Çankaya Seyhan, Ratwisch Gülay
Department of Midwifery, Health Sciences Faculty of Selcuk University, Konya, Turkey.
Department of Gynecologic and Obstetrics Nursing, Florence Nightingale Nursing Faculty of Istanbul University, Istanbul, Turkey.
Int J Nurs Pract. 2020 Jun;26(3):e12824. doi: 10.1111/ijn.12824. Epub 2020 Feb 20.
This study aimed to investigate the effect of reflexology on lactation and postpartum comfort in primiparas giving births through caesarean section.
This randomized controlled trial was conducted in 100 women with first birth through caesarean section between May 2016 and May 2017. Expectant mothers were randomly included into an intervention and a control group. The intervention group consisted of mothers in whom reflexology was performed three times per day at every eight hours for 30 min for 3 days.
The mean scores of the breastfeeding chart system and breastfeeding satisfaction scores of the mothers in the intervention group were significantly higher than those of the controls, and the first lactation period of the mothers in the intervention group was shorter than that of the controls. Mean breast-tension, breast-heat, and breast-pain scores were similar in both groups on day 1; however, a significant increase was seen the intervention group on days 2 and 3, compared to those in the controls. The mean scores of the Postpartum Comfort Questionnaire in the intervention group were significantly better than those of the controls.
Reflexology starts lactation earlier in mothers giving birth via caesarean section, supports the breastfeeding period, and increases mothers' postpartum comfort.
本研究旨在探讨反射疗法对剖宫产初产妇泌乳及产后舒适度的影响。
本随机对照试验于2016年5月至2017年5月对100例首次剖宫产的女性进行。将准妈妈们随机分为干预组和对照组。干预组的母亲每天接受3次反射疗法，每次8小时，持续30分钟，共3天。
干预组母亲的母乳喂养图表系统平均得分和母乳喂养满意度得分显著高于对照组，且干预组母亲的首次泌乳期短于对照组。两组在第1天的平均乳房张力、乳房热度和乳房疼痛得分相似；然而，与对照组相比，干预组在第2天和第3天有显著增加。干预组产后舒适度问卷的平均得分显著优于对照组。
反射疗法可使剖宫产母亲更早开始泌乳，支持母乳喂养期，并提高母亲的产后舒适度。
