Effect of pectoralis major myofascial release massage for breastfeeding mothers on breast pain, engorgement, and newborns’ breast milk intake and sleeping patterns in Korea: a randomized controlled trial

Purpose Supportive interventions to improve breastfeeding practice are needed in nursing. This study investigated the effects of pectoralis major myofascial release massage (MRM) on breast pain and engorgement among breastfeeding mothers and on breast milk intake and sleep patterns among newborns. M...

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Published in:Korean journal of women health nursing 2023-03, Vol.29 (1), p.66-75
Main Authors: Won-Ryung Choi, Yeon-Suk Kim, Ju-Ri Kim, Myung-Haeng Hur
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Language:English
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breast feeding
human milk
massage
pain
pectoralis muscles
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container_title Korean journal of women health nursing
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Yeon-Suk Kim
Ju-Ri Kim
Myung-Haeng Hur
description Purpose Supportive interventions to improve breastfeeding practice are needed in nursing. This study investigated the effects of pectoralis major myofascial release massage (MRM) on breast pain and engorgement among breastfeeding mothers and on breast milk intake and sleep patterns among newborns. Methods Breastfeeding mothers who had delivered between 37 and 43 weeks and had 7- to 14-day-old newborns were recruited from a postpartum care center in Gunpo, Korea. Participants were randomized to the MRM or control group. The outcome variables were breast pain and breast engorgement among breastfeeding mothers and breast milk intake and sleep time among newborns. The experimental treatment involved applying MRM to separate the pectoralis major muscle and the underlying breast tissue in the chest. After delivery, the first MRM session (MRM I) was provided by a breast specialist nurse, and the second (MRM II) was administered 48 hours after MRM I. Results Following MRM, breast pain (MRM I: t=−5.38, p
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This study investigated the effects of pectoralis major myofascial release massage (MRM) on breast pain and engorgement among breastfeeding mothers and on breast milk intake and sleep patterns among newborns. Methods Breastfeeding mothers who had delivered between 37 and 43 weeks and had 7- to 14-day-old newborns were recruited from a postpartum care center in Gunpo, Korea. Participants were randomized to the MRM or control group. The outcome variables were breast pain and breast engorgement among breastfeeding mothers and breast milk intake and sleep time among newborns. The experimental treatment involved applying MRM to separate the pectoralis major muscle and the underlying breast tissue in the chest. After delivery, the first MRM session (MRM I) was provided by a breast specialist nurse, and the second (MRM II) was administered 48 hours after MRM I. Results Following MRM, breast pain (MRM I: t=−5.38, p&lt;.001; MRM II: t=−10.05, p&lt;.001), breast engorgement (MRM I: right, t=−1.68, p=.100; left, t=−2.13, p=.037 and MRM II: right, t=−4.50, p&lt;.001; left, t=−3.74, p&lt;.001), and newborn breast milk intake (MRM I: t=3.10, p=.003; MRM II: t=3.09, p=.003) differed significantly between the groups. Conclusion MRM effectively reduced breast engorgement and breast pain in breastfeeding mothers, reducing the need for formula supplementation, and increasing newborns’ breast milk intake. Therefore, MRM can be utilized as an effective nursing intervention to alleviate discomfort during breastfeeding and to improve the rate of breastfeeding practice (clinical trial number: KCT0002436).</description><identifier>ISSN: 2287-1640</identifier><identifier>EISSN: 2093-7695</identifier><identifier>DOI: 10.4069/kjwhn.2023.03.15</identifier><language>eng</language><publisher>Korean Society of Women Health Nursing</publisher><subject>breast feeding ; human milk ; massage ; pain ; pectoralis muscles</subject><ispartof>Korean journal of women health nursing, 2023-03, Vol.29 (1), p.66-75</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids></links><search><creatorcontrib>Won-Ryung Choi</creatorcontrib><creatorcontrib>Yeon-Suk Kim</creatorcontrib><creatorcontrib>Ju-Ri Kim</creatorcontrib><creatorcontrib>Myung-Haeng Hur</creatorcontrib><title>Effect of pectoralis major myofascial release massage for breastfeeding mothers on breast pain, engorgement, and newborns’ breast milk intake and sleeping patterns in Korea: a randomized controlled trial</title><title>Korean journal of women health nursing</title><description>Purpose Supportive interventions to improve breastfeeding practice are needed in nursing. This study investigated the effects of pectoralis major myofascial release massage (MRM) on breast pain and engorgement among breastfeeding mothers and on breast milk intake and sleep patterns among newborns. Methods Breastfeeding mothers who had delivered between 37 and 43 weeks and had 7- to 14-day-old newborns were recruited from a postpartum care center in Gunpo, Korea. Participants were randomized to the MRM or control group. The outcome variables were breast pain and breast engorgement among breastfeeding mothers and breast milk intake and sleep time among newborns. The experimental treatment involved applying MRM to separate the pectoralis major muscle and the underlying breast tissue in the chest. After delivery, the first MRM session (MRM I) was provided by a breast specialist nurse, and the second (MRM II) was administered 48 hours after MRM I. Results Following MRM, breast pain (MRM I: t=−5.38, p&lt;.001; MRM II: t=−10.05, p&lt;.001), breast engorgement (MRM I: right, t=−1.68, p=.100; left, t=−2.13, p=.037 and MRM II: right, t=−4.50, p&lt;.001; left, t=−3.74, p&lt;.001), and newborn breast milk intake (MRM I: t=3.10, p=.003; MRM II: t=3.09, p=.003) differed significantly between the groups. Conclusion MRM effectively reduced breast engorgement and breast pain in breastfeeding mothers, reducing the need for formula supplementation, and increasing newborns’ breast milk intake. Therefore, MRM can be utilized as an effective nursing intervention to alleviate discomfort during breastfeeding and to improve the rate of breastfeeding practice (clinical trial number: KCT0002436).</description><subject>breast feeding</subject><subject>human milk</subject><subject>massage</subject><subject>pain</subject><subject>pectoralis muscles</subject><issn>2287-1640</issn><issn>2093-7695</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNo1j81O3TAQhSMEEgjYs_QDkFv_JE7MrkK0IJC6adfRxB5ffK9jR7YlRFd9jT5UX4InweVnNmd0zqejmaa5YHTTUam-7HdPj2HDKRcbKjasP2hOOFWiHaTqD-vOx6FlsqPHzXnOO0opY0KJrj9p_t1Yi7qQaMlaNSbwLpMFdjGR5TlayNqBJwk9QsYa5AxbJLbGc6pWsYjGhS1ZYnnElEkMHwFZwYVLgmEb0xYXDOWSQDAk4NMcU8gvf_5-kovze-JCgT2-Idkjrv9LVygFK1tDch8rfEWApIrExf1GQ3QMJUXv61pSvfOsObLgM55_6Gnz69vNz-vb9uHH97vrrw-t4b0sLdqZISKTs1RK6V4MZmRKj7SbYcC-nzU3nCIHCyDrcD0a2w3zICiz1mhx2ty995oIu2lNboH0PEVw05tRH54gFac9TmCGwVrNJReq6-YeFGInLbUGYURlxCtsUpGF</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Won-Ryung Choi</creator><creator>Yeon-Suk Kim</creator><creator>Ju-Ri Kim</creator><creator>Myung-Haeng Hur</creator><general>Korean Society of Women Health Nursing</general><scope>DOA</scope></search><sort><creationdate>20230301</creationdate><title>Effect of pectoralis major myofascial release massage for breastfeeding mothers on breast pain, engorgement, and newborns’ breast milk intake and sleeping patterns in Korea: a randomized controlled trial</title><author>Won-Ryung Choi ; Yeon-Suk Kim ; Ju-Ri Kim ; Myung-Haeng Hur</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-d256t-efb1eee16b6999c537d819c804ba7e55bc2d20e2afaa66662c8df47b7301ffdc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>breast feeding</topic><topic>human milk</topic><topic>massage</topic><topic>pain</topic><topic>pectoralis muscles</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Won-Ryung Choi</creatorcontrib><creatorcontrib>Yeon-Suk Kim</creatorcontrib><creatorcontrib>Ju-Ri Kim</creatorcontrib><creatorcontrib>Myung-Haeng Hur</creatorcontrib><collection>Directory of Open Access Journals</collection><jtitle>Korean journal of women health nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Won-Ryung Choi</au><au>Yeon-Suk Kim</au><au>Ju-Ri Kim</au><au>Myung-Haeng Hur</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of pectoralis major myofascial release massage for breastfeeding mothers on breast pain, engorgement, and newborns’ breast milk intake and sleeping patterns in Korea: a randomized controlled trial</atitle><jtitle>Korean journal of women health nursing</jtitle><date>2023-03-01</date><risdate>2023</risdate><volume>29</volume><issue>1</issue><spage>66</spage><epage>75</epage><pages>66-75</pages><issn>2287-1640</issn><eissn>2093-7695</eissn><abstract>Purpose Supportive interventions to improve breastfeeding practice are needed in nursing. This study investigated the effects of pectoralis major myofascial release massage (MRM) on breast pain and engorgement among breastfeeding mothers and on breast milk intake and sleep patterns among newborns. Methods Breastfeeding mothers who had delivered between 37 and 43 weeks and had 7- to 14-day-old newborns were recruited from a postpartum care center in Gunpo, Korea. Participants were randomized to the MRM or control group. The outcome variables were breast pain and breast engorgement among breastfeeding mothers and breast milk intake and sleep time among newborns. The experimental treatment involved applying MRM to separate the pectoralis major muscle and the underlying breast tissue in the chest. After delivery, the first MRM session (MRM I) was provided by a breast specialist nurse, and the second (MRM II) was administered 48 hours after MRM I. Results Following MRM, breast pain (MRM I: t=−5.38, p&lt;.001; MRM II: t=−10.05, p&lt;.001), breast engorgement (MRM I: right, t=−1.68, p=.100; left, t=−2.13, p=.037 and MRM II: right, t=−4.50, p&lt;.001; left, t=−3.74, p&lt;.001), and newborn breast milk intake (MRM I: t=3.10, p=.003; MRM II: t=3.09, p=.003) differed significantly between the groups. Conclusion MRM effectively reduced breast engorgement and breast pain in breastfeeding mothers, reducing the need for formula supplementation, and increasing newborns’ breast milk intake. Therefore, MRM can be utilized as an effective nursing intervention to alleviate discomfort during breastfeeding and to improve the rate of breastfeeding practice (clinical trial number: KCT0002436).</abstract><pub>Korean Society of Women Health Nursing</pub><doi>10.4069/kjwhn.2023.03.15</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record>
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subjects breast feeding
human milk
massage
pain
pectoralis muscles
title Effect of pectoralis major myofascial release massage for breastfeeding mothers on breast pain, engorgement, and newborns’ breast milk intake and sleeping patterns in Korea: a randomized controlled trial
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