The Role of Antenatal Breast Milk Expression in Initiating Breastfeeding and antenatal counselling about breastfeeding and pre-lacteal feed in Enhancing Postnatal Lactation Performance.

Abstract

Background: Breastfeeding is widely recognized for its health benefits, providing optimal nutrition, strengthening immunity, and fostering mother-child bonding. This study aimed to evaluate the effects of antenatal breast milk expression at term and antenatal counseling on lactational outcomes, compared to a control group.

Method: Conducted over two years at Vardhman Mahavir Medical College's Obstetrics and Gynecology Department, this prospective, non-randomized interventional study involved 1000 antenatal women. Excluding those with breast conditions, congenital fetal anomalies, or medication affecting lactation, participants were divided into two groups. Group A (Booked cases): 500 women at ≥37 weeks received counseling on antenatal milk expression and breastfeeding. Group B (Unbooked cases): 500 women at ≥37 weeks did not receive antenatal counseling from our team. Follow-up assessments at 72 hours and 6 weeks post-delivery measured antenatal milk expression, breastfeeding counseling effects, and pre-lacteal feeding practices.

Results: In Group A, 76% of women understood colostrum's importance (vs. 24% in Group B, p < 0.001). Belief in pre-lacteal feeding necessity was 69% in Group B and 20% in Group A (p < 0.001). Immediate breastfeeding initiation occurred in 92.7% of Group A, versus 51.5% of Group B. At 72 hours, breastfeeding success was 81.9% in Group A versus 65.8% in Group B, with rates at 6 weeks reaching 100% for Group A and 69.2% for Group B.

Conclusion: Antenatal breast milk expression post-37 weeks significantly accelerated breastfeeding initiation and reduced lactation challenges.

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