title: [Effect of Tuina at breast on postpartum lactation].
abstract: OBJECTIVE
  To explore the efficacy of Tuina for postpartum lactation and work out a optimal protocol involved.
  
  
  METHODS
  With a randomized, controlled and clinical method, 84 primiparas were divided into a Tuina group and a control group. While patients in the control group received rooming-in conventional managements, those in the Tuina group were additionally treated with Tuina, including local manipulations on breasts combined with acupoint manipulations. The colostrum-time, lactation quantity and prolactin were observed to make the comparisons between two groups.
  
  
  RESULTS
  The scores of lactation quantity after 1th, 2nd, 3rd of the treatment were 1.660 +/- 0.785, 2.530 +/- 1.030, 2.880 +/- 1.171 in Tuina group and 1.270 +/- 0.533, 1.460 +/- 0.811, 1.500 +/- 0.583 in control group respectively, where there were significant differences in each time stage between two groups (all P < 0.001). The time of colostrum was (21.6 6 +/- 10.508) h in the Tuina group and (22.5 +/- 9.762) h in the control group, in which the difference was not statistically significant (P > 0.05). The levels of prolactin (314.35 +/- 110.37) ng/mL and (321.56 +/- 109.61) ng/mL in Tuina group, (385.78 +/- 85.19) ng/mL and (340.12 +/- 103.10) ng/mL in control group before and after treatment, there were no significant differences (both P > 0.05).
  
  
  CONCLUSIONS
  Postpartum Tuina on breasts could increase the quantity of lactation and delay the decreasing of the levels of prolactin, which contributes primiparas to lactate more and sooner.
authors.affiliation: College of Acupuncture and Massage, Shanghai University of TCM, Shanghai 201203, China.
authors.forename: Juan-Juan
authors.initials: JJ
authors.lastname: Zheng
authors.forename: Yi
authors.initials: Y
authors.lastname: Zhao
authors.forename: Ping
authors.initials: P
authors.lastname: Lu
authors.forename: Xiao-Yu
authors.initials: XY
authors.lastname: Wang
mesh_terms: D000328:Adult; D000654:Amobarbital; D001940:Breast / Q000378:metabolism*; D001942:Breast Feeding; D003126:Colostrum / Q000378:metabolism; D004338:Drug Combinations; D005260:Female; D006801:Humans; D007774:Lactation; D008895:Milk, Human / Q000378:metabolism*; D049590:Postpartum Period / Q000502:physiology*; D011388:Prolactin / Q000378:metabolism; D012631:Secobarbital; D055815:Young Adult
chemical_list: D004338:Drug Combinations; C027629:amobarbital, secobarital drug combination; D012631:Secobarbital; D011388:Prolactin; D000654:Amobarbital