Esfahani Mitra Savabi, Berenji-Sooghe Shohreh, Valiani Mahboubeh, Ehsanpour Soheila
Department of Midwifery, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Student of Midwifery, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2015 Jan-Feb;20(1):7-11.
Breast milk is the main food source for infants' growth and development. Insufficient milk is one of the obstacles to the adequate use of this substance. One of the treatments to help this issue is acupressure. Therefore, the present study was designed to determine the effect of acupressure on maternal milk volume.
This study is a randomized clinical trial in which 60 breastfeeding mothers complaining of hypogalactia and meeting the inclusion criteria were studied. In addition to providing routine education, bilateral acupressure was performed for 12 consequentia l days on the acupoints of SI1, LI4, and GB21 in the intervention group, as three sessions per week with each session conducted 2-5 times. The control group received only routine education. In both groups, breast milk volume before intervention and 2 and 4 weeks after intervention was evaluated by an electric pump. Data were analyzed by descriptive and inferential statistical analysis through SPSS.
The t-test showed no significant difference in the mean volume of milk in the two groups (P = 0.543). Mean volumes of milk before and 2 and 4 weeks after the intervention were 10.5 (8.3), 33 (13.44), and 36.2 (12.8), respectively, in the acupressure group and 9.5 (7.7), 17.7 (9.4), 18 (9.5), respectively, in the control group. Analysis of variance (ANOVA) test showed a significant difference in the mean volume of milk at 2 and 4 weeks after the intervention (P < 0.001).
Both acupressure and general education methods were effective on the milk volume of breastfeeding mothers. Acupressure method was more effective than the other method. Therefore, application of acupressure as a method of alternative medicine to increase breastfeeding is suggested.
母乳是婴儿生长发育的主要食物来源。乳汁不足是充分利用这种物质的障碍之一。有助于解决这一问题的治疗方法之一是穴位按压。因此,本研究旨在确定穴位按压对产妇奶量的影响。
本研究是一项随机临床试验,研究了60名主诉乳汁过少且符合纳入标准的母乳喂养母亲。除了提供常规教育外,干预组在SI1、LI4和GB21穴位上连续12天进行双侧穴位按压,每周三次,每次进行2 - 5次。对照组仅接受常规教育。两组均通过电动吸奶器评估干预前以及干预后2周和4周的母乳量。通过SPSS进行描述性和推断性统计分析来分析数据。
t检验显示两组奶量均值无显著差异(P = 0.543)。穴位按压组干预前、干预后2周和4周的奶量均值分别为10.5(8.3)、33(13.44)和36.2(12.8),对照组分别为9.5(7.7)、17.7(9.4)、18(9.5)。方差分析(ANOVA)检验显示干预后2周和4周的奶量均值有显著差异(P < 0.001)。
穴位按压和常规教育方法对母乳喂养母亲的奶量均有效果。穴位按压方法比另一种方法更有效。因此,建议应用穴位按压作为一种替代医学方法来增加母乳喂养量。