The Effect of Back Massage on Breast Feeding among Neonates who's Mothers Had Undergone Cesarean Section

Breastfeeding is considered as one of the most natural and intimate of all human interactions. Human milk has no substitute and breast is nature's apparatus for feeding babies. A mother who has undergone cesarean delivery has a dual role in both Post-operative self care as well as newborn care. LSCS mothers need more care and attention than vaginal delivery mothers. . Purpose To study the effect of back massage on breast feeding among mothers who had undergone cesarean section. Objectives To assess the effect of back massage on breast feeding among neonates whose mothers had undergone cesarean section. Material and methods This was a quasi experimental pilot study and research design was non equivalence control group. Sampling technique was non probability Purposive sampling technique used to select sample.20 samples were selected and divided in control and experimental group. Data collected from 5th March 2015 to 24th May 2015 Tool was developed in two parts, first was demographic data of the mothers and her neonate and second part includes semi structured questionnaire and observation checklist for breast feeding and satiety as well as weight of neonate. Result -In control group 20% of the neonates were females and 80% of them were males.30% of mother were receiving supplementary food to enhance lactation, 80% of the neonate have birth weight ranges from 2.5kg to 3 kg.80% of the babies were breast feed 4-6 times per day.30% of the babies were breast feed less than 3 times in a day.50% of them had receiving of top feed. In experimental group 50% of the neonates were females and another half were males.70% of them were receiving supplementary food to enhance lactation, all of the babies were breast feed 4-6 times per day.30% of them had receiving of top feed. Average changes in satiety scores in experimental group were 1.15, 1.83 and 1.83 on day1, day2 and day3. Average change in satiety scores of control group were 0.03, 0.10 and 0.05. T-values for this comparison were 3.4, 3.8 and 3.8 with 18 degrees of freedom. Corresponding p-values were 0.002, 0.001 and 0.001 which are small (less than 0.05), this indicates back massage improved satiety scores significantly in experimental group than control group. In experimental group average weight on pre assessment was 2.8kg. And average increased to 2.9kg T-values for this comparison with 9 degrees of freedom were 7.7, 8.4 and 9.8. Corresponding p-values were of the order of 0.000, which shows weight of the neonates improved significantly after back massage. Conclusion The study concluded that there was a significant increase in satiety and breast feeding score and weight in experimental group than control group.