The Effect of Oketani Massage on Breastfeeding Success and Breast Engorgement in Mothers Delivering by Cesarean Section

NCT05903846 | Completed

• 1 other identifier: AgriIbrahimCecenU
• Study Type: interventional
• Target: 116
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study was to examine the effect of octani massage on breastfeeding success and breast engorgement in mothers who gave birth by cesarean section. The research was carried out in the gynecology service of Ağrı Training and Research Hospital between November 2022 and April 2023. The universe of the study consisted of mothers who were hospitalized in the gynecology service of Ağrı Training and Research Hospital between November 2022 and April 2023 and gave birth by cesarean section. The Open Epi calculation tool was used to determine the sample of the study. The sample calculation was made on the average score differences in the Open Epi info program. Accordingly, it was planned to include 106 mothers, 53 of whom were in the control group and 53 in the massage group. Considering the sample loss to be experienced during data collection, a total of 116 mothers, 58 in the control group and 58 in the massage group, were included in the study. Randomization of the groups participating in the study was made as simple randomization using the www.random.org site. Introductory Characteristics Questionnaire, oketany massage follow-up form, breast engorgement assessment scale and LATCH breastfeeding diagnostic measurement tool were used to collect the research data.

Conditions

Breastfeeding; Engorgement of Breast Associated With Childbirth, Postpartum

Keywords

breastfeeding; Engorgement; Oketani massage

Outcome Measures

Primary Outcomes (2)

• Breast engorgement assessment scale

  The scale is scored from 1 to 6. On the scale, "1" is evaluated as no soft change, while "6" is expressed as very hard and very sensitive. If the score from the scale is higher than 4, it means that there is breast fullness.

  postpartum 48 hours from birth

• LATCH breastfeeding diagnostic scale

  by observing breastfeeding; It is an assessment tool that is quick and easy to apply, created to detect problems that may occur during breastfeeding. Scoring is done between 0-2 and the maximum score that can be obtained is 10. In the non-breakpoint measurement tool, a high score indicates successful breastfeeding.

  postpartum 48 hours from birth

Study Arms (2)

Oketani massage group

EXPERIMENTAL

According to the Ministry of Health, the follow-up period for mothers after cesarean section in Turkey is 48 hours. After the mothers in the massage group were taken to the service, oketani massage was applied three times a day for an average of 15-20 minutes, starting before breastfeeding. Massage was applied to the Oketani massage group by a midwife working in the clinic. Before the mothers were discharged, the breast fullness and breastfeeding status of the mothers were evaluated using the breast engorgement assessment scale and the LATCH breastfeeding diagnostic scale.

Other: Oketani massage

Control group

NO INTERVENTION

No intervention was made in the control group and routine follow-up of mothers and babies will be performed after cesarean section. No intervention was made regarding the breastfeeding process of the mothers, other than the breastfeeding counseling given by the breastfeeding consultant according to the hospital protocol. Before the mothers were discharged, the breast fullness and breastfeeding status of the mothers were evaluated using the breast fengorgement assessment scale and the LATCH breastfeeding diagnostic scale.

Interventions

Oketani massage OTHER

The part between the breast and the base of the lower pectoral muscle is called the "oketani". It is a manual massage technique developed to encourage breastfeeding in breastfeeding problems such as insufficient milk production and mastitis. It is a massage that stimulates the breast, relaxes it and is painless.

Oketani massage group

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: Mothers giving birth and breastfeeding were included in the study.
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Delivery by cesarean section
• Single and live birth,
• Giving birth between weeks
• Not having a mental or physical disability that prevents breastfeeding,
• The baby does not need neonatal intensive care
• The baby does not have a condition that prevents breastfeeding
• Sharing the same room with the baby
• Agreeing to participate in the research

You may not qualify if:

• Refusal to participate in the study
• Giving birth normally
• Giving birth prematurely
• Having a mental and physical disability that prevents breastfeeding
• Being 18 years of age or younger
• Transferring the baby to the neonatal intensive care unit
• Having a condition that prevents breastfeeding

Sponsors & Collaborators

• Agri Ibrahim Cecen University: lead

Study Sites (1)

Agri Ibrahim Cecen University

Ağrı, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Breast Feeding; Hyperemia

Condition Hierarchy (Ancestors)

Feeding Behavior; Behavior; Vascular Diseases; Cardiovascular Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Massage was applied to the Oketani massage group by a midwife working in the clinicThe outcome assessor does not know who the groups are.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant professor

Model Details: Oketani massage,The part between the breast and the base of the lower pectoral muscle is called the "oketani". It is a manual massage technique developed to encourage breastfeeding in breastfeeding problems such as insufficient milk production and mastitis. It is a massage that stimulates the breast, relaxes it and is painless. There are 8 different stages in massage. Each set lasts 1 minute, the massage continues for 15-20 minutes.

Study Record Dates

• First Submitted: June 2, 2023
• First Posted: June 15, 2023
• Study Start: November 1, 2022
• Primary Completion: February 1, 2023
• Study Completion: April 1, 2023
• Last Updated: February 10, 2026

Record last verified: 2023-06

Locations

TU (1)