The Clinical Contrast Study Of Early Lactation With Semi-acupuncture Plus Massage

Objective: This topic was aimed at observing the early lactation time,the degree of milk secretion、breast tenderness after 3 days and the degree of milk secretion of primiparas after 42 days to evaluate the curative effect,observing and recording the adverse event/untoward effect within the treating to evaluate the safety,testing the content of prolactin,estrogen,progesterone to discuss the mechanism of action.To provide a secure and effective method for the clinical prevention and treatment of Postpartum Hypogalactia.Methods: 140 primiparas from The sixth hospital of Shijiazhuang(from August/2013 to April/2014)of normal mature vagina delivery. all the primi-paras that choosed by Inclusion criteria were random separate in treatment group and control group by envelope method,and each group had 70 puer-peras.Treatment group:Treat in 2 hours after delivery:1)conventional pro-cessing:Using a towel with 45 to 50 in hot and humid covering breasts( 3℃-5 minutes),then using clean swabs to clear the cradle cap and dirt from nipple surface to Ensure the mouth of lactiferous duct open.2)Semi- acupuncture : semi-acupuncture by 30, 0.5-inch hua tuo card filiform needle to the acupoint around breast-(qihu,lingxu,zhourong,tianxi,rugen,danzhong).-3)Massage:-With heel of hand to rub the entire breast in ring form(2minuts).- Rubbing from mammary areola to nipple gently with index and middle finger-(2minuts).and the massage strength for primipara feel acid, swelling and the pain is advisable. With one hand hold the breast,the other hand to rub from Milk root to nipple(5minuts).④Grabing with five figers from Milk root to nipple(2minuts).⑤With thumb and index hold nipple to cross traction motion.⑥Rubbingjianjing,quchi,hegu,zhongwan,xuehai,zusanli,sanyinjiao,0.5minutes,an acupoint.Control group:Don’t do any treatment,besides conventional processing. Personnel records the early lactation time,the degree of milk secretion, breast tenderness afer 3 days and the degree of milk se-cretion of primipara in control group and treatment group after 42 days.Finally using spss13.0 statistics software to analysis.Results 1 the general data comparison: 1.1 Two groups of age balance inspection:P>0.05,There was no significant difference in two groups. 1.2 Two groups of gestational age balance inspection:P>0.05,There was no significant difference in two groups. 1.3 Two groups of Prolactin 、 Estrogen 、 Progesterone levels before treatment:compare Prolactin content:P>0.05,There was no significant difference in two groups;compare Estrogen content:P>0.05,There was no significant difference in two groups;compare Progesterone content: P>0.05,There was no significant difference in two groups. 2 colostrum time comparison:The two groups after treatment,P<0.05,There are statistically significant, Treatment group curative effect more pronounced. 3 milk production comparison:24 hours after treatment,P<0.01,There are statistically significant; 48 hours after treatment, P<0.01,There are statistically significant; 72 hours after treatment, P<0.01,There are statistically significant, Treatment group curative effect more pronounced. 4 compare breast filling level:24 hours after treatment,P<0.01,There are statistically significant; 48 hours after treatment, P<0.01,There are statistically significant; 72 hours after treatment, P<0.01,There are statistically significant. Treatment group curative effect more pronounced. 5 Compare breast pain level:after treatment,P<0.05,There are statistically significant, Treatment group curative effect more pronounced. 6 Compare 42 day Milk secretion:P<0.05,There are statistically significant, Treatment group curative effect more pronounced. 7 Compare Prolactin content:P<0.05,There are statistical significance. Prolactin levels after treatment in both groups had significant difference. Treatment group curative effect more pronounced 8 Compare Estrogen content:P<0.05,There are statistical significance.Estrogen levels after treatment in both groups had significant difference. Treatment group curative effect more pronounced 9 Compare Progesterone content:P<0.05,There are statistical significance. Progesterone levels after treatment in both groups had significant difference shows that the treatment group curative effect is more significant. 10 adverse events/adverse reactions:P>0.05,There was no significant difference in two groups. Methods of intervention was safe.Conclusions1 Treatment group Milk supply increased significantly,early lactation ahead of time clearly,breast pain reduced significantly, breast filling degree improved, compared with the control group, there are statistically significant(P<0.01).2 Within 2 hours of delivery,Semi- acupuncture plus Massage can promote early lactation,more lactation and reduce pain of primipara.Delivering 42 days review breastfeeding,the treatment group exclusive breastfeeding rate was 74.2%; the control group exclusive breastfeeding rate was 38.7%.Within 2 hours of delivery,Semi- acupuncture plus Massage can significantly increase the breastfeeding rate.3 The linical effect observation of the treatment,all primiparas without exception and no adverse reaction, neonatal physical condition does not appear abnormal. The safety indicators before and after treatment(blood, urine, stool routine,blood clotting function,and electrocardiogram) had no obvious change, all of them in the normal range. Postpartum 42 days to review, infant and puerperas body recovery is normal.4 The Prolactin and Progesterone Estrogenof treatment group maintain a higher level, Estrogen keeping a lower level.Within 2 hours of delivery,Semi- acupuncture plus Massage can significantly increase the content of Pro-lactin and Estrogen,and decrease the content of Progesterone.Thus,promote breast development, stimulate and maintain milk at all.