A program for accelerating lactogenesis II using a breast pump shortly after cesarean section in Japan: A feasibility...

Area of Science:

• Obstetrics and Gynecology
• Lactation Science
• Maternal-Infant Health

Background:

• Cesarean section (CS) delivery can delay lactogenesis II.
• Early initiation of breastfeeding support is crucial for successful lactation.
• Breast pump use for nipple stimulation is a potential intervention.

Purpose of the Study:

• To assess the feasibility of a breast stimulation program post-cesarean section.
• To evaluate the acceptability and practicality of early breast pump use.
• To explore the impact on the onset of lactogenesis II.

Main Methods:

• Convergent mixed-methods design involving women and nurse-midwives.
• Intervention: breast pump-mediated nipple stimulation within 6 hours postpartum.
• Data collection: questionnaires and content analysis of qualitative feedback.

Main Results:

• The program was feasible and well-accepted by participants.
• Women reported satisfaction with painless stimulation and early milk expression.
• Challenges included pump operability and preparation time.

Conclusions:

• Early breast stimulation post-CS is feasible and acceptable.
• The program showed positive indicators for breast milk volume.
• Further research should focus on individualizing breast pump protocols.