Galactagogue effect of banana (Musa x paradisiaca) blossom beverage on breast milk production among mothers undergoing cesarean section.
DOI:
https://doi.org/10.53713/nhs.v2i3.154Keywords:
galactagogue, breast milk production, banana blossom, mother, cesarean sectionAbstract
There is limited evidence to support the effectiveness of banana blossom in promoting breast milk supply among mothers undergoing cesarean section. To investigate the clinical galactagogue effect of banana blossom on breast milk production among mothers undergoing cesarean section. A randomized controlled trial was conducted with the experimental group (ne=30) who consumed banana (Musa X paradisiaca) blossom beverage and the control group (nc=30) who consumed plain water. The results showed that mothers undergoing cesarean section in the experimental group had significantly higher milk flow levels at Day 2 (P = 0.017), Day 3 (P = 0.005) and milk volume at Day 2 (P = 0.005), and Day 3 (P = <0.001) than those of control group. This study had proven the galactagogue effect of banana blossom beverage to promote breast milk production, without any notable adverse effect. It could be used to be the alternative daily menu for postpartum mothers and a solution for midwives to deal with those who have inadequate production of breast milk.
References
Amornlerdpisan, D., Choommongkol, V., Narkprasom, K., Yimyam, S. (2021). Bioactive compounds and antioxidant properties of banana inflorescence in a beverage for maternal breastfeeding. Applied. Sciences, 11, 343. doi:10.3390/app11010343.
Bazzano, A.N., Hofer, R., Thibeau, S., Gillispie, V., Jacobs, M., Theall, K.P. (2016). A review of herbal and pharmaceutical galactagogues for breast-feeding. Ochsner Journal, 16(4), 511–524.
Beake, S., Bick, D., Narracott, C, Chang, Y.S. (2017). Interventions for women who have a caesarean birth to increase uptake and duration of breastfeeding: A systematic review. Maternal & child nutrition, 13(4), e12390. doi:10.1111/mcn.12390.
Brodribb, W. & the Academy of Breastfeeding Medicine. (2018). ABM clinical protocol #9: use of galactogogues in initiating or augmenting maternal milk production, second revision 2018. Breastfeeding Medicine, 13, 307–314. doi:10.1089/bfm.2018.29092.wjb.
Buntuchai, G., Pavadhgul, P., Kittipichai, W. & Satheannoppakao, W. (2017). Traditional galactagogue foods and their connection to human milk volume in Thai breastfeeding mothers. Journal of Human Lactation, 33(3), 552-559.
Chen, C., Yan, Y., Gao, X., Xiang, S., He, Q. & Zeng, G. (2018). Effects of caesarean delivery on breastfeeding practices and duration: a prospective cohort study. Journal of Human Lactation, 34, 526–534. doi:10.1177/0890334417741434.
European Medicines Agency. (2014). Domperidone-Containing Medicines; European Medicines Agency: London, UK. Retrieved from http://www.ema.europa.eu/ema/index.jsp?curl=pages/
medicines/human/referrals/Domperidone-containing_medicines/human_referral_
prac_000021.jsp&mid=WC0b01ac05805c516f.
Flaherman, V.J., Chan, S., Desai, R., Agung, F.H., Hartati, H. & Yelda, F. (2018). Barriers to exclusive breast-feeding in Indonesian hospitals: a qualitative study of early infant feeding practices. Public Health Nutrition, 21(14), 2689–2697.
Foong, S.C., Tan, M.L., Foong, W.C., Marasco, L.A., Ho, J.J., & Ong, J.H. (2020). Oral galactagogues (natural therapies or drugs) for increasing breastmilk production in mothers of non-hospitalized term infants. Cochrane Database of Systematic Reviews 2020, Issue 5. Art. No.: CD011505. doi:10.1002/14651858.CD011505.pub2.
Ghasemi, V., Kheirkhah, M., & Vahedi, M., 2015. The Effect of herbal tea containing fenugreek seed on the signs of breast milk sufficiency in Iranian girl infants. Iranian Red Crescent Medical Journal, 17 (8), e21848. https://doi.org/10.5812/ircmj.21848.
Grzeskowiak, L.E. & Amir, L. (2015). Use of domperidone to increase breast milk supply. Journal of Human Lactation, 31(2), 315-316. doi:10.1177/0890334414567895
Health Canada. (2015). Domperidone Maleate-Association with Serious Abnormal Heart Rhythms and Sudden Death (Cardiac Arrest)-For Health Care Professionals; Health Canada: Ottawa, Canada. Retrieved from http://hc-sc.gc.ca/dhp-mps/medeff/advisories-avis/prof/_2015/domperidone_hpc-cps-eng.php.
Hobbs, A. J., Mannion, C. A., McDonald, S. W., Brockway, M., & Tough, S. C. (2016). The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy and Childbirth, 16, 90. doi:10.1186/s12884-016-0876-1.
Joseph, J., Paul, D., Kavitha, M.P., Dineshkumar, B., Menon, J.S., Bhat, A.R., & Krishnakumar, K. (2014). Preliminary phytochemical screening and in vitro antioxidant activity of Banana flower (Musa paradisiaca AAB Nendran variety). Journal of Pharmacy Research, 8(2), 144-147.
Kent, J. C., Ashton, E., Hardwick, C. M., Rea, A., Murray, K., & Geddes, D. T. (2021). Causes of perception of insufficient milk supply in Western Australian mothers. Maternal & child nutrition, 17(1), e13080. doi:10.1111/mcn.13080.
Kwan, S.H., Abdul-Rahman, P.S. (2021). Clinical Study on Plant Galactagogue Worldwide in Promoting Women's Lactation: A scoping review. Plant Foods for Human Nutrition. 76(3), 257-269. doi: 10.1007/s11130-021-00901-y. Epub 2021 Jul 22. PMID: 34292494.
Luecha, P., & Umehara, K. (2013). Thai medicinal plant for promoting lactation in breastfeeding women. Handbook of dietary and nutritional aspects of human breast milk. Wageningen Academic, 645-654.
Mahmood, A., Ngah, N., Omar, M.N., (2011). Phytochemical’s constituent and antioxidant activities in Musa x Paradisiaca flower. European Journal of Scientific Research, 66(2), 311-318.
Mahmood, A., Omar, M.N., Ngah, N., Yahaya, A. (2012). Galactagogue effects of Musa x paradisiaca flower extract on lactating rats. Advances in Bioresearch, 3(4), 46-52.
National Statistical Office [NSO] & United Nations Children’s Fund [UNICEF]. (2019). Thailand multiple indicator cluster survey 2019: Final report. Bangkok: NSO and UNICEF. 2019 [cited 2021 October 20]. Retrieved from https://www.unicef.org/thailand/reports/thailand-multiple-indicator-cluster-survey-2019
Nordin, Z.M., Bakar, I.A., Omar, M.N., Mahmood, A. (2020). Effect of consuming lactogenic biscuits formulated with banana (Musa x paradisiaca) flower flour on expressed breast milk (EBM) among lactating working women. Food Research, 4 (2), 294 – 300.
Patel, H.N., Desai, H.B., Krishnamurthy, R. (2013). Plant as a booster for lactation. Natural Products an Indian Journal, 9(7), 289–304. doi:10.1007/978-3-642-22144-6.
Prado DS, Mendes RB, Gurgel RQ, Barreto IDC, Cipolotti R, Gurgel RQ. (2018). The influence of mode of delivery on neonatal and maternal short and long-term outcomes. Revista de Saude Publica, 29, 52-95. doi:10.11606/S1518-8787.2018052000742.
Sahoo, H.B., Mandal, P.K., Sagar R. & Bhattamisra, S.K. (2016). Evaluation of lactogenic activity of Triumfetta rhomboidea L. root: Validating its traditional usage. Journal of Experimental and Integrative Medicine, 6(1), 26-30. doi:10.5455/jeim.160216.or.146.
Sawatpanich, A. Yimyam, S. & Chaloumsuk, N. (2019). Factors Influencing Exclusive Breastfeeding at Discharge Among First-Time Mothers Undergoing Cesarean Section. Nursing Journal, 46(3), 219-231.
Sinsuksai, N., Nuampa, S., & Chanprapaph, P. (2017). Factors Predicting 6-Month-Exclusive Breastfeeding in Mothers with Cesarean Section. Journal of Nursing Science, 35(1), 15-22.
The United Nations Children’s Fund (UNICEF) & World Health Organization (WHO), 2018. Capture the Moment – Early initiation of breastfeeding: The best start for every newborn. New York: UNICEF. Retrieved from https://www.unicef.org/eca/media/4256/file/Capture-the-moment-EIBF-report.pdf
Wahyuningsih, D., Hidayat, S.T., Khafidhoh, N., Suwondo, A., Fatmasari, D., Susiloretni, K.A. (2017). Effect of Musa balbisiana colla Extract on Breast Milk Production in breastfeeding mothers. Belitung Nursing Journal, 3(3), 174-182.
World Health Organization. (2015). Human Reproduction Programme: WHO statement on caesarean section rates. Report Health Matters; 23, 149-150.
World Health Organization (WHO) & the United Nations Children’s Fund (UNICEF). (2020). Protecting, promoting and supporting breastfeeding: the Baby-friendly Hospital Initiative for small, sick and preterm newborns. Geneva, Switzerland: Department of Nutrition and Food Safety, World Health Organization.
World Health Organization (WHO). (2021). Infant and young child feeding. [cited 2021 November 16]. Retrived from https:// www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
Yimyam, S. (2018). Herb galactogogues for breastfeeding mothers. Nursing Journal, 45(1), 133-145. (in Thai)
