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The Effect of Foot Reflexology on the Anxiety Levels of Women in Labor

Authors: Yılar Erkek Zümrüt, Aktas SongulJournal: Journal of alternative and complementary medicine (New York, N.Y.)Published: April 1, 2018DOI: 10.1089/acm.2017.0263
Q2 JournalSJR: 0.55h-index: 90
Moderate EvidenceObservationaln=154 participants

In Plain Language: reflexology for anxiety, explained

This research was conducted to analyze the effect of foot reflexology on the anxiety levels of women during labor. The study was conducted as a semiexperimental study. It was conducted with 154 nulliparous pregnant women who applied to a maternity unit of a state hospital in the north-western part of Turkey to give birth. Foot reflexology was applied once to the pregnant women in the experimental group when cervical dilation was 3-4 cm. The treatment was applied to the right foot and left foot reflex points for 15 min, for a total of 30 min. The data in the study were collected using the "Pregnant Women Introductory Information Form" and the "Spielberger State-trait Anxiety Inventory" (STAI TX-1). In evaluating the data, number, percentage, Chi-square, independent samples t-test, and repeated measure analysis of variance test were used. The mean scores of the STAI TX-1 were used to analyze the results. The mean STAI TX-1 scores were measured before reflexology, in the latent and active phases of labor and early in postpartum period (four times in total). The mean STAI TX-1 scores were higher in the experimental group than in the control group (p < 0.001). The mean STAI TX-1 scores postreflexology application (when cervical dilation was 3-4 cm) and during the active phase of the labor (when cervical dilation was 6-8 cm) of the pregnant women in the experimental group were lower than those of the control group (respectively p = 0.010, p < 0.001). In the experimental group, there was no statistically significant difference between the mean STAI TX-1 scores pre- and postreflexology (p = 0.820). The mean STAI TX-1 scores in the early postpartum period were similar in the experimental and control groups (p = 0.080). Foot reflexology was found to have a positive effect in lowering the total anxiety scores of the pregnant women. Reflexology is a noninvasive and econ

Key Findings: what this observational study found about anxiety

  • ✓Foot reflexology was applied for 30 minutes total (15 minutes per foot) to pregnant women when cervical dilation reached 3-4 cm during labor.
  • ✓The study included 154 nulliparous pregnant women from a state hospital maternity unit in northwestern Turkey using a semi-experimental design.
  • ✓Anxiety levels were measured using the Spielberger State-Trait Anxiety Inventory (STAI TX-1) before and after the reflexology intervention.

What This Means for You

This moderate-quality study suggests foot reflexology may help reduce anxiety during active labor, though more rigorous research is needed to confirm the benefit.

What This Means for Practitioners

Consider offering foot reflexology during the active phase of labor (cervical dilation 6-8 cm), as this study showed measurable anxiety reduction at this stage.

Study Design: how this observational study was run

Sample Size
154 participants
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Reflexology for anxiety: common questions

Does reflexology help with anxiety?

This moderate-quality study suggests foot reflexology may help reduce anxiety during active labor, though more rigorous research is needed to confirm the benefit.

What did this study find?

Foot reflexology was applied for 30 minutes total (15 minutes per foot) to pregnant women when cervical dilation reached 3-4 cm during labor. The study included 154 nulliparous pregnant women from a state hospital maternity unit in northwestern Turkey using a semi-experimental design. Anxiety levels were measured using the Spielberger State-Trait Anxiety Inventory (STAI TX-1) before and after the reflexology intervention.

How strong is this evidence?

This is a observational study and we rate its evidence moderate. It covers 154 participants. It was published in Journal of alternative and complementary medicine (New York, N.Y.), a Q2 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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