Effect of Oketani Breast Massage on Promoting Breastfeeding

N/ANot Yet RecruitingNCT07354360

Mansoura University100 enrolled

Overview

Breastfeeding is essential for infant survival and maternal health; however, many primipara women experience breastfeeding difficulties in the early postpartum period, particularly breast engorgement, ineffective milk transfer, and low breastfeeding self-efficacy, which may compromise successful breastfeeding. Oketani massage is a non-pharmacological, cost-effective breast massage technique developed to enhance milk flow, reduce breast engorgement, and improve maternal comfort during breastfeeding. This study aims to evaluate the effect of Oketani massage on successful breastfeeding among primipara women. Successful breastfeeding will be assessed through indicators of effective milk transfer, breastfeeding frequency, breast softness after feeding, engorgement prevention and maternal breastfeeding self-efficacy. The findings of this study may support the use of Oketani massage as a supportive nursing intervention to promote successful breastfeeding outcomes in the early postpartum period

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

100

Conditions

Breastfeeding Massage Breastfeeding Self-Efficacy

Interventions

Oketani massage groupOTHER

primipara who meet inclusion criteria and who are assigned to the intervention group will be informed about the study and their consent will be obtained.. Primipara mothers in the intervention group will receive Oketani massage after delivery to enhance successful breastfeeding. The massage is performed using 8 specific hand steps (7 steps for separating the mammary glands and 1 step for expression). Each session lasts 15-20 minutes and is repeated according to the study protocol. the researcher will train primipara relatives to apply Oketani massage after discharge to primipara after discharge. The massage aims to increase milk flow, reduce breast engorgement, improve breast softness, enhance nipple elasticity, and increase maternal comfort and breastfeeding self-efficacy.

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 35 Years

Medical Language ↔ Plain English

inclusion criteria: 1. Age between 18 and 35 years 2. Singleton pregnancy 3. Term gestation (\>37-40 weeks). 4. Women willing to breast feed 5. The woman will deliver by cesarean section and has relative with her 6. Absence of maternal physical and/ or mental illness that prevents breastfeeding. The exclusion criteria include: 1. Women with breast problems such as breast tumors, breast surgery and nipple problems 2. Women have obstetric complications as postpartum hemorrhage. 3. Neonatal problems

Outcomes

Primary Outcomes

The LATCH Assessment sheet

It will be adopted from (Jensen et al, 1994) to assess primipara women's need for breastfeeding support, it is numbered from zero to ten, and getting a score of less than ten offers the women's need for more support during breastfeeding. The letters of the acronym LATCH appoint separate areas of assessment: L (Latch) for how well the infant latches onto the breast; A (Audible swallowing) refers the amount of audible swallowing noted while nursing the neonate; T (Type of nipple) for the women's nipple type; C (Comfort) for the women's level of comfort regarding the breast and nipple; and H (Hold) indicates to whether or not the women need help in positioning the infant. Scoring system: The system assigns a numerical score, 0, 1, or 2, to five key statements. LATCH score of poor (0 to 3), moderate (4 to 7), and good (8 to 10)

Time frame: baseline; 2nd time after the 1st six hours after birth and the third time on 1 day of discharge

Secondary Outcomes

Infant Breastfeeding Assessment Tool (IBFAT).

It will be adopted from (Matthews, 1988) to assess the infant state and contains four statements as the following: (1) infant readiness to feed/reusability, (2) rooting, (3) fixing (the time needed to latch to the breast), and (4) the sucking pattern. Scoring system: Each item is scored on a scale of 0-3, with minimum and maximum scores of 0 to 12, respectively. A score of 10-12 refers to completely successful breastfeeding behavior, a score of 7-9 indicates relatively successful breastfeeding behavior and a score of 0-6 suggests unsuccessful breastfeeding behavior.