Nodehi Fateme Norouzi, Aziznejadroshan Parvin, Nikbakht Hossein-Ali, Haqshanas Mohsen, Halakhor Sohrab
Student Research Committee, Babol University of Medical Sciences, Babol, Iran.
Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
BMC Pediatr. 2024 Dec 6;24(1):799. doi: 10.1186/s12887-024-05270-4.
One of the important problems for mothers after the birth of a premature infant is a decrease in milk production. This study aimed to investigate the effect of foot reflexology on the volume and composition of breast milk in mothers of premature infants hospitalized in the neonatal intensive care unit.
This randomized clinical trial was conducted on 76 primiparous mothers whose premature infants up to 34 weeks were hospitalized in the neonatal intensive care unit of Ayatollah Rouhani Hospital from February 2023 to November 2023. Mothers in the intervention group received foot reflexology for 20 min on both feet (ten minutes per foot) for seven consecutive days every morning. On the first and seventh days of the study, both groups were compared in terms of milk volume (ml), triglycerides, cholesterol, albumin, total protein, and calcium (mg/dl).
The mean difference in breast milk characteristics before and after the intervention in the control and intervention groups were as follows: in terms of breast milk volume 12.43 and 23.51 ml, triglyceride 418.37 and 406.21, cholesterol 5.48 and 3.67, albumin 1.02 and 0.35, total protein 1.89 and 4.59, calcium was -3.54 and -1.83 mg/dL; the net difference in breast milk volume in the intervention group compared to the control group increased, which was not statistically significant but was significant in terms of value. No significant difference was observed in other components of breast milk.
In this single-center study, foot reflexology massage showed a trend towards increasing the volume of breast milk, total protein and calcium, although it was not statistically significant. Therefore, it needs further investigation.
IRCT, IRCT20221220056872N1. Registered 22 January 2023- prospective registered, https://irct.behdasht.gov.ir/trial/67512 .
早产婴儿出生后，母亲面临的一个重要问题是乳汁分泌减少。本研究旨在调查足部反射疗法对新生儿重症监护病房住院的早产婴儿母亲母乳量及成分的影响。
本随机临床试验于2023年2月至2023年11月在阿亚图拉·鲁哈尼医院新生儿重症监护病房对76名初产妇进行，其早产婴儿孕周达34周。干预组母亲每天上午连续7天接受双脚足部反射疗法，每次20分钟（每只脚10分钟）。在研究的第1天和第7天，比较两组的奶量（毫升）、甘油三酯、胆固醇、白蛋白、总蛋白和钙（毫克/分升）。
对照组和干预组干预前后母乳特征的平均差异如下：奶量方面分别为12.43和23.51毫升，甘油三酯为418.37和406.21，胆固醇为5.48和3.67，白蛋白为1.02和0.35，总蛋白为1.89和4.59，钙为-3.54和-1.83毫克/分升；干预组与对照组相比，母乳量的净差异增加，虽无统计学意义，但在数值上有显著差异。母乳的其他成分未观察到显著差异。
在这项单中心研究中，足部反射疗法按摩显示出增加母乳量、总蛋白和钙的趋势，尽管无统计学意义。因此，需要进一步研究。
伊朗临床试验注册中心，IRCT20221220056872N1。于2023年1月22日注册——前瞻性注册，https://irct.behdasht.gov.ir/trial/67512 。
