Therapeutic effect of massage combined with electric breast pump on postpartum breast pain
Breast pain is divided into adolescent pain, premenstrual breast pain, postpartum pain, pregnancy during the period of pain, the mother often has breast swelling, induration, and pain 3 to 7 hours after giving birth.This phenomenon is mainly due to breast lymphatic retention, venous filling and interstitial water,Swelling and poor duct of the breast.Breast pain will seriously affect the mood of the mother, also may cause a variety of postpartum complications, if not treated in time, disease the situation may turn into acute mastitis, which ultimately affects the health of the baby.
Currently, the main treatment for bed postpartum breast pain is still diet therapy, hot compress,massage, diuretics and massage.
In this study, 56 patients with postpartum breast pain who were admitted to the hospital underwent different treatments and analyzed their effects. The report is as follows.
1.data and methods
1.1 General information:Selection from May 2013 to May 2015, 56 cases of postpartum breast pain in the hospital after birth, including 34 primipara, 22 cases of maternal, no pregnancy, postpartum complications, high blood pressure, Diabetes and other conditions. They were randomly divided into a control group and an observation group, with 28 cases in each group. The control group was 22 to 35 years old, with an average age of (28.5±3.5) years, 21 to 42 weeks of gestational age, and an average gestational age of (31.6±4.4) weeks. The observation group was 20 to 33 years old. The average age was (27.4±3.7) years old, 20 to 41 weeks of gestational age, and the average gestational age was (30.9±4.7) weeks. There was no significant difference in the general data of maternal age and gestational age between the two groups (0.05), which was comparable.
1.2 Method: The control group only received conventional hot compress with electric breast pump treatment, including: 1 maternal to take a comfortable position, the nursing staff to help the mother to cover the entire breast with a wet towel of 39 ~ 45 ° C for hot compress, continuous hot compress for 5 min. Using an electric breast pump to suck out the painful breast milk,2 times / d, 30min / time, continuous treatment 3 d. The observation group adopts massage and electric breast pump treatment methods, including: 1. Taking the maternal comfortable position, and the nursing staff applies the massage on the side of the maternal pain or the bilateral breasts. Use both palms to massage the edge of the breast to the nipple to maintain a gentle technique. If you touch the induration, press the root of the palm to press it. Continue to massage for 5 minutes and then scrub the cooking oil with warm water. 2. Select the breastshield suitable for the mother, first place the nipple in the center of the breastshield, and gradually increase the suction in the milking mode or the breast pumping mode. If the woman feels the pain during the breast pumping, take immediate measures or Stop sucking and avoid damage to the breast. The breast pumping operation was 30 min/time, 2 times/d, and the treatment was continued for 3 days.
1.3 Observation index and efficacy evaluation criteria Observed and compared the disappearance time of breast pain in the two groups, and compared the clinical efficacy after 3 days of treatment. Significant effect: maternal breast induration, redness, pain and swelling completely disappeared, body temperature returned to normal, milk discharge was smooth. Effective: After treatment, the maternal breast induration, redness, pain and so on have improved significantly, the body temperature is close to normal, and the milk discharge is smoother. Invalid: After 3 days of maternal treatment, breast pain, redness and induration did not change or aggravate, and milk discharge was difficult.
Total efficiency = significant efficiency + efficiency.
1.4 Statistical methods using SPSS20.0 statistical software to data
Analysis. The measurement data is expressed as mean ± standard deviation f ± s), using t test; the count data is expressed in rate (%), and the test is used. P < 0.05 indicates that the difference is statistically significant.
The total effective rate of the observation group was 89.29%, which was significantly higher than that of the control group (78.57% (P<o.0S). The disappearance time of breast pain in the observation group was (1.3±0.7)d, which was significantly shorter than that of the control group (2.4±0.6)d, comparison of the efficacy of the two groups of maternal compared with the control group <O. 05 and the difference was statistically significant (P<0.05).
Postpartum breast tenderness is a common clinical symptom of postpartum maternal pain. The main cause of breast tenderness is breast lymphatic retention, venous filling and interstitial edema, and poor ductal duct. It usually occurs within 3 to 7 days after delivery. The performance is double breast fullness, induration and pain, which seriously affects the maternal postpartum comfort. If it does not attract attention, it can cause a variety of postpartum complications in severe cases, thus affecting the maternal milk quality. A large part of the mothers may have limited arm activity after breast pain. Some patients have anxiety. Some patients still have milk deposition. As a result, the mammary duct is blocked and the milk is not discharged smoothly, resulting in breast pain. Not only that, many women may also cause induration of the breast due to milk deposition, forming a plaque, which increases the pain of the breast. At present, the clinical treatment methods for postpartum breast pain are mainly hot compress, massage, and diuretics. Hot compress is a relatively traditional method. It can relieve breast pain. In addition to hot compress, cold therapy can be used to eliminate breast redness and other conditions through cold and heat. However, the method of hot compress and cold therapy can only temporarily relieve maternal symptoms, and can not play a good role in treatment. The use of diuretics can effectively help the mother to remove body fluids and reduce breast swelling. However, excessive use of diuretics can lead to the loss of potassium ions in the maternal body, thereby destroying the electrolyte balance of the maternal body and affecting the formation of glucose. There is also a certain impact on breastfeeding of infants. Therefore, the use of the vacuum principle, rapid and safe discharge of milk in the maternal body, and then massage to quickly relieve breast swelling has achieved good results. The results of this study showed that the total effective rate of the observation group was 89.29%, which was significantly higher than that of the control group (78.57%), and the disappearance time of breast pain in the observation group was (1.3-4-0.7) d, significantly lower than the control group (2.4 ± 0.6) d, the difference was statistically significant (P < 0.05). Tips for postpartum breast pain massage with electric breast pump treatment, can quickly and effectively relieve maternal breast pain, redness, induration and other symptoms. Massage can promote maternal discharge of milk and eliminate maternal breast pain, massage, the use of cooking oil will not cause any safety problems for the mother, but also play a role in lubrication, to prevent friction and pain. Massage with electric breast pump to help the mother to suck out the deposited milk, relieve the induration of the breast, promote the maternal to open the milk discharge channel, remove the milk normally, thereby returning to normal body temperature, effectively preventing maternal postpartum mastitis, thereby increasing breastfeeding rate and patients Satisfaction. In summary, massage combined with electric breast pump for postpartum breast pain is better, can quickly improve the patient's pain, no adverse reactions, safe and effective, worthy of clinical promotion.
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