| 【Objective】The purpose of this study was to explore the effect of antenatal milk expression on breastfeeding for first‐time mothers during postpartum hospitalization,to promote the early establishment of breastfeeding,and to provide ideas and references for the optimization of health education model of prenatal breastfeeding in the future.【Methods】A randomized controlled trial was conducted in a tertiary hospital in Haikou,Hainan.We recruited pregnant women who had completed 37 weeks of gestation and randomly assigned them to either the intervention group(n=45)or the control group(n=45).Women in the control group received standard care that included breastfeeding health education and guidance,whereas women in the intervention group received standard care,as well as instructions on hand expressing breast milk.The following outcomes will be compared: breastfeeding self-efficacy scores at 37 weeks of gestation,38 weeks of gestation and the third day postpartum;first time breastfeeding;time to lactogenesis II;the rate of exclusive breastfeeding.【Results】Out of 90 cases,9 cases had lost in the control group while 6 cases fallen off in the intervention group.Finally,leaving 75 cases available for the primary analysis(39in intervention group and 36 in the control group).1.There were no statistically significant differences in the general information,the level of breastfeeding self-efficacy between the two groups before intervention and time to first time breastfeeding(P>0.05).2.There was no significant difference in breastfeeding self-efficancy scores between the two groups before intervention(P > 0.05),while the postintervention scores was higher than those of the control group at 38 weeks of gestation and the third day after delivery(P<0.05).Breastfeeding self-efficacy scores in both groups increases with time.There were interaction effects between groups and a time effect of the breastfeeding self-efficacy scores.The intervention group shows a stronger increase in breastfeeding self-efficacy scores over time than the control group(P <0.05).3.The time to lactogenesis II in the intervention group was earlier than that in the control group(P<0.05).The higher the frequency of expressing,the earlier the onset of lactation.4.Compared with the control group,the intervention group had higher exclusive breastfeeding rate during the first 3 days after delivery,and the difference was statistically significant(P<0.05).【Conclusions】1.New mother ￠ s breastfeeding self-efficacy is low,antenatal breast milk expression at term can further strengthen maternal breastfeeding knowledge and skills,thereby improving the confidence inability to breastfeed.2.Primipara have a higher rate of delayed lactogenesis II than multipara,antenatal breast milk expression at term increase prolactin and serolactin levels by stimulating breast tissue,promoting postnatal lactation initiation and reducing the incidence of delayed lactogenesis II.3.The early postpartum period is a critical period for the establishment of breastfeeding,antenatal breast milk expression at term increase the percentage of breastfed infants during their hospital stay,these infants were able to avoid infant formula milk in this important early period. |
