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Complementary medicine for laboring women: a qualitative study of the effects of reflexology

Authors: Arnon Zahi, Dor Asnat, Bazak Hadar, Attias Samuel, Sagi Shlomi, Balachsan Shoshana, Schiff EladJournal: Journal of complementary & integrative medicinePublished: July 19, 2018DOI: 10.1515/jcim-2018-0022
Q2 JournalSJR: 0.4h-index: 25
Limited EvidenceQualitativen=36 participants

In Plain Language: reflexology for pregnancy, explained

Background Despite pharmacological interventions, labor pain and anxiety still remain a challenge, and can carry long-term psychological complications. The goal of this study was to assess the effect of reflexology on these symptoms and to explore the physical and psychological components of women's experience associated with this treatment. Methods This qualitative study was conducted in an Israeli university hospital that offers integrative medicine services. Reflexology was offered to laboring women in the hospital, by the medical staff. In-depth, open interviews were conducted with 36 women, still in hospital, who consented to be interviewed, within 48 h after delivery. Questions referred to their labor experience with reflexology treatment. Results Of the 36 participants, 34 (94%) described a positive and empowering experience. They reported reduced pain and anxiety, and an increased sense of self-efficacy brought about by the ability to become active and manage labor. Conclusions Using reflexology as one of the complementary medicine treatment available can contribute greatly to the entire labor experience as it empowers women and increases self-confidence and ability to self-manage labor and delivery.

Key Findings: what this qualitative study found about pregnancy

  • ✓Ninety-four percent (34 of 36) of laboring women reported a positive and empowering experience after receiving reflexology treatment.
  • ✓Women who received reflexology during labor reported reduced pain and anxiety compared to their expectations without the treatment.
  • ✓Reflexology increased women's sense of self-efficacy by enabling them to take an active role in managing their own labor experience.

What This Means for You

While this study shows promising results for reflexology during labor, the evidence is based on women's personal accounts without a comparison group, so more rigorous research is needed to confirm these benefits.

What This Means for Practitioners

This qualitative evidence suggests reflexology may empower laboring women and increase their sense of self-efficacy, which could be valuable to highlight when offering this service in clinical settings.

Study Design: how this qualitative study was run

Sample Size
36 participants
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Reflexology for pregnancy: common questions

Does reflexology help with pregnancy?

While this study shows promising results for reflexology during labor, the evidence is based on women's personal accounts without a comparison group, so more rigorous research is needed to confirm these benefits.

What did this study find?

Ninety-four percent (34 of 36) of laboring women reported a positive and empowering experience after receiving reflexology treatment. Women who received reflexology during labor reported reduced pain and anxiety compared to their expectations without the treatment. Reflexology increased women's sense of self-efficacy by enabling them to take an active role in managing their own labor experience.

How strong is this evidence?

This is a qualitative study and we rate its evidence limited. It covers 36 participants. It was published in Journal of complementary & integrative medicine, a Q2 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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