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Effect of Foot Reflexology on Reduction of Labour Pain Among Primigravida Mothers

Authors: Mohan Manju, Varghese LindaJournal: International journal of therapeutic massage & bodyworkPublished: March 1, 2021
Q3 JournalSJR: 0.25h-index: 18
Moderate EvidenceObservationaln=50 participants

In Plain Language: reflexology for pregnancy, explained

Reflexology may help induce labour and reduce pain during childbirth. Fear of pain associated with childbirth leads to increase in the irregular use of cesarean method. This study was performed to evaluate the effect of reflexology on relieving labour pain and assess the recipient's opinion regarding foot reflexology. The study taken place in the labour room, Amrita Institute of Medical Sciences, Kerala, South India. 50 primigravida patients experiencing labour. A quasi-experimental study design was used. Subjects were selected by convenience sampling technique with the first 25 patients allocated to the experimental group and the successive 25 primigravida mothers to a time-control group, to avoid data contamination. Intervention consisted of foot reflexology applied by a trained therapist to five pressure points of both feet that correspond to the uterus. Total intervention time lasted 20 minutes. Control group rested quietly for 20 minutes to serve as a time control. Pain associated with labour was recorded on a visual analogue scale immediately prior to intervention, and at 20- and 40-minutes postintervention. Patient satisfaction with reflexology treatment was recorded. Mean baseline pain score in foot reflexology group was significantly reduced across the study timeframe relative to control group (p p p < .001, 95%CI 0.643-1.677) time points. Eighty-one per cent of patients would recommend reflexology during labour. The findings showed that foot reflexology was effective in relief of labour pain, with a high degree of patient satisfaction in primigravida mothers.

Key Findings: what this observational study found about pregnancy

  • ✓Foot reflexology applied to uterine pressure points for 20 minutes reduced labour pain in primigravida mothers compared to a control group that rested quietly.
  • ✓The study involved 50 primigravida patients divided into an experimental group receiving reflexology intervention and a time-control group to evaluate the effectiveness of this non-pharmacological pain relief method.
  • ✓Reflexology may serve as an alternative intervention to reduce fear-related pain perception during childbirth and potentially decrease unnecessary cesarean section requests.

What This Means for You

Foot reflexology may help reduce labor pain during childbirth, though more rigorous research is needed to confirm these promising initial results.

What This Means for Practitioners

This study supports the clinical use of targeted foot reflexology (uterus pressure points) for labor pain management, with high patient satisfaction rates that could enhance your practice offering.

Study Design: how this observational study was run

Sample Size
50 participants
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Reflexology for pregnancy: common questions

Does reflexology help with pregnancy?

Foot reflexology may help reduce labor pain during childbirth, though more rigorous research is needed to confirm these promising initial results.

What did this study find?

Foot reflexology applied to uterine pressure points for 20 minutes reduced labour pain in primigravida mothers compared to a control group that rested quietly. The study involved 50 primigravida patients divided into an experimental group receiving reflexology intervention and a time-control group to evaluate the effectiveness of this non-pharmacological pain relief method. Reflexology may serve as an alternative intervention to reduce fear-related pain perception during childbirth and potentially decrease unnecessary cesarean section requests.

How strong is this evidence?

This is a observational study and we rate its evidence moderate. It covers 50 participants. It was published in International journal of therapeutic massage & bodywork, a Q3 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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