Breast Stimulation in Low-Risk

Primigravidas at Term: Does

It Aid in Spontaneous Onset of Labour and
Vaginal Delivery?
A Pilot Study
Nilanchali Singh, Reva Tripathi, Yedla ManikyaMala, and
Niharika Yedla
BioMed Research International
Volume 2014, Article ID 695037, 6 pages
Bunga dewanggi, S.Ked
14712100
Stase Obstetri & Ginekologi
RSUD dr.Soediran Mangun Sumarso Wonogiri

Introduction
Spontaneus onset of labour better fetal-maternal outcome
Induction widely use to avoid postdatism

Low risk primigravida more need intervention

Many nonpharmacologic methods is use in different culture to

cervical ripening since ages breast massage more acceptable in
india

With breast stimulation facilitate releasing oxytosin from posterior

pituitary cervical ripening
Breast stimulation for induction lack of evidence efficacy &
safety ???

Methods

Characteristic of sample

Both grups are

similliar

Result maternal

Result
Maternal outcome
100
90
80
70
60
50
40
30
20
10
0

Result fetal

NO significant OUTCOME
between controlled vs
intervention grup

Conclusion

Breast Stimulation in Low-Risk Primigravidas at Term: Does It Aid in

Spontaneous Onset of Labour and Vaginal Delivery?A Pilot Study

CRITICAL APPRAISAL

PICO
Problem

Low risk primigravida with cephalic presentation, 3638 week gestation

Intervent
ion

Breast stimulation

Comparis
on

Without stimulation

Outcome

Spontaneus onset of labor and vaginal delivery

Did the
study ask
a clearly
focused
question?

YES
Clearly focuzed on
population, sample,
intervention,
controled and
outcome

2
Was this
randomi
zed
control
trial
(RCT)
and was
it
appropri
ately
so?

YES
200 patients were
recruited and
randomized into
two groups of 100
each by computer
generated
sequence

3
Were
participant
s
appropriate
ly allocated
to
interventio
n and
control
grups?

YES
Participants
are divide into
2 grups :
breast
stimulation &
no stimulation

Were
participants
, staff and
study
personel
blind to
participants
study grup?

CANT TELL
No explanation

5
Were all of
the
participant
s who
entered the
trial
accounted
for at its
conclusion?

NO
There is one
patient who
missed follow
up (controlled
grup)

6
Were the
participant
s in all
grups
followed up
and data
collected in
the same
way?

YES
Follow up and
data collected
was done on
same time and
way (bishops +
pelvic exam)

Did the
study have
enough
participant
s to
minimize
the play of
change ?

CANT TELL
The calculation
of sample
wasnt explained

How are
the results
presented
and what is
the main
result ?

RESULT are
presented on
tabel
(maternal+fetal
outcome), main
result are breast
stimulation help
servical
ripening

How
precise are
the
result ?

With P-value <

0,05 (significant)
the result was
precise to help
me making
decision of my
patient

10
Should
policy or
practice
change as
a result of
the
evidence
obtained in
this trial ?

YES
This evidence is
applicable for my
patient