Insufficient Lactation Clinical Trial
Official title:
EFFECT OF LOW LEVEL LASER THERAPY VERSUS ELECTROACUPUNCTURE ON POSTNATAL SCANTY MILK SECRETION
A randomized controlled study conducted on 60 healthy primiparous mothers with insufficient lactation. The participants were divided randomly into three equal groups, Group (A) control, Group (B) received low power He-Ne laser beam on both breasts and Group (C) received faradic current stimulation at Spleen 6, Liver 3 and Small Intestine 1 acupuncture points on both sides, all participants received 10 mg domperidone 3 times a day and advice about lactation, nutrition and fluid intake. Evaluation was done before and after the treatment program
Women in Group (A) acted as a control group and only received medical treatment in the form
of 10 mg domperidone 3 times a day after meals) and advice about lactation, nutrition and
fluid intake all through the treatment period (4 weeks) Each woman in group (B) lied in
supine lying position on the treatment plinth wearing the protective eyewear as precautionary
measures for her safety and exposing her breast out of her clothes then the breast was
cleaned by alcohol. The laser apparatus was directed perpendicularly over the treated breast
at a distance 50 cm from it, all metal objects must be removed from the range of action of
laser (i.e. necklaces). The laser scan beam was adjusted to the size of the treated breast
for 10 minutes with wave length 632.8 nm and power output 25 mw after the end of treatment
session the machine switched off automatically then, it was adjusted again to start
irradiation by the same procedures for the other breast. The mother had one session every
other day, three sessions weekly for four weeks. (Total 12 sessions). He-Ne laser (Bravo
TrezaSerie) device was used. The equipment was designed in compliance with international
technical standards UNI EN ISO 9002 and En 46002 and complies with the safety requirements.
Group (B) had received 12 sessions of irradiation by low power He-Ne laser beam on both sides
of the breasts 10 minutes on each side. One session every other day, three sessions weekly
for four weeks beside the medical treatment (10 mg domperidone 3 times a day after meals) and
advice about lactation, nutrition and fluid intake all through the treatment period Group (C)
women were treated by faradic stimulation (Body shaping System, model B-333, made in China) ,
at the following acupuncture points on both sides: Spleen 6 (Sanyinjiao), Liver 3 (Taichong)
and Small Intestine 1 (Shaoze) using surface electrodes in addition to medical treatment (10
mg domperidone 3 times a day after meals) and advice about lactation, nutrition and fluid
intake allthrough the treatment period
SP-6 Acupuncture Point lies on the inner leg aspect about 3 cm higher than the medial
malleolus, along the posterior tibial border. Fig. (2)
LIV-3 Acupuncture Point is the one that lies in the depressed area between the 1st 2
metatarsal bones proximal to the metatarsophalangeal joints on the dorsal foot aspect Fig.
(2)
SI.1 Acupuncture point is located on the little finger, ulnar to the distal phalanx, at the
intersection of the vertical line of ulnar border of the nail and the horizontal line of the
base of the little fingernail. Fig. (2)
Each woman in group (C) was asked to be in a long sitting or half lying position, When the
points were located, the electrodes were fastened securely with an adhesive tape or an
elastic band to ensure good contact between the skin and the electrode over the acupuncture
points. The intensity control of the stimulator was slowly increased until the patient could
just feel the stimulation. The session lasted for 30 minutes. One session every other day, 3
sessions weekly for 4 weeks. (Total 12 sessions).
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