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IRCT20190129042542N1 IRCT 2019-05-13 Shahid Beheshti University of Medical Sciences Evaluation of Breast Massage on the Mother's Need for support During Lactation and Successful Breastfeeding in Neonates born through Cesarean Section in the Selected Hospitals Affiliated to Shahid Beheshti University Medical Sciences 2019. Evaluation of Breast Massage on the Mother's Need for support During Lactation and Successful Breastfeeding in Neonates born through Cesarean Section in the Selected Hospitals Affiliated to Shahid Beheshti University Medical Sciences 2019. 2019-04-19 anticipated 100 Complete https://irct.ir/trial/37199 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: In this study, a suitable sampling method (selection among mothers of candidates for cesarean section) based on inclusion criteria, and random allocation in two groups of intervention and control by simple random method. N/A Cesarean, Breast Massage, Lactation, Successful Breastfeeding, Neonates. Intervention 1: Intervention group: Oketani breast massage included eight manual techniques performed within 60 sec and repeated for 15-20 min. Levels 1-3 of the given therapy were associated with the detachment of the bottom of the breast from its pectoralis major muscle. Furthermore, levels 4-6 involved pulling the whole breast with two thumbs down and to both sides by both hands. Additionally, level 7 included rotating the breast gently clockwise with stretching of its base, and level 8 was about milking the breast in four different directionsroup. This massage is done in two steps; first step before cesarean and the second in recovery after cesarean. Intervention 2: Control group: receive routine care for the mothers in the control group and review Successful breastfeeding and mother's need support during lactation by IBFAT and LATCH tools.This review is done in two steps; first step during first breastfeeding after cesarean delivery and the second during the last breastfeeding before mom's discharged (The interval is 22 to 28 hours after cesarean delivery). Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is Incomplete Sampling
public Maryam Mahdizadeh Shahri
Tehran, Hashemi Rafsanjani Hwy
Tehran Iran (Islamic Republic of) 1985717443 +98 982188655366 m.mahdizadeh.sh@gmail.com Shahid Beheshti University of Medical Sciences scientific Manijeh Nourian
Tehran, Hashemi Rafsanjani Hwy
Tehran Iran (Islamic Republic of) 1985717443 +98 21 8865 5372 manighea@yahoo.com Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Single pregnancy Maternal aged 18 to 35 Physical and mental illness is not based on mother's statement and file documentation The gestational age is 37 to 41 weeks There is no history of breast surgery, breast cancer, burn and scarring in the breast There is not Prenatal illnesses, such as Gestational Diabetes(GDM), Preeclampsia, and viral diseases such as AIDS and Hepatitis. There is not Prenatal abnormalities such as Placental abruption, Placenta Previa, heart and respiratory diseases. 18 years 35 years Female severe hemorrhage during cesarean section Uterine inertia and atony during cesarean section use any drugs that Suppression lactation The mother has no desire for breastfeeding to the baby. The mother has no desire for to continue to intervene. The neonates is transmitted to the neonatal unit Apgar scores 1 and 5 minutes in neonates less than 7 Prevention Prevention Intervention group: Oketani breast massage included eight manual techniques performed within 60 sec and repeated for 15-20 min. Levels 1-3 of the given therapy were associated with the detachment of the bottom of the breast from its pectoralis major muscle. Furthermore, levels 4-6 involved pulling the whole breast with two thumbs down and to both sides by both hands. Additionally, level 7 included rotating the breast gently clockwise with stretching of its base, and level 8 was about milking the breast in four different directionsroup. This massage is done in two steps; first step before cesarean and the second in recovery after cesarean. Control group: receive routine care for the mothers in the control group and review Successful breastfeeding and mother's need support during lactation by IBFAT and LATCH tools.This review is done in two steps; first step during first breastfeeding after cesarean delivery and the second during the last breastfeeding before mom's discharged (The interval is 22 to 28 hours after cesarean delivery). The first main variable in this study is successful breastfeeding. Timepoint: Time interval to measure the successful breast feeding variable, first breastfeeding and last one before discharge mother from hospital(22-28 hour after cesarean delivery). Method of measurement: instrument to assess successful breastfeeding is IBFAT(Infant Breastfeeding Assessment Tool). The second main variable in this study is mother's need support during lactation. Timepoint: Time interval to measure the mother's need support during lactation variable, first breastfeeding and last one before discharge mother from hospital(22-28 hour after cesarean delivery). Method of measurement: instrument to assess mother's need support during lactation is LATCH(Breastfeeding Charting System and Documentation Tool). Shahid Beheshti University of Medical Sciences Approved 2019-01-28 Ethics committee of Shahid Beheshti University of Medical Sciences in front of Shahid Rajaee Hospital,Intersection Hashemi Rafsanjani Hwy, Valiasr St, Tehran, Iran Tehran Tehran Iran (Islamic Republic of)