A study to evaluate the effectiveness of lactation promotion bundle on production of breastmilk and breastfeeding practices among mothers admitted at tertiary care center of western Rajasthan
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- breastmilk volume
研究概览
简要总结
One of the wisest investments any government can make to improve population health is to encourage breastfeeding. There is a low rate of breastfeeding in Rajasthan for a variety of reasons, including low maternal awareness, mental health, and education.A delay in lactation initiation, postpartum stress might result in lower breastmilk and non-exclusive breastfeeding.
For breastfeeding to be successful mothers need support, education, and relief from anxiety and stress. The study aims to determine the effect of lactation promotion bundle on production of breastmilk and breastfeeding practices among mothers.
The population of interest for this study is post-natal mothers and their new-born.
Preparation and validation of an evidence-based Lactation Promotion Bundle will be done.
Mothers will be screened for inclusion criteria by interview method. First control group samples will be taken. After asking for voluntary participation in the study, consent will be obtained from subjects in the control group and data related to personal variables will be collected. On day 1st, 2nd , and 3rd, observation of volume of breastmilk production and breastfeeding practices among post-natal mothers in the control group will be done and in between each observation routine care will be provided.
After collecting data from the control group experimental group will be enrolled in the study. After asking for voluntarily participation in the study, consent will be obtained from the subjects and data related to personal variables will be collected. On day 1st observation of volume of breastmilk production and breastfeeding practices among postnatal mothers will be done prior to administration of Lactation Promotion Bundle. Further LPB will be administered as per the intervention protocol. On days 2nd and 3rd, observation of volume of breastmilk production and breastfeeding practices among post-natal mothers will be carried out in experimental group, and before each observation, intervention in the form of lactation promotion bundle will be repeated by mothers, for which checklist will be provided.Data will be collected through face to face interview and observation using Bristol breastfeeding assessment tool and breastpump.
The outcome of the study will provide valuable insight into the effectiveness of lactation promotion bundle in improving breastmilk and breastfeeding practices among mothers.
INTERVENTION
-
Breastfeeding counselling - which include education on breastfeeding techniques like the positioning of mother and baby, breastfeeding positions, latching and attachment of baby to breast.
-
Breastmassage - which include demonstration of breastmassage which mothers will follow for 5 min on each breast, 10min prior to breastfeeding.
3.Relaxation therapy - for 15-20min include Breathing exercises (Anulom vilom, Box breathing, Bhramari Pranayama ) and meditation music which they will listen for relaxation.
4.Skin to skin contact- demonstration will be given with the help of video and mothers will perform for 60min twice a day.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 盲法
- None
入排标准
- 年龄范围
- 1.00 Day(s) 至 40.00 Year(s)（—）
- 性别
- All
入选标准
- •a)Healthy new-born more than 35 weeks gestation delivered vaginally both with and without an episiotomy b)Spontaneous cry immediately after birth c)Mothers with low milk production who are not able to breastfeed their new-born d)Mothers who are willing to participate in the study e)Day 1st of delivery.
排除标准
- •a)New-born requiring initial resuscitation b)New-born admitted to NICU c)New-born with congenital malformation d)Mother producing enough breastmilk secretion e)Mothers with active herpes simplex lesions on the breast f)Mother taking Anti-tuberculosis medication g)Mother with HIV infection, COVID-19 infection h)Mother on chemotherapy or recent use of radioactive agent i)Mothers with other co-morbidities in which breastfeeding is contraindicated.
结局指标
主要结局
breastmilk volume
时间窗: 3 days
breastfeeding practices of mothers
时间窗: 3 days
次要结局
- not applicable(not applicable)
研究者
Swarnika Negi
ALL INDIA INSTITUTE OF MEDICAL SCIENCES, JODHPUR