Activities of Lactation Management Centre of Rajshahi

Hossain, Md. Motaher; Haque, M Zahirul; Siddiqui, AB; Bari, MI

doi:10.3329/taj.v18i2.3173

Cited by 6 publications

(6 citation statements)

References 1 publication

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“…A cross-sectional study at LMC of Rajshahi Medical College Hospital, Bangladesh and the study findings revealed that maximum mothers were practically helped by showing correct position and attachment of the baby to the breast. 13 The present study findings are similar to that of Thomsen et al who found symptomatic improvement of mastitis with emptying of the breast. 17 Although Oketani technique is being used in Bangladesh for relatively long time, studies the pattern of problems and their solution through the application of Oketani massage has not reported yet.…”

Section: Discussionsupporting

confidence: 93%

“…A cross-sectional study conducted by Hossain et al in a lactational management center of Bangladesh on problems during lactation included breast engorgement, nipple sore, cracked nipple, flat nipple and poor milk production. 13 A review by Giugliani, 2004 on problems during lactation included breast engorgement, nipple pain/trauma, plugged milk duct, breast infection and poor milk production. 14 In the current study, the first problem was breast engorgement, the second problem was sore nipple and the third one was not enough milk production.…”

Section: Discussionmentioning

confidence: 99%

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Difficulties in breastfeeding: Easy solution by Oketani breast massage

Sk¹,

Jahan²,

Nazmeen³

et al. 2019

Bangladesh Med Res Counc Bull

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Background: Breastfeeding is universally recommended feeding method for promoting child survival. Many mothers in developing countries do not practice optimum breastfeeding due to difficulties in the breast that may lead to temporary or permanent cessation of breastfeeding. Oketani breast massage approach is one such technique to overcome those difficulties for successful lactation to promote child growth. The aim of this study was to assess the difficulties in breastfeeding and mother’s expression on benefits of Oketani breast massage. Methods: A cross sectional study was conducted at lactational management center (LMC) in the Institute of Child Mother Health (ICMH), Dhaka, Bangladesh during March to August 2015. A total of 98 mothers (having 0-12 month’s old children) who had breast problems or difficulty in breastfeeding were included in the study. The mothers agreed to undertake Oketani massage. This is a breast massage that promotes breast milk production and helps the lactating mothers to overcome certain difficulties in the breast. Mothers who received Oketani massage were interviewed using a semi-structured questionnaire. Results: Ninety-eight mothers were interviewed for this study. About two-thirds (66.3%) of babies were girls of which 57.1% were less than 2 months. More than two-thirds (78.6%) mother ages were more than 25 years. Half of the mothers completed secondary school certificate (SSC) in which non-working (63.3%) mothers were more than working mother (36.7%). The proportion of exclusive breastfeeding practice was 50.0%. Most common difficulties included breast engorgement (22.4%), followed by sore nipple (17.3%) and insufficient milk (14.3%). After receiving Oketani massage mother’s perception of getting confidence improved to 80.6%. About 69% said that the baby can be fed well, 61.2% felt that there was increase in breast milk production and 56.1% mothers expressed feeling good after the massage. Study findings revealed that Breast feeding significantly improved with the Oketani breast massage (p=0.001). Conclusion: Oketani massage is considered as a useful technique to build confidence and improved milk secretion among mothers facing difficulty during lactation. A multicentre study with detailed assessment of quality, the quantity of breastmilk as well as baby’s growth and nutritional assessment is recommended.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Difficulties in breastfeeding: Easy solution by Oketani breast massage

Sk¹,

Jahan²,

Nazmeen³

et al. 2019

Bangladesh Med Res Counc Bull

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show abstract

“…The most important problem was breast engorgement (46.6%), next was sore nipples (23.3%), flat nipple (13.3%), cracked nipple (13.3%) and breast abscess (3.3%). 9 The most common problems listed in the study conducted in India (1994), were inadequate milk in 73.6%, which findings has similarity to the current study.…”

Section: Discussionsupporting

confidence: 87%

Services Provided for Lactating Mothers at Lactation Management Clinic in Selected Tertiary Level Hospitals

Tasnim¹,

Islam

Azad³

et al. 2020

JOPSOM

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Background: Children are the precious gift from the Almightily Allah and breast milk is an ideal product given to the human being by nature to fulfill all requirements of the offspring until they are matured enough to take adult food. Objective: To assess the services provided for lactating mothers at lactation management centre in selected tertiary level hospitals. Materials and Methods: This cross sectional study was conducted among 100 Lactating mothers who were selected conveniently and were interviewed by pre-tested semi-structured questionnaire and an observational checklist. Collected data were processed and analyzed using SPSS (Statistical Packages for Social Science) software. Results: Lactation management centre (LMC) is supervised by a consultant and separate room is allotted in both out-patient and in-patient departments. Mothers came with lactation problems were more likely in the first month of the baby (73%) and feeling of not enough milk production was common (49%).Highly significant relationship was found between breast problems of lactating mother and age of child (p<0.001). About 84% respondents received practical demonstration on position and attachment of the baby during lactation. About 91% respondents got dietary advice for enough breast milk production, 75% got dietary advice regarding their child’s weaning food chart and69% got health education. Maximum mothers were informed about LMC by doctor & nurse (82%). Conclusion: Information about LMC services should be disseminated across the country. Lactating mothers should be familiarized with LMC and public awareness should be enhanced for effective management of breastfeeding problem to promote, protect and support the breastfeeding. JOPSOM 2019; 38(2): 68-73

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“…Whereas another study at LMC in RMCH from 2004 to 2005 found, most of the mothers (55%) were in the age group 15-20 years. 13 Most of the mothers of current study were house wife about 91.22% and 8.77% were working mother, whereas in the study by Februhartanty et al, 87.4% mothers were working mother, which almost reverse to our nding. May be this result di erence due to di erent socio-demographic status.…”

Section: Discussioncontrasting

confidence: 73%

A Study on post partum breast problems of mothers attending at lactation management center (LMC)

2016

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Exclusive breast feeding is essential for the physical and mental development of the child. Post-partum breast problem may produce a obstacle on the way of successful breast feeding. So this study was conducted in ICMH, Matuail to find out common post-partum breast problems. All mothers attending at LMC after delivery with breast problems were included in the study. A total 114 samples were taken. All lactating mothers who gave their consent are to be included in the study and who are not willing to participate in the study were excluded. In our study, age distribution of mother shows, 35.96% of mothers were at the age of < 20 years, 58.77% were between 20-30 years and 5.26% were > 30 yrs of age. Among 114 patients, 91.22% of mothers were house wife and 8.77% were working Mother, timing of initiation of breastfeeding was, 12.28% initiated within 1 hours, 78.28% were within 1-12 hours, 4.38% were within 12-24 hours and exclusive breast feeding was given to 63.15% baby and first pre-lacteal feed was given to 36.84%, among them 71.42%. Common problem was, 46.49% mother suffered from not enough milk followed by, 20.17% for poor attachment, 17.54% suffered from breast engorgement and 7.89% suffered cracked nipple, inverted nipple was in 2.63% flat and sore nipple to 1.75% and nipple infection and breast abscess was present in 0.877% mothers. Among them, 100% mother were counseled about breast feeding, 78.95% mother were taught about proper position and attachment, hot or cold compression given to 35.09%, Oketani breast massage given to 30.7% and others to 13.16%. In our study all mothers were counseled on the benefit of breastfeeding at LMC. Further large long term cohort study should be carried out to see the postpartum breast problem during lactation.Bangladesh Med J. 2015 Sep; 44 (3): 136-139

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Activities of Lactation Management Centre of Rajshahi

Cited by 6 publications

References 1 publication

Difficulties in breastfeeding: Easy solution by Oketani breast massage

Difficulties in breastfeeding: Easy solution by Oketani breast massage

Services Provided for Lactating Mothers at Lactation Management Clinic in Selected Tertiary Level Hospitals

A Study on post partum breast problems of mothers attending at lactation management center (LMC)

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