Breast Massage and Hot Compress Application to Mothers With Premature Babies at Newborn Intensive Care University Effect on Milk Release and Anxiety

This research was carried out in order to determine the effect of breast massage and hot compresses on milk release and anxiety to mothers with premature babies in YYBU (Neonatal Intensive Care Unit)

Participants who met the criteria for inclusion of the study were informed about the purpose of the research, the scales used, the data to be collected and the purposes of use of this data. Participants who agreed to participate voluntarily in the study were given a questionnaire form in an environment where they could respond without distraction in their clinic and responded under the supervision of the researcher. The answer to the questionnaire was completed in approximately 10-15 minutes. Suitable for the research group in which participants are included; control group, breast massage application group, hot compress group to the breast, massage to the breast and data collection form suitable for hot compress group.Participants were followed by the post op 48 hour researcher. A mother with 120 premature babies who met the criteria for inclusion in the study was taken. The applications carried out in the study were shown to the mother by the researcher in a hands-on manner, explained and given a brochure explaining the application. The mothers who were included in the control group were informed about the use of milking pumps in the routine application of the hospital, the data collection form and the condition anxiety scale were filled out on the first day. These mothers were told by the researcher how to fill out the breast milk follow-up form for 4 days as long as they were in the hospital. Milk amounts are measured in ml. On the last day, the situation anxiety scale has been filled.

The mothers who were included in the breast massage group were informed about the use of milking pumps in the routine application of the hospital, the data collection form and the condition anxiety scale were filled out on the first day. These mothers were shown breast massage during the use of milking pumps, they were provided with a brochure explaining the application. As long as the breast milk follow-up form to record the amounts of milk they milked was in the hospital, the researcher explained how to fill it out when discharged and was asked to fill out the last-day conditional anxiety scale (SATI-I). Milk amounts are measured in ml.

Mothers who were included in the hot application group were informed about the use of milking pumps in the routine application of the hospital and the condition anxiety scale (STAI-I) was filled out on the first day. These mothers were shown the hot application they would make during the use of milking pumps, they were provided with the application and a brochure was given explaining the application.

The hot chest compress to be used in this group will be used in the Lansinoh brand Thera°Pearl® Hot Breast Therapy pad, which is sold in medical medicines in pharmacies approved by the Ministry of Health.

The breast milk follow-up form, in which they will record the amounts of milk they milk, was explained by the researcher in the hospital and how to fill it out when they were discharged, and they were asked to fill out a last-day anxiety scale. Mothers who were included in the breast massage and hot application group were informed about the use of milking pumps in the routine application of the hospital, the data collection form and the condition anxiety scale were filled out on the first day. These mothers were shown breast massage and hot application during the use of milking pumps, they were provided with their own application and a brochure was given explaining the application. The breast milk follow-up form, in which they will record the amounts of milk they milk, was explained by the researcher in the hospital and how to fill it out when they were discharged, and they were asked to fill out a last-day anxiety scale.

In the study, a MANDELA type milking pump was used, which belongs to the hospital where the work was carried out to milk the mothers. The milking pump setting of the mothers who participated in the study was also adjusted to moderate level.

Where the research was carried out : The research was carried out in the cesarean clinic of Ankara Etlik Zubeyde Women's Obstetrics and Gynecology Education and Research Hospital.

Universe and Sampling of The Research: The universe of this research is made up of patients who meet the criteria for inclusion in the cesarean clinic at Ankara Etlik Zubeyde Women's Obstetrics and Gynecology Education and Research Hospital and who agree to participate in the research. The sample size required for the research question created to examine the reduction of anxiety by increasing the amount of milk of the mother of breast massage, hot compress, breast massage-hot compress application to premature baby was examined in groups of thirtysomethings. Accordingly, the sample size of 120 people was grouped as Massage group \[n=30\], Hot group \[n=30\], Massage and Hot group \[n=30\] and Control group\[n=30\] as individuals. Randomization of groups was carried out through the computer randomization program Random Allocation Software program.

Data Evaluation: The analysis was conducted through the IBM SPSS Statistics 23 package program. When evaluating the study data, frequency (number, percentage) for categorical variables and descriptive statistics (mean, standard deviation, median, minimum, maximum) are given for numerical variables. The assumptions of normality of numerical variables by groups were examined by shapiro wilk normality test and it was observed that some variables were not distributed normally. Therefore, both parametric and non-parametric statistical methods were used in the study.The relationships between the two Independent categorical variables are interpreted by The Square analysis. Fisher Exact test results were used in cases where the expected value assumption was not provided in the Square analysis. The differences between more than two independent groups were looked at with the Kruskal Wallis test for variables that showed normal distribution, one-way variance analysis (ANOVA) for variables that did not have normal distribution. The differences between the Dependent Sample T Test and more than two dependent numeric variables for variables with normal distribution between two dependent numeric variables were examined with Friedman's Analysis.The power of the work is calculated by the GPower package program. In the study, the effect width was found to be 0.62 and the strength of the study, which was completed with a total of 120 people including 30 massages, 30 hot applications, 30 massages and hot treatments and 30 controls, was found to be 80.1% at the 0.05 significant level. Statistical signation was interpreted as 0.05 in the analysis.

Data Collection Tools:The research data were collected using the Data Collection Form, Spielberger's Situational Anxiety Inventory and Breast Milk Follow-up Form, which includes questions and sociodemographic data determined by the researchers in accordance with the subject of the research in line with the literature information.

Eligibility Criteria:
Inclusion Criteria:

* Who has agreed to participate in the research,
* Without communication barriers, She gave birth by C-section.

  * Preterm infant mothers who give birth before the 37th gestational week,
  * With a birth weight of less than 2000 grams,
  * Severely chronic disease, pregnancy complications or non-previous breast surgery,
  * Preterm infant mothers treated in YYBU will be included in the study.

Exclusion Criteria:

Failure to meet the inclusion criteria is the exclusion criteria.

Exclusion (Withdrawal) from the Study Criteria

* Failure to complete the data collection forms,
* the participant's desire to leave at any time of the study,
* the single-option information in the data collection forms,
* the failure to communicate with the mother after discharge in the collection of the work data.