Evaluating the Safety and Efficacy of Manual Lymphatic Drainage with Thai Traditional Massage on Breast Milk Volume, Breast Pain and Engorgement in Post-Cesarean Mothers of Preterm Infants: A Randomized Controlled Trial



Sutisa Sritas1, Sudatip Kositamongkol2, 3, Sonthaya Nukaw4, Pratya Phetkate5, *
1 Applied Thai Traditional Medicine Practitioner, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand
2 Department of Pediatrics, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand
3 Center of Excellence in Modern Technology and Advanced Manufacturing for Medical innovation, Thammasat University
4 Registered nurse, Senior professional level, Lactation Clinic, Pediatric Outpatient Department, Thammasat University Hospital, Pathum Thani, Thailand
5 Department of Integrative Medicine, Chulabhorn International College of Medicine, Thammasat University, Pathum Thani, Thailand

Abstract

Background:

Less breast milk, breast pain, and engorgement are issues that the majority of postpartum mothers have to confront and overcome.

Objective:

This study examined the efficacy of Manual Lymphatic Drainage (MLD), Thai Traditional Massage (TTM), and standard post-partum nursing care on breast milk volume, breast pain, and engorgement in post-cesarean mothers of preterm infants.

Methods:

Thirty-two participants were randomly divided into 2 groups: an intervention group receiving MLD, TTM, and standard post-partum nursing care (n=16), and a control group receiving standard post-partum nursing care alone (n=16). Outcomes were assessed through breast milk volume, breast pain and engorgement scores, and participant satisfaction.

Results:

The study showed that the group receiving MLD, TTM, and standard post-partum nursing care had a safe and equivalent level of breast milk production compared to the control group. Additionally, there were no significant differences between groups regarding daily milk expression frequency, breast pain, and engorgement over seven days (p>0.05). However, the experimental group expressed a high level of satisfaction with the MLD, TTM, and standard post-partum nursing care interventions.

Conclusion:

The combination of MLD, TTM, and standard post-partum nursing care could be a viable alternative for managing post-cesarean care in mothers with preterm infants.

Keywords: Manual lymphatic drainage, Thai traditional massage, Standard post-partum nursing care, Breast milk, Breast pain, Breast engorgement.


Abstract Information


Identifiers and Pagination:

Year: 2023
Volume: 16
DOI: 10.2174/18749445-v16-e230921-2023-156

Article History:

Electronic publication date: 21/09/2023
Collection year: 2023

© 2023 Sritas et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


* Address correspondence to this author at the Department of Integrative Medicine, Chulabhorn International College of Medicine, Thammasat University, 99 Moo.18 (Rangsit Campus), Paholyothin Rd, Klong Nueng, Klong Luang, Pathum Thani12120, Thailand; Tel: +66888929556; E-mail: pratya@tu.ac.th