scholarly journals Effects of three methods of breast milk expression on breastfeeding initiation, breast milk extraction and proportion of exclusive breastfeeding—an open label, randomized controlled trial

2020 ◽  
Author(s):  
Yun Zhou ◽  
Jiaying Ni ◽  
Chenchen Zhou ◽  
Ying Chen ◽  
Julian Little ◽  
...  
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Secondary Outcome ◽  
Breastfeeding Initiation ◽  
Breast Volume ◽  
Data Set ◽  
Breast Milk Expression ◽  
Milk Volume ◽  
Breast Pumping ◽  
Time Required

Abstract Background Direct breastfeeding has multiple health benefits. Some mothers need to express their breasts when directly breast feeding is unavailable immediately after delivery. However, there is insufficient evidence regarding an effective method of breast milk expression in the absence of an infant's suction. This trial was designed to investigate the effects of different methods of breast milk expression on breastfeeding initiation, efficacy of breast milk extraction, and on the rate of exclusive breastfeeding at 6 months. Methods The participants of mother-infant dyads separated immediately after birth for at least 6 hrs were recruited and randomly assigned (1:1:1) into three groups: (1) hand expression of breast milk; (2) sequential and (3) simultaneous electrical breast pumping. The two primary outcome measures were the time required for initiation of breastfeeding and the milk volume expressed in a 10-minute session (direct breastfeeding in hand expression group) at 3 days and at 6 weeks; a secondary outcome was the proportion of exclusive breastfeeding at 4 and 6 months. Intention-to-treat data set was used in this analysis. Results Between 2018 and 2019, we recruited 226 participants, of whom 154 were randomized. The median time (in hour) of breastfeeding initiation of sequential (46.5, 95% CI 36.1-50.5) and simultaneous (45.6, 95% CI 34.2-53.0) breast pumping groups did not differ from those of hand expression (46.7, 95% CI 40.8-50.0) (p=1.000). At 3 days the breast volume through simultaneous pumping (13.1±10.9 ml), but not sequential pumping (16.7±11.6 ml) (p=0.560), was significantly less than hand expression (23.8±26.2 ml through direct sucking) (p=0.007). At 6 weeks the breast volume through sequential pumping (64.7±51.0 ml), but not simultaneous pumping (71.6±50.8 ml) (p=0.670), was significantly less than hand expression (89.8±67.3 ml through direct sucking) (p=0.035). The breast milk volume through sequential breast pumping (10 min per breast) was 37.9 ml less than those of simultaneous pumping (p=0.000). The rate of exclusive breastfeeding at 4 months was 21.0%, and at 6 months 10.6%, and did not differ between the three methods of breast milk expression. Conclusions Hand expression, sequential breast pumping, or simultaneous breast pumping in absence of immediate infant suction after birth did not show differences on the time required to initiate breastfeeding, or on the rate of exclusive breastfeeding at 4 and 6 months. Trial registration This trial was registered with www.chictr.org.cn (ChiCTR1800018193) on 4 September 2018.

scholarly journals Effects of three methods of breast milk expression on breastfeeding initiation, breast milk extraction and proportion of exclusive breastfeeding—an open label, randomized controlled trial

2021 ◽  
Author(s):  
Yun Zhou ◽  
Jiaying Ni ◽  
Chenchen Zhou ◽  
Ying Chen ◽  
Julian Little ◽  
...  
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Controlled Trial ◽  
Secondary Outcome ◽  
Breastfeeding Initiation ◽  
Open Label ◽  
Breast Milk Expression ◽  
Milk Volume ◽  
Breast Pumping ◽  
Time Required

Abstract Background Direct breastfeeding has multiple health benefits. However, in certain circumstances direct breastfeeding is not possible immediately after delivery, yet provision of infants with their mother’s milk is important. There is insufficient evidence regarding an effective method of breast milk expression in the absence of an infant's suction. Therefore, we undertook a trial to investigate the effects of different methods of breast milk expression on breastfeeding initiation, efficacy of breast milk extraction, and on the rate of exclusive breastfeeding at 6 months. Methods The participants of mother-infant dyads separated immediately after birth for at least 6 hrs were recruited and randomly assigned (1:1:1) into three groups: (1) hand expression of breast milk; (2) sequential and (3) simultaneous electrical breast pumping. The two primary outcome measures were the time required for initiation of breastfeeding and the milk volume expressed in a 10-minute session (direct breastfeeding in hand expression group) at 3 days and at 6 weeks; a secondary outcome was the proportion of exclusive breastfeeding at 4 and 6 months. The data were analysed according to intention-to-treat. Results Between 2018 and 2019, we recruited 226 participants, of whom 154 were randomized. The median time (in hours) of breastfeeding initiation of the sequential (46.5, 95% CI 36.1-50.5) and simultaneous (45.6, 95% CI 34.2-53.0) breast pumping groups did not differ from those of hand expression group (46.7, 95% CI 40.8-50.0) (p=1.000). At 3 days the breast milk volume (10 min per breast) through simultaneous pumping (13.1±10.9 ml), but not sequential pumping (16.7±11.6 ml) (p=0.560), was significantly less than hand expression (23.8±26.2 ml through direct sucking) (p=0.007). At 6 weeks the breast milk volume through sequential pumping (64.7±51.0 ml), but not simultaneous pumping (71.6±50.8 ml) (p=0.670), was significantly less than hand expression (89.8±67.3 ml through direct sucking) (p=0.035). The breast milk volume obtained through sequential breast pumping was 37.9 ml less than that obtained by those of simultaneous pumping (p<0.001). The rate of exclusive breastfeeding at 4 months was 21.0%, and at 6 months 10.6%, and did not differ between the three methods of breast milk expression. Conclusions Hand expression, sequential breast pumping, or simultaneous breast pumping in absence of immediate infant suction after birth did not show differences on the time required to initiate breastfeeding, or on the rate of exclusive breastfeeding at 4 and 6 months. Trial registration This trial was registered with www.chictr.org.cn (ChiCTR1800018193) on 4 September 2018.

scholarly journals Effects of three methods of breast milk expression on breastfeeding initiation, breast milk extraction and proportion of exclusive breastfeeding—an open label, randomized controlled trial

2020 ◽  
Author(s):  
Yun Zhou ◽  
Jiaying Ni ◽  
Chenchen Zhou ◽  
Ying Chen ◽  
Julian Little ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Controlled Trial ◽  
Breastfeeding Initiation ◽  
Open Label ◽  
Breast Milk Expression ◽  
Randomized Controlled ◽  
Breast Pumping ◽  
Time Required

Abstract Background Direct breastfeeding hasmultiple health benefits. Some mothers need to express their breasts when directly breast feeding is unavailable after delivery . However, there is insufficient evidence regarding an effective method of breast milk expression in the absence of an infant's suction. We aimed to investigate the effects of different methods of breast milk expression on breastfeeding initiation, efficacy of breast milk extraction, and on the rate of exclusive breastfeeding at 6 months. Methods In this open-label, randomized controlled trial, the participants of mother-infant dyads separated immediately after birth for at least 6 hrs were recruited and randomly assigned (1:1:1) into three groups: (1) hand expression of breast milk; (2) sequential electrical breast pumping: and (3) simultaneous electrical breast pumping. The two primary outcome measures were the time required for initiation of breastfeeding and the milk volume expressed in a 10-minute session (direct breastfeeding in hand expression group) at 3 days and at 6 weeks; a secondary outcome was the proportion of exclusive breastfeeding at 4 and 6 months. Analysis was according to intention-to-treat. Results Between 2018 and 2019, we recruited 226 participants, of whom 154 were randomized. The time to breastfeeding initiation showed no difference between the three groups. At 3 days and at 6 weeks, the volume of breast milk produced by 10 minutes of sequential pumping or simultaneous pumping was less than that of hand pumping before direct breastfeeding, while the volume did not differ significantly between the two pumping groups. However, simultaneous breast pumping was more effective than sequential pumping both in volume and saving time in women who had established breastfeeding. The rate of exclusive breastfeeding at 4 months was 21.0%, and at 6 months 10.6%, and did not differ between the three methods of breast milk expression. Conclusions Hand expression, sequential breast pumping, or simultaneous breast pumping in absence of immediate infant suction after birth did not show differences on the time required to initiate breastfeeding, or on the rate of exclusive breastfeeding at 4 and 6 months. Trial registration This trial was registered with www.chictr.org.cn (ChiCTR1800018193) on 4 September 2018.

scholarly journals Pelatihan Manajemen Laktasi untuk Ibu Hamil dan Ibu Menyusui: Upaya Optimalisasi Tumbuh Kembang Anak

2019 ◽  
Vol 4 (1) ◽  
pp. 47-52
Author(s):  
Qodri Santosa ◽  
Miko Ferrine ◽  
Muhammad Fakih ◽  
Alfi Muntafiah
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Management Training ◽  
Child Growth ◽  
Rank Test ◽  
Breastfeeding Initiation ◽  
Significant Difference ◽  
Post Test ◽  
Level Of Knowledge ◽  
Demonstration Video

LACTATION MANAGEMENT TRAINING FOR PREGNANT WOMEN AND BREASTFEEDING MOTHERS: EFFORTS TO OPTIMIZE CHILD GROWTH. The key person for making quality generation lies on mother, through breast milk. Breastfeeding, besides providing the best nutrition for optimal baby growth and development, it is also a form of love to a baby. Ironically, not all mothers realize and many mothers do not breastfeed their babies exclusively. The low level of knowledge and working mothers is often an obstacle for mothers to give exclusive breastfeeding. In Indonesia, almost 9 of 10 mothers give breast milk, but only 49.8% give exclusive breastfeeding for 6 months. Lactation management health promotion activities are carried out in accordance with WHO recommendations and the Indonesian government in promoting breastfeeding, especially increasing the achievement of the rate of early breastfeeding initiation and exclusive breastfeeding. The activities carried out using several methods: counseling, demonstration, video and discussion. We found that 54.1% of participants gave exclusive breastfeeding for 6 months, 27% for 4 months, and others 2-3 months. Wilcoxon Rank Test showed a significant difference (p = 0,000) between the score of pre-test and post-test, with a mean pre-test of 49.02 ± 19.74, and a mean post-test of 68.53 ± 20.00. Conclution: This activity increased participants' knowledge regarding lactation management.

scholarly journals Penyuluhan Persiapan ASI Ekslusif pada Ibu Hamil Di Desa Bori Kamase Kecamatan Maros Baru Kabupaten Maros

2021 ◽  
Vol 1 (02) ◽  
pp. 64-68
Author(s):  
Sitti Nurana ◽  
Sitti Hadriyanti Hamang
Keyword(s):  
Breast Milk ◽  
Pregnant Women ◽  
Exclusive Breastfeeding ◽  
Breastfeeding Initiation ◽  
Lactation Period ◽  
Formula Milk ◽  
Early Stages ◽  
Effective Activity ◽  
Breast Care ◽  
In Pregnancy

Lactation Preparation In pregnancy is an effective activity to increase exclusive breast milk coverage and early breastfeeding initiation (IMD). Participants are prioritized pregnant women as well as posyandu cadre mothers. The success of exclusive breastfeeding depends heavily on lactation preparation during pregnancy, often found in the field, the fundamental reasons mothers do not give breast milk to their babies are, (1) Breast milk has not come out on the first day, so given Formula Milk while waiting for mother's breast milk, (2) Breast milk is still a little, and (3) Nipples sink. Some of the above reasons can be anticipated in pregnancy at the age of aterm pregnancy, namely by explaining to the mother about the lactation process, the baby's need for breast milk in the early stages of birth and breast care at the age of aterm pregnancy, as well as the provision of knowledge about balanced nutrition that can be consumed during pregnancy to help increase the production of breast milk in the nifas / or lactation period, However, this group is open to others who have similar interests, such as husbands, or families who will support and accompany the mother during pregnancy until the process of breastfeeding later. Through the extension of lactation preparation given, it is expected that pregnant women can prepare the lactation process since pregnancy as an effort to successfully breastfeed exclusively.

scholarly journals EVALUASI PROGRAM MOTIVATOR ASI MOBILE IMOGIRI (MAMI) DI PUSKESMAS IMOGIRI I BANTUL DAERAH ISTIMEWA YOGYAKARTA

2018 ◽  
Vol 1 (1) ◽  
pp. 17
Author(s):  
Rini Puji Astuti ◽  
Lina Handayani ◽  
Arzani Arzani
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Government Regulation ◽  
Breastfeeding Initiation ◽  
Formula Milk ◽  
The Public ◽  
Interview Method ◽  
Nutritional Surveillance ◽  
Process Output ◽  
Improvement Programs

Background: Exclusive breastfeeding based on Government Regulation No. 33 of 2012 is breast milk given to infants since birth for six months, without adding and / or replacing with other foods or beverages (except medicines, vitamins and minerals). Nutrition improvement programs include several activities including nutritional surveillance, consultation, examination of toddlers by specialist doctors, monitoring of Exclusive Breastfeeding and Early Breastfeeding Initiation (IMD) as well as the empowerment of the Community Supporting Groups (KP-Ibu). The Imogiri (MAMI) Mobile ASI Motivator Program was formed in 2009 with its initial activities in the form of exclusive ASI mentoring activities with a background of frequent failures in exclusive breastfeeding in the first three months after the baby was born and 0-3 days the mother gave formula milk, then in the year 2015 was named as ASI Mobile Imogiri (MAMI) Motivator.Method: This study aims to determine the input, process, output, outcome, feedback and environment in the MAMI program. This research type was qualitative with descriptive approach using in-depth interview method and observation. This research was conducted at Puskesmas Imogiri I Bantul Special Region of Yogyakarta with 11 informants, consist of Program Coordinator, Head of Puskesmas, Posyandu cadre and lactating mother.Results: The number of human resources was sufficient but in quality is still said to be less. The public understands the importance of Exclusive Breast Milk, but overall the program has not run maximally. Children exclusively breastfed exclusively have better immunity than formula fed children. The environment of breastfeeding mothers has an important role in exclusive breastfeeding.Conclusion: The program is not running maximally yet.

scholarly journals REVIEW LITERATUR : DETERMINAN PEMBERIAN ASI EKSKLUSIF

2021 ◽  
Vol 16 (3) ◽  
pp. 926-930
Author(s):  
Risa Febriyani
Keyword(s):  
Breast Milk ◽  
Literature Review ◽  
Family Support ◽  
Exclusive Breastfeeding ◽  
Medical Personnel ◽  
Google Scholar ◽  
Breastfeeding Initiation

Breastfeeding is an obligation for a mother which aims to provide life and welfare to her baby which begins after the birth of the baby. The only ideal food for babies 0-6 months is exclusive breast milk aged 0-6 months because it contains all the nutrients needed by babies. However, many mothers do not give exclusive breastfeeding, so the factors that influence it must be investigated to encourage the success of exclusive breastfeeding. This study uses the Literature Review method, searches through Google Scholar and PubMed with the keywords "exclusive breastfeeding", "exclusive breastfeeding factors", "breastfeeding", and "factors that influence exclusive breastfeeding". Found 8 articles that match the topic, namely 5 international journals and 3 national journals that provide varied information on the determinants of exclusive breastfeeding. Based on the analysis, 6 determinants of the success of exclusive breastfeeding were found, including work, self-motivation, knowledge, family support, early breastfeeding initiation behavior (IMD) in mothers, and support from medical personnel

scholarly journals Hubungan Antara Pengetahuan Ibu dan IMD Dengan Praktik ASI Eksklusif

2017 ◽  
Vol 1 (4) ◽  
pp. 406
Author(s):  
Zuhud Nur Rosyid ◽  
Sri Sumarmi
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Random Sampling ◽  
Feeding Practice ◽  
Breastfeeding Initiation ◽  
Chi Square ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Cross Sectional Design ◽  
The Relationship

Background: Breast milk is the most appropriate food given to babies. Breast milk is the only drink or food that a baby needs at the age of 0-6 months first. Breast milk helps growth and development, contains anti-body and other essential nutrients that can protect babies from various diseases. In 2013, the exclusive breast milk presentation at Puskesmas Ayah I is 87.65%, decreasing in 2014 and 2015 become 78.26% and 71.65%. Many factors can influence the behavior of exclusive breastfeeding. Objectives: The purpose of this research was to analyze the relationship between mother knowledge and early breastfeeding initiation practice with exclusive breastfeeding prectices in the working area of Puskesmas Ayah I Kebumen Ditrict.Methods: The type of this research was quantitative using cross sectional design. This study was conducted from June-August of 2017. The population used was all mothers who were breastfeeding and had infants aged 6-11 months in three villages in the working area of Puskesmas Ayah I namely Tlagasari, Ayah and Bulurejo villages. Sampling by proportional random sampling method with sample size were 61 respondents. Data was analised by chi-square test.Results: The result showed that there was a relationship between mothers’s knowledge and exclusive breastfeding practice (p=0.000), and early breastfeeding initiation practice with Exclusive Breast-feeding practice (p=0.025)Conclusion: The mother's knowledge level on exclusive breastfeeding affects the success of exclusive breastfeeding practices. The existence of early initiation of breastfeeding practices by the mother, a greater chance in giving exclusive breastfeeding in infants.ABSTRAK Latar belakang : Air Susu Ibu (ASI) merupakan makanan yang paling tepat diberikan pada bayi. Air susu ibu satu-satunya minuman atau makanan yang diperlukan bayi pada usia 0-6 bulan pertama. ASI membantu pertumbuhan dan perkembangan, mengandung anti bodi dan zat gizi penting lainnya yang mampu melindungi bayi dari berbagai penyakit. Pada tahun 2013, cakupan ASI eksklusif di Puskesmas Ayah I sebesar 87, 65%, terjadi penurunan pada tahun 2014 dan tahun 2015 menjadi 78,26% dan 71,65%. Terdapat beberapa faktor yang berhubungan dengan perilaku pemberian ASI secara Eksklusif.Tujuan: Tujuan dari penelitian ini yaitu menganalisis hubungan antara pengetahuan ibu dan IMD dengan pemberian ASI secara eksklusif pada wilayah kerja Puskesmas Ayah I Kebumen.Metode : penelitian ini bersifat kuantitatif dengan desain cross sectional. Penelitian dilakukan bulan Juni sampai Agutus tahun 2017. Populasi dalam penelitian ini yaitu seluruh ibu yang pernah atau sedang menyusui dan memiliki bayi usia 6-11 bulan di desa Tlagasari, Ayah, dan Bulurejo Puskesmas Ayah I. Sampel diambil melalui metode proportional random sampling dan diperoleh sampel sebesar 61 responden. Analisis data menggunakan uji chi-square.Hasil : Bahwa ada hubungan yang bermakna antara pengetahuan ibu dengan pemberian ASI secara eksklusif (p=0,000), dan IMD dengan pemberian ASI secara eksklusif (p=0,025).Kesimpulan : Tingkat pengetahuan ibu mengenai ASI eksklusif berpengaruh terhadap keberhasilan praktik pemberian ASI eksklusif. Adanya praktik IMD oleh ibu, berpeluang lebih besar dalam memberikan ASI eksklusif pada bayi. 

scholarly journals The EMOTIONAL DEMONSTRATION (EMO DEMO) EFFECTIVELY IN INCREASING IMD AND EXCLUSIVE Breastfeeding IN PREGNANT WOMEN

2020 ◽  
Vol 15 (3) ◽  
pp. 345-351
Author(s):  
Renny - Sinaga ◽  
Vera Renta Siahaan
Keyword(s):  
Breast Milk ◽  
Pregnant Women ◽  
Exclusive Breastfeeding ◽  
Intervention Group ◽  
Experimental Studies ◽  
T Test ◽  
Breastfeeding Initiation ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental

ABSTRACT   Research background breastfeeding is the foundation of life. Breast milk is the best intake for babies. Unfortunately, until now, there are still a few mothers who provide exclusive breastfeeding for six months and continued for up to two years with complementary foods with breast milk for children. Data from the Ministry of Health noted that the rate of early breastfeeding initiation in Indonesia increased from 51.8 percent in 2016 to 57.8 percent in 2017 and 71.34% in 2019. Although the increase, this figure is said to be still far from the target of 90 percent. RI health profile, 2017). Health promotion techniques using emotional demonstration (emo demo) methods are thought to be able to increase the knowledge of pregnant women about the initiation of early breastfeeding and exclusive breast milk and are willing to do so after they give birth.The purpose of this study was to analyze the effectiveness of the emotional demonstration method as an effort to increase the implementation of early breastfeeding initiation and exclusive breastfeeding for breastfeeding mothers in Tanjung Tongah village, P.siantar.Method of quasi-experimental studies with pre-test and post-test approaches. The intervention group. The population was 45 pregnant women in the 3rd trimester of Tanjung Tongah and the entire population that met the inclusion and exclusion criteria were used as the study sample. Data collection through questionnaires and observation sheets. Data analysis used by t-test and chi-square.The results showed that there were differences in the mean knowledge of respondents about early initiation of breastfeeding and exclusive breastfeeding before and after the emo demo and p <0.00. And there is a relationship between knowledge of initiation of early breastfeeding and exclusive breast milk and exclusive breast milk.   Keywords: Emo demo, (;) IMD(;) exclusive breastfeeding(;)3rd-trimester pregnant women ABSTRAK   Latar belakang penelitian menyusui adalah dasar kehidupan. Air susu ibu (ASI) adalah asupan terbaik untuk bayi. Sayangnya, sampai saat ini, masih sedikit ibu yang memberikan ASI eksklusif selama enam bulan dan dilanjutkan hingga dua tahun dengan makanan pendamping ASI (MPASI) pada anak. Data Kementerian Kesehatan mencatat, angka inisiasi menyusui dini (IMD) di Indonesia meningkat dari 51,8 persen pada 2016 menjadi 57,8 persen pada 2017 dan 71,34 % pada tahun 2019. Kendati meningkat, angka itu disebut masih jauh dari target sebesar 90 persen.(1). Teknik promosi kesehatan dengan metode emotional demonstration (emo demo) diduga mampu menambah pengetahuan ibu hamil tentang IMD dan Asi Ekslusif, dan bersedia melakukan setelah mereka melahirkan. Tujuan penelitian ini adalah Menganalisis Efektifitas Metode Emotional Demonstration Sebagai Upaya Peningkatan Pelaksanaan IMD Dan Pemberian Asi Ekslusif Pada Ibu menyusui di Kelurahan Tanjung Tongah Kota P.Siantar. Metode quasi eksperimen studies dengan pendekatan pre test dan post test. Kelompok intervensi.  Populasi adalah ibu hamil trimester III yang ada dikelurahan Tanjung Tongah sebanyak  45 ibu dan seluruh populasi yang memenuhi kriteria inklusi dan ekslusi dijadikan sampel Penelitian. Pengumpulan data melalaui kuesioner dan lembar observasi. Analisa data yang digunakan dengan T-Test dan Chisquare.Hasil penelitian menunjukkan ada perbedaan rata-rata pengetahuan responden tentang IMD dan ASIeklusif sebelum dan sesudah dilakukan emo demo dan p<0,00. Dan terdapat  hubungan antara pengetahuan IMD dan ASI eklusif setelah emo demo dengan tindakan responden melakukan IMD dan Asi Eklusif.   Kata Kunci : Emo demo(;)IMD(;) ASI Eksklusif(;)Bumil trimester III

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