{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T17:44:53Z","timestamp":1789753493640,"version":"4.0.1"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,7,27]],"date-time":"2017-07-27T00:00:00Z","timestamp":1501113600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Funding of Nursing Scientific Research of Fudan University","award":["FNF201422"],"award-info":[{"award-number":["FNF201422"]}]},{"name":"Funding of Science and Technology Program of Nantong City","award":["MS12016004"],"award-info":[{"award-number":["MS12016004"]}]},{"name":"College Students' Innovation Project of Jiangsu Province","award":["201610304120H"],"award-info":[{"award-number":["201610304120H"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Maternal &amp; Child Nutrition"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Caesarean section is associated with weaker newborn suction pressure. This nonblinded, randomized trial explored the effect of suction pressures generating by a breast pump on mothers' onset of lactation and milk supply after caesarean section. A high pressure group (\u2212150\u00a0mmHg), a low pressure group (\u2212100\u00a0mmHg), and a control group (none) were generated under computer random assignment with concealed allocation in 2 tertiary hospitals. The breast pumping began within 2\u00a0hr after caesarean operation (6 times a day and 30\u00a0min per time) until onset of lactation. The primary outcomes were the timing of onset of lactation, milk supply, and mother's satisfaction in lactation, using both intention\u2010to\u2010treat and per\u2010protocol analyses. The secondary endpoints were the pumping\u2010related pain, nipple injury, and maternal fatigue. All 164 women randomized were included in analysis. The breast pumping at \u2212150\u00a0mmHg optimally advanced the timing of the onset of lactation and increased daytime milk supply. The pumping also appeared to boost mothers' confidence in lactation. The results in the per\u2010protocol population (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a0148) were consistent with those of intention\u2010to\u2010treat population (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a0164). However, the pumping aggravated maternal nipple pain and fatigue, though there was no statistical significance. The findings suggest that a higher pumping pressure within the range of normal vaginally born infant suction could promote onset of lactation and milk supply among mothers giving birth by caesarean section. The pumping could also enhance mothers' confidence in breastfeeding.\n                  <\/jats:p>","DOI":"10.1111\/mcn.12486","type":"journal-article","created":{"date-parts":[[2017,7,28]],"date-time":"2017-07-28T04:27:46Z","timestamp":1501216066000},"source":"Crossref","is-referenced-by-count":18,"title":["Effect of pumping pressure on onset of lactation after caesarean section: A randomized controlled study"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4798-5145","authenticated-orcid":false,"given":"Feng","family":"Zhang","sequence":"first","affiliation":[{"name":"School of Nursing Fudan University  Shanghai China"},{"name":"School of Nursing Nantong University  Nantong City Jiangsu Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yahui","family":"Yang","sequence":"additional","affiliation":[{"name":"School of Nursing Nantong University  Nantong City Jiangsu Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Bai","sequence":"additional","affiliation":[{"name":"School of Nursing Nantong University  Nantong City Jiangsu Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lele","family":"Sun","sequence":"additional","affiliation":[{"name":"School of Nursing Nantong University  Nantong City Jiangsu Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingzhu","family":"Sun","sequence":"additional","affiliation":[{"name":"School of Nursing Nantong University  Nantong City Jiangsu Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueling","family":"Shi","sequence":"additional","affiliation":[{"name":"School of Nursing Nantong University  Nantong City Jiangsu Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng","family":"Zhu","sequence":"additional","affiliation":[{"name":"School of Nursing Nantong University  Nantong City Jiangsu Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meijuan","family":"Ge","sequence":"additional","affiliation":[{"name":"School of Nursing Nantong University  Nantong City Jiangsu Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiou","family":"Xia","sequence":"additional","affiliation":[{"name":"School of Nursing Fudan University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,27]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1523-536X.2002.00202.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2010.01.026"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1439-0531.2009.01354.x"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1624\/105812409X426297"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(93)90081-P"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.107.6.e94"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.3.607"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2014-007512"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2007.12.008"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-016-0876-1"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7211.670"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/133.8.2592"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/JNR.0b013e3181b25558"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-015-0698-6"},{"key":"e_1_2_9_16_1","doi-asserted-by":"crossref","first-page":"1012","DOI":"10.1542\/peds.37.6.1012","article-title":"Newborn sucking behavior affected by obstetric sedation","volume":"37","author":"Kron R. 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