Early initiation and regular breast milk expression reduces risk of lactogenesis II delay in at-risk Singaporean mothers in a randomised trial.

ABSTRACT: INTRODUCTION:Lactogenesis II (LaII) failure can be prevented in at-risk mothers with simple proactive interventions. In a randomised trial, we investigated the efficacy of early and regular breast milk expression in establishing LaII, using an electric double-breast pump. METHODS:Mothers with uncomplicated singleton deliveries were randomised to intervention (n = 31) or control (n = 29) groups. The former commenced breast milk expression with an electric pump within one hour of delivery and maintained regular expression with direct breastfeeding. Control mothers directly breastfed without regular pump expression. Expressed milk volumes were analysed for citrate, lactose, sodium and protein. RESULTS:Median time of LaII was Day 3 (interquartile range [IQR] 1 day) with intervention and on Day

SUBMITTER: Fok D 

PROVIDER: S-EPMC6395836 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature