Mohammadpour Atena, Valiani Mahboubeh, Sadeghnia Alireza, Talakoub Sedigheh
Student Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2018 Sep-Oct;23(5):371-375. doi: 10.4103/ijnmr.IJNMR_175_16.
Reflexology is an interventional method which may lead to improved breast milk. Because the mechanism of milk production is complex, detailed research is required on the relationship between lactation and reflexology. Therefore, the aim of the present study was to determine the effect of reflexology on the volume of milk among mothers with premature infants.
This clinical trial was conducted among 50 mothers with premature infants in two groups of 25 patients admitted to the neonatal intensive care unit of Alzahra and Shahid Beheshti hospitals of Isfahan, Iran from August 2015 to November 2015. The patients were selected through convenience sampling method and divided into control and reflexology groups through random allocation. In the reflexology group, massage of the sole of the foot and foot was done in six sessions. The control group received regular breastfeeding training. Data were analyzed using descriptive and inferential statistics.
Repeated-measures analysis of variance test indicated that the mean volume of breast milk in reflexology group ( = 44.002, < 0.001) and control group ( = 43.09, < 0.001) differed significantly at different times. Independent -test showed that the mean increase in milk volume from day 1 to day 5 after the intervention compared to before the intervention was significantly higher in the reflexology group compared to the control group 1days after the intervention (=5.25, <0.001), 2 days after the intervention (= 4.81, <0.001), 3 days after the intervention (=3.55, =0.001), 4 days after the intervention (= 2.98, =0.004), 5 days after the intervention (= 2.50, =0.020).
The results indicate that reflexology is effective on the volume of milk of mothers, and this low-cost and easy procedure can be used along with regular lactation training.
反射疗法是一种可能有助于增加母乳量的干预方法。由于乳汁分泌机制复杂，因此需要对泌乳与反射疗法之间的关系进行详细研究。因此，本研究的目的是确定反射疗法对早产母亲乳汁量的影响。
本临床试验于2015年8月至2015年11月在伊朗伊斯法罕的阿尔扎赫拉医院和沙希德·贝赫什提医院的新生儿重症监护病房对50名早产母亲进行，分为两组，每组25名患者。患者通过便利抽样法选取，并通过随机分配分为对照组和反射疗法组。在反射疗法组中，对足底和足部进行了六次按摩。对照组接受常规母乳喂养培训。使用描述性和推断性统计分析数据。
重复测量方差分析表明，反射疗法组（=44.002，<0.001）和对照组（=43.09，<0.001）在不同时间的母乳平均量有显著差异。独立检验显示，与干预前相比，干预后第１天（=5.25，<0.001）、第２天（=4.81，<0.001）、第３天（=3.55，=0.001）、第４天（=2.98，=0.004）、第５天（=2.50，=0.020）反射疗法组的乳汁量平均增加显著高于对照组。
结果表明，反射疗法对母亲的乳汁量有效，这种低成本且简便的方法可与常规泌乳培训一起使用。
