Misrach Zerfu Lema, Vempati Poornodai, Vulli Venkata rao, Suberu Safiu Adewale


The aim of this study is to investigate the effect of fenugreek seed in augmenting expressed

breast milk volume of mothers of preterm infants at TASH NICU. A case-control experimental study was carried out in 88 mothers of preterm infants (<34 wks of GA) who were selected randomly and meet the inclusion criteria. The study began by measuring the baseline expressed milk volume in both groups for the first 24hour.For the experimental group water extract of fenugreek seed powder (6gm) was administered 3 times a day for five consecutive days while measuring the expressed milk volume of each participant every 3hr in 24hrs. The average amount of expressed milk volume in all participants before the experiment was 183 ± 16 ml/24hr. There were no statistically significant difference between baseline value of expressed milk volume in experimental and control groups. Following administration of fenugreek

seed powder, the expressed milk volume (ml) on 1st, 2nd, 3rd,4th, and 5th days were 249 ± 15 , 298 ± 19, 342 ±19, 399 ± 20, and 383 ± 20 respectively, and each of these values were significantly higher as compared to baseline value (P<0.05). Comparison of expressed breast milk volume between

experimental and control group showed statistically significant difference ( 249 ± 15 vs 187± 13,

298± 19 vs 216± 16, 342± 19 vs 233± 16, 399 ± 20 vs 244 ± 19, and 383 ± 20 vs 257± 18 ) for each of the experimental days from day 1-5 respectively. Expressed milk volume increase with increased number of babies, and mothers of male neonates express more milk than mothers of female neonates.

In conclusion, mothers of preterm infants at TASH NICU expressed low breast milk volume.

Administration of water extract of fenugreek seed powder to mothers of preterm infants for five

consecutive days showed significant increase in breast milk volume.


Fenugreek seed, breast milk volume, galactogogue

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