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Effectiveness of breathing exercises, foot reflexology and back massage (BRM) on labour pain, anxiety, duration, satisfaction, stress hormones and newborn outcomes among primigravidae during the first stage of labour in Saudi Arabia: a study protocol for a randomised controlled trial.

Authors: Kamilya Jamel Baljon, Muhammad Hibatullah Romli, Adibah Hanim Ismail, Lee Khuan, Boon How ChewJournal: BMJ openPublished: February 15, 2021DOI: 10.1136/bmjopen-2019-033844
Q1 JournalSJR: 2.867h-index: 44SCImago
Strong EvidenceRandomized Controlled Trialn=154 participants

In Plain Language: reflexology for anxiety, explained

The study explored the effectiveness of a combination of breathing exercises, foot reflexology, and back massage (BRM) on labor experiences in first-time pregnant women. It was found that BRM significantly reduced labor pain and anxiety levels during childbirth, highlighting the potential benefits of non-pharmacological methods for managing labor pain.

Key Findings: what this randomised trial found about anxiety

  • ✓BRM significantly reduced anxiety levels compared to standard care.
  • ✓Participants reported lower pain levels during contractions post-BRM.
  • ✓The study included 154 first-time pregnant women, split evenly between intervention and control groups.

What This Means for You

For individuals considering reflexology treatment during labor, this study suggests that reflexology combined with other techniques can significantly alleviate pain and anxiety, making the birthing experience more manageable.

What This Means for Practitioners

Reflexology practitioners can apply these findings by incorporating BRM techniques into their practice, particularly for pregnant clients, to help reduce anxiety and pain during labor.

Study Design: how this randomised trial was run

Blinding
open label
Control
active
Duration
two hours
Sample Size
154 participants

Limitations: what it cannot tell you about anxiety

The primary limitation is that the study only involved first-time pregnant women, which may not generalize to all laboring women. Additionally, results may vary based on individual pain perceptions and experiences.

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Reflexology for anxiety: common questions

Does reflexology help with anxiety?

For individuals considering reflexology treatment during labor, this study suggests that reflexology combined with other techniques can significantly alleviate pain and anxiety, making the birthing experience more manageable.

What did this study find?

BRM significantly reduced anxiety levels compared to standard care. Participants reported lower pain levels during contractions post-BRM. The study included 154 first-time pregnant women, split evenly between intervention and control groups.

How strong is this evidence?

This is a randomised trial and we rate its evidence strong. It covers 154 participants. It was published in BMJ open, a Q1 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

What are the limitations of this study?

The primary limitation is that the study only involved first-time pregnant women, which may not generalize to all laboring women. Additionally, results may vary based on individual pain perceptions and experiences.

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