| Unique ID issued by UMIN | UMIN000054517 |
|---|---|
| Receipt number | R000062289 |
| Scientific Title | Feasibility Study of a Breast Stimulation Program Using a Electric Breast Pump from the Day of Cesarean Section |
| Date of disclosure of the study information | 2024/08/14 |
| Last modified on | 2025/01/14 12:40:55 |
Feasibility Study of a Breast Stimulation Program Using a Breast Pump from the Day of Cesarean Section
Feasibility Study of a Breast Stimulation Program Using a Breast Pump from the Day of Cesarean Section
Feasibility Study of a Breast Stimulation Program Using a Electric Breast Pump from the Day of Cesarean Section
Feasibility Study of a Breast Stimulation Program Using a Breast Pump from the Day of Cesarean Section
| Japan |
Breastfeeding after cesarean section
| Nursing |
Others
NO
Program Development
Feasibility of the Program: All mothers will receive nipple stimulation using an electric milking device. This will involve four stimulations within the first 24 hours after birth by cesarean section, and another four stimulations in the subsequent 24 hours. Direct breastfeeding should be used as additional stimulation.
Measurements of Programmed Milk Volume, Oxytocin Concentration, Prolactin Concentration, and Response to Primary Metabolites:
Total Amount of Breast Milk Fed in 24 Hours: This will be determined by the weight difference before and after breastfeeding and the total amount of milk expressed.
Measurement of Oxytocin and Prolactin Levels in Breast Milk and Saliva: Previous studies have shown that oxytocin concentration is affected by the measurement method and individual differences16-18). Following the procedure of a previous study18), we will assess the variation in the obtained data.
Changes in Primary Metabolites in Milk (Comparison between 3 and 5 Days Postpartum): This will help determine the changes in primary metabolites in vivo in response to the intervention.
Safety,Efficacy
1) Program feasibility (acceptability, implementation, practicality)
2) Milk volume on the third and fifth postpartum days (total 24-hour milk volume)
3) Degree of breast fullness
1) Oxytocin and prolactin levels (saliva and milk) at 3 and 5 days postpartum
2) Lactation status after 1 month
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
| Other |
At least 4 breast stimulations in 24 hours using an electric breast pump from the day of cesarean section until the start of mother-infant rooming-in on the second day. The electric milking machine is a double pump for 15 minutes per session. Start with a pressure of 3 and adjust to a painless pressure depending on the mother.
| 20 | years-old | <= |
| 43 | years-old | >= |
Female
1) The participants will be pregnant women who are eligible for the study if they fulfill all of the following criteria.
(1) Patients scheduled for cesarean section after 37 weeks (indications: pelvic position, placenta plevia, and cephalopelvic disproportion), (2) Patients between the ages of 20 and 43 years
(2) Between 20 and 43 years of age
(3) prefer breastfeeding
(4) Can read, write, and speak Japanese fluently
(5) who have given written consent.
(1) Obstetric complications (severe gestational hypertension, gestational diabetes)
(2) Non-obstetric endocrine complications (psychiatric disorders, epilepsy, heart disease, etc.)
(3) Infectious diseases transmitted from mother to child (HIV, HBV, HCV, HTLV-1)
(4) Emergency cesarean section
(5) Drug addiction, alcoholism, or smoking that affects hormones
(6) Age less than 20 years, 44 years or older
(7) Multiple pregnancy
8
| 1st name | Ai |
| Middle name | |
| Last name | Miyauchi |
St Luke's International University Graduate school of nursing science
PhD Programs Midwifery
104-0044
10-1 Akashi-cho, Chuo-ku, Tokyo
03-3543-6391
23dn014@slcn.ac.jp
| 1st name | Ai |
| Middle name | |
| Last name | Miyauchi |
St Luke's International University Graduate school of nursing science
Doctoral Programs Midwifery
104-0044
10-1 Akashi-cho, Chuo-ku, Tokyo
03-3543-6391
23dn014@slcn.ac.jp
St Luke's International University Graduate school of nursing science
self-procurement
Self funding
St Luke's International University Graduate school of nursing science
10-1 Akashi-cho, Chuo-ku, Tokyo
03-3543-6391
23dn014@slcn.ac.jp
NO
| 2024 | Year | 08 | Month | 14 | Day |
Unpublished
7
Completed
| 2023 | Year | 11 | Month | 20 | Day |
| 2023 | Year | 11 | Month | 20 | Day |
| 2023 | Year | 12 | Month | 20 | Day |
| 2024 | Year | 04 | Month | 30 | Day |
| 2024 | Year | 06 | Month | 30 | Day |
| 2024 | Year | 07 | Month | 31 | Day |
| 2024 | Year | 12 | Month | 31 | Day |
| 2024 | Year | 05 | Month | 30 | Day |
| 2025 | Year | 01 | Month | 14 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000062289