DOI]
- Gray JR, "Burns & Grove’s the practice of nursing research: appraisal, synthesis, and generation of evidence", pp.417~418 (2021), Elsevier
- Thomas AA, "A quasi-experimental study to assess the effectiveness of chilled cabbage leaves on breast engorgement among postnatal mothers admitted in a selected hospital of Delhi", Int J Nurs Midwif Res, 4(1), pp.8~13 (2017)[DOI]
- Demirci JR, "Breastfeeding and short sleep duration in mothers and 6-11-month-old infants", Infant Behav Dev, 35(4), pp.884~886 (2012)[DOI]