Department of Obstetrics and Gynecology Nursing, Faculty of Health Sciences, Balıkesir University, Balıkesir, Turkey,
Department of Midwifery, Faculty of Health Sciences, Balıkesir University, Balıkesir, Turkey.
Complement Med Res. 2021;28(4):336-343. doi: 10.1159/000513924. Epub 2021 Jan 21.
The research was conducted as a randomized controlled pilot study to evaluate the effects of reflexology on lactation in mothers who delivered by cesarean section (CS).
A single-blind randomized controlled experimental study was conducted with a total of 60 postpartum women in the reflexology application (n = 30) and control groups (n = 30). After the CS, the mothers in the control group were given approximately 3-h routine nursing care after recovering from the effects of anesthesia; the introductory information form was applied, and the Breastfeeding Charting System and Documentation Tool (LATCH) and visual analog scale (VAS) for the signs of the onset of lactation were implemented on the first and second days. Reflexology was applied to the women in the intervention group after an average of 3 h following the mother's condition had become stable and she had recovered from the effects of anesthesia. Reflexology was applied a total of 20 min - 10 min for the right foot, 10 min for the left foot - twice a day with 8-h intervals on the first and second days after CS. After the last reflexology application, the LATCH and VAS for the signs of the onset of lactation were applied.
Of the women, 70% breastfed their babies within 60 min after delivery; 46.7% of the mothers received breastfeeding training and 81.7% needed support for breastfeeding after the CS. The LATCH breastfeeding scores of the women in the intervention group on both days were significantly higher compared to those of the women in the control group (p < 0.001). On the first day after the CS, apart from breast pain, there was no significant difference between the two groups in terms of breast heat and breast tension (p > 0.05). On the second day after the CS, apart from breast tension, there was no significant difference between the groups in terms of breast heat and breast pain (p < 0.05). In the study, women in the intervention group were found to have higher scores in terms of all three symptoms compared to the control group (p < 0.05).
In the study, it was determined that LATCH scores and signs of the onset of breastfeeding increased in the mothers who received reflexology after CS.
本研究旨在通过随机对照试验评估反射疗法对剖宫产产妇泌乳的影响。
这是一项单盲随机对照试验研究，共纳入 60 名剖宫产产妇，分为反射疗法组（n=30）和对照组（n=30）。在剖宫产术后，对照组产妇在麻醉恢复后接受约 3 小时的常规护理；应用简介信息表，在术后第 1、2 天实施母乳喂养图表系统和记录工具（LATCH）和泌乳开始迹象的视觉模拟量表（VAS）。在母亲状况稳定并从麻醉中恢复后，平均 3 小时后对干预组产妇进行反射疗法。在术后第 1、2 天，每天两次，每次 20 分钟（右脚 10 分钟，左脚 10 分钟），共进行 2 次反射疗法。最后一次反射疗法后，应用 LATCH 和 VAS 评估泌乳开始迹象。
70%的产妇在产后 60 分钟内开始母乳喂养；46.7%的产妇接受了母乳喂养培训，81.7%的产妇在剖宫产术后需要母乳喂养支持。干预组产妇在第 1、2 天的 LATCH 母乳喂养评分均明显高于对照组（p<0.001）。剖宫产术后第 1 天，两组产妇的乳房热度和乳房紧张度差异均无统计学意义（p>0.05），但除乳房疼痛外，干预组的其他乳房症状均优于对照组（p<0.05）。剖宫产术后第 2 天，两组产妇的乳房热度和乳房疼痛差异均无统计学意义（p>0.05），但除乳房紧张度外，干预组的其他乳房症状均优于对照组（p<0.05）。
本研究表明，剖宫产术后接受反射疗法的产妇 LATCH 评分和泌乳开始迹象增加。
