Effectiveness of closed system manual breast pump versus hand expression on breast engorgement among postnatal mothers admitted in postnatal ward at Government Rajaji Hospital, Madurai

Title: “Effectiveness of closed system Manual Breast pump versus Hand expression on breast engorgement among postnatal mothers”. Objectives: To assess the level of breast engorgement. To evaluate the effectiveness of closed system Manual Breast pump for group-I and Hand expression to group-II on breast engorgement. To compare the effectiveness of closed system Manual Breast pump and Hand expression. To associate the level of breast engorgement score with selected demographical variables. Hypothesis: There is a significant difference between pre and post-test level of breast engorgement. There is a significant difference in post-test level of breast engorgement. There is a significant association in level of breast engorgement among post-natal mothers with their selected socio-demographic variables. Methodology: The conceptual frame work based on modified J.W.Kennys open system Model. Quantitative approach- true experimental comparative research design was adopted. The study was conducted in postnatal ward at Government Rajaji Hospital, Madurai. 60 samples selected by simple random sampling technique. Intervention: Closed system Manual Breast pump for group-1 and Hand expression for group-II. The level of breast engorgement was assessed by 6 point Lactation Consultant scale and Storr scale. Results: Pretest and posttest difference of breast engorgement and pain score in group-I was 28.3%, 32%. In group-II, 38.3%, 40%. The obtained “t” value for group-1 was 6.29 at p= 0.01 level of significant, and for group-II “t”= 10.78 at p=0.001 level of significant. Conclusion: statistical evidence proved that Hand expression of breast milk is more effective than closed system Manual Breast pump in reducing the breast engorgement