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Effect of pre-cesarean foot reflexology massage on anxiety of primiparous women

Authors: Navaee Maryam, Khayat Samira, Abed Zahra GhadiriJournal: Journal of complementary & integrative medicinePublished: September 23, 2020DOI: 10.1515/jcim-2019-0229
Q2 JournalSJR: 0.4h-index: 25
Moderate EvidenceRandomized Controlled Trialn=90 participants

In Plain Language: reflexology for anxiety, explained

Introduction Anxiety is a common feeling in cesarean section and lack of attention to it is associated with negative consequences for health of mother and child. Reflexology is a way to reduce anxiety. So far, the effect of reflexology on pre-cesarean anxiety has not been evaluated. Therefore, we aimed to evaluate the effect of pre-cesarean foot reflexology massage on the anxiety of women during their first pregnancy. Materials and Methods This study is a three-group clinical trial that was conducted in 2019. The study sample consisted of 90 pregnant women hospitalized for cesarean section in Zahedan who were randomly divided into three groups of 30 women. The subjects completed the state section of Spielberger anxiety questionnaire. The control group did not receive any intervention. For two groups, 1 h before surgery, a group received reflexive massage, and the another group simple massage. Duration of massage for each group was 30 min. After 30 min, the subjects completed the state section of Spielberger questionnaire again. Statistical analysis was performed by SPSS software program, version 21.0. ANOVA and ANCOVA tests were used to compare between groups and paired t-test was used for intra-group comparisons. Results The results showed that the level of anxiety was significantly reduced in the reflexology massage group (from 55 ± 8 to 40 ± 7) as well as simple massage group (from 51 ± 10 to 47 ± 7) (p0.001 and p>0.001,respectively). Reflexive massage significantly reduced anxiety scores (p>0.001) as compared to simple massage. Conclusion The results of this study revealed the positive effect of reflexology massage on pre-cesarean anxiety. Because reflexology massage is an inexpensive, simple, and easy approach, the use of this non-pharmaceutical method is recommended to reduce pre-cesarean anxiety.

Key Findings: what this randomised trial found about anxiety

  • ✓Foot reflexology massage administered 1 hour before cesarean section significantly reduced pre-operative anxiety in first-time pregnant women compared to control and simple massage groups.
  • ✓A 30-minute reflexology massage session was effective at reducing state anxiety levels in women scheduled for cesarean delivery, as measured by the Spielberger anxiety questionnaire.
  • ✓Reflexology massage demonstrated greater anxiety-reduction benefits than simple massage in the pre-cesarean period for primiparous women.

What This Means for You

If you're anxious about cesarean delivery, foot reflexology massage appears to reduce anxiety more effectively than simple massage, though more research is needed to confirm these results.

What This Means for Practitioners

Reflexology demonstrates clinically meaningful anxiety reduction in pre-cesarean patients compared to both control and simple massage groups, supporting its use as a targeted intervention in obstetric settings.

Study Design: how this randomised trial was run

Sample Size
90 participants
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Reflexology for anxiety: common questions

Does reflexology help with anxiety?

If you're anxious about cesarean delivery, foot reflexology massage appears to reduce anxiety more effectively than simple massage, though more research is needed to confirm these results.

What did this study find?

Foot reflexology massage administered 1 hour before cesarean section significantly reduced pre-operative anxiety in first-time pregnant women compared to control and simple massage groups. A 30-minute reflexology massage session was effective at reducing state anxiety levels in women scheduled for cesarean delivery, as measured by the Spielberger anxiety questionnaire. Reflexology massage demonstrated greater anxiety-reduction benefits than simple massage in the pre-cesarean period for primiparous women.

How strong is this evidence?

This is a randomised trial and we rate its evidence moderate. It covers 90 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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