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The Effect of Reflexology on Lactation and Postpartum Comfort in Caesarean-Delivery Primiparous Mothers: A Randomized Controlled Study

Authors: Çankaya Seyhan, Ratwisch GülayJournal: International journal of nursing practicePublished: June 1, 2020DOI: 10.1111/ijn.12824
Q2 JournalSJR: 0.6h-index: 64
Strong EvidenceRandomized Controlled Trialn=100 participants

In Plain Language: reflexology for pregnancy, explained

This study aimed to investigate the effect of reflexology on lactation and postpartum comfort in primiparas giving births through caesarean section. This randomized controlled trial was conducted in 100 women with first birth through caesarean section between May 2016 and May 2017. Expectant mothers were randomly included into an intervention and a control group. The intervention group consisted of mothers in whom reflexology was performed three times per day at every eight hours for 30 min for 3 days. The mean scores of the breastfeeding chart system and breastfeeding satisfaction scores of the mothers in the intervention group were significantly higher than those of the controls, and the first lactation period of the mothers in the intervention group was shorter than that of the controls. Mean breast-tension, breast-heat, and breast-pain scores were similar in both groups on day 1; however, a significant increase was seen the intervention group on days 2 and 3, compared to those in the controls. The mean scores of the Postpartum Comfort Questionnaire in the intervention group were significantly better than those of the controls. Reflexology starts lactation earlier in mothers giving birth via caesarean section, supports the breastfeeding period, and increases mothers' postpartum comfort.

Key Findings: what this randomised trial found about pregnancy

  • ✓Mothers who received reflexology three times daily for 3 days postpartum had significantly higher breastfeeding satisfaction scores and breastfeeding chart system scores compared to the control group.
  • ✓Reflexology intervention shortened the time to first lactation in caesarean-delivery mothers compared to controls.
  • ✓While breast tension, heat, and pain were similar between groups on day 1 postpartum, the reflexology intervention group experienced significantly greater increases in these symptoms on days 2 and 3.

What This Means for You

If you're recovering from a caesarean birth, reflexology may help you start breastfeeding sooner and feel more comfortable, though more research is still needed to confirm these benefits.

What This Means for Practitioners

This RCT provides evidence that reflexology performed three times daily for 3 days postpartum may support earlier lactation onset and improve breastfeeding outcomes in caesarean-delivery mothers.

Study Design: how this randomised trial was run

Sample Size
100 participants
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Reflexology for pregnancy: common questions

Does reflexology help with pregnancy?

If you're recovering from a caesarean birth, reflexology may help you start breastfeeding sooner and feel more comfortable, though more research is still needed to confirm these benefits.

What did this study find?

Mothers who received reflexology three times daily for 3 days postpartum had significantly higher breastfeeding satisfaction scores and breastfeeding chart system scores compared to the control group. Reflexology intervention shortened the time to first lactation in caesarean-delivery mothers compared to controls. While breast tension, heat, and pain were similar between groups on day 1 postpartum, the reflexology intervention group experienced significantly greater increases in these symptoms on days 2 and 3.

How strong is this evidence?

This is a randomised trial and we rate its evidence strong. It covers 100 participants. It was published in International journal of nursing practice, a Q2 journal. Reflexology is a complementary therapy, not a replacement for medical treatment.

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