LITERATUR REVIEW:PENGETAHUAN IBU DALAM PEMBERIAN ASI PERAH (BREAST PUMPING) DENGAN TERCAPAINYA KEBUTUHAN ASI EKSLUSIF BAYI

ASI merupakan makanan terbaik dan paling sempurna untuk bayi maka dari itu bayi usia 0-6 bulan hanya memerlukan ASI eksklusif tanpa tambahan lainya, pemberian ASI dapat dilakukan dengan cara breast pumbing metode ini digunakan bagi ibu yang bekerja diluar rumah untuk tetap memberikan ASI eksklusif pada anaknya. Tujuan : untuk menganalisis hubungan pengetahuan ibu dalam pemberian asi perah (breast pumping) dengan tercapainya kebutuhan asi ekslusif bayitahun 2020.Desain :Literature Review (LR). Sumber data : Database yang digunakan yaitu pubmed (tahun 2017 sd 2019) dan goole scholar (2013 sd 2019). Metode Review :pengetahuan, ASI eksklusif, breast pumping. Terdapat 25 artikel full teks dengan problem sesuai dengan kriteria inklusi yaitu hubunganpengetahuan Ibu Dalam Pemberian Asi Perah dengan tercapainya ASI eksklusif pada bayi, outcome ada hubungan ada hubungan pengetahuan Ibu Dalam Pemberian Asi Perah (Breast Pumping) dengan Tercapainya Kebutuhan Asi Ekslusif Bayi, desain studi cross-sectional dan tahun terbit mulai dari tahun 2013 dengan bahasa Indonesia dan bahasa inggris. Saran: Diharapkan para ibu untuk memberikan ASI secara eksklusif selama 6 bulan terutama ibu bekerja dengan cara breast pumping, hal ini bertujuan untuk memenuhi hak kesehatan anak dan menjaga asupan amakanan yang berkualitas bagi bayi usia 0-6 bulan yaitu ASI eksklusif

Experience of using plant complexes in physiological completion of lactation

Ending breastfeeding is often quite a challenge for women, justifying the need for qualified medical counseling and accompaniment by a doctor. Quite frequently during weaning the baby, women complain about pain, discomfort and swelling of the breasts, which affects their overall physical and psychological well-being. However, due to possible rather serious side effects, medical support for stopping lactation is mostly recommended for women with clinical indications.Research aim: to determine the effectiveness of the proposed method with Normomens for physiological completion of lactation.Materials and methods. The study involved 65 women with an average duration of lactation 9 ± 1.23 months. Patients were divided into two groups: group 1 included 34 women who received Normomens according to the scheme to stop lactation; group 2 included 31 patients who did not receive any medication. Patients were gynecological examined and counseled by oncologist. Patients' diaries included questions about the duration of lactation, presence and severity of mastalgia according to the Visual Analogue Scale, necessity of analgesics, frequency of breast pumping per day, features of psycho-emotional state according to the Hospital Anxiety and Depression Scale. Prolactin levels were also determined at the screening visit and on 25th day after weaning.Results. On the background of Normomens use the process of lactation completion was significantly easier, its completion came mostly on the 3–4 day after drug use, patients almost never complained of pain and discomfort in mammary glands, they less frequently breast pumped and had a more stable psycho-emotional state compared to the control group. Рrolactin level with usage of Normomens had a quick decrease compared to the control group.Conclusion. Normomens using for support the physiological finishing of lactation lead to acceleration of involutive processes in mammary glands, reduces pain severity and prevented psycho-emotional disorders in women.

Chlorine Solutions for a Safe Method of Decontamination of Breast Pump Milk Collection Kits Before and After the Coronavirus Disease 2019 Pandemic

To promote breast feeding and breast pumping is essential for the most vulnerable infants even if the current coronavirus disease 2019 (COVID-19) pandemic sanitary crisis imposes more stringent hygienic measures. As recommended by the Centers for Disease Control and Prevention, World Health Organization, and Milk Bank Association, “after each pumping session, all pump part that come into contact with breast milk should be appropriately disinfected.” The present study proposed different methods than can be used and focus on the safety analysis of chlorine solution (CS) in terms of residual hypochlorous acid (HCA) and total trihalomethanes (THM). We also performed an efficacy testing of the CS approach to decontaminate the devices used to collect the milk (breast pumps and bottles). The bacteriologic results of 1,982 breast pump milk samples collected in three different settings showed a major decrease of the microbial contamination using either sterile device or decontamination with CS compared to a simple soap washing. The main messages from our study are to propose a guideline for the safe use of CS and to define situations when breast pump decontamination might be necessary: vulnerable babies for which sterile device is recommended; special circumstances, for example the current COVID-19 pandemic; special situations, for example women living in precarious conditions; or women pumping their milk at work but that would have low or no access to boiled water. Overall, cold decontamination reduced losses of milk for bacteriological reasons in human milk banks and may also be interesting to prevent horizontal contamination by virus like COVID-19.

The physiological effects of massage before breast pumping on blood flow, temperature, and tension – A pilot study

Aim: To test the feasibility of our ultrasound protocol in evaluating the physiological changes during breast milk expression, and the impact of breast massage on temperature, blood flow and tension.Method: Breast massage was used for the right breast, and the left breast had no massage. Temperature was measured at baseline, post massage (for right breast), and post pump. The ultrasound scans were performed using a Toshiba Aplio 500 system (Toshiba Medical Systems, Otawara, Japan). B-mode, doppler ultrasound and shear wave elastography (SWE) were used. Blood flow of the IMA and LTA were measured at baseline, post massage (for right breast), 10 minutes into pump (relaxation and tension phase), and post pump. SWE was used to measure breast tension during the tension and relaxation phase of breast pump, after the breast milk was completely drained.Results: There was a slight decrease in breast temperature post massage, and further decreased post pump. With breast massage, the SWE values were higher at relaxation phase compared to no massage (left breast). However, with massage, the tension phase also showed less increase of SWE values compared to no massage, and appeared to be lower than no massage. Blood flow of IMA did not appear to follow a particular trend, with and without massage. Conclusion: Breast massage prior to pumping breast milk helped to reduce the temperature of the breast, showing that it has an effect in relieving breast engorgement. Massage also reduced the tension of the breast during the pump tension (suction) phase. There was no observable trend of massage on blood flow in both the IMQ and LTA.

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

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.

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

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.

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

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.