Effects of Reflexology Strategy on the Mothers Breast Milk Volume and Their Premature Weight Gain
Asian Journal of Pediatric Research,
Background: Reflexology means the application of the manual the pressure to specific points of the feet called "reflex points" that are believed to correspond to other parts of the body. The study aimed to assess the effect of reflexology strategy on the mother’s breast milk volume and their premature weight gain.
Design: An experimental design was used to conduct the study. A convenience sample of 120 Primiparous mothers and their preterm infants was chosen based on systematic simple random.
Methods: Three tools were designed by the researchers to collect the necessary data to implement the reflexology strategy framework. 1.Structured interview questionnaire sheet, 2. Assessment observational checklist sheet for Premature using 2 scales: A. Transitioning from tube feeds to oral feeds, B. The Preterm Infant Breastfeeding Behavior Scale, three Evaluation Phase observational checklist based on Mother-Infant- Breastfeeding Progress Tool (MIBPT):
Statistical Analysis: The collected data were coded, analyzed, figured and tabulated using frequencies and percentage, mean, standard deviation & chi-square tests.
Results: There were a statistically significant difference and marked improvement in reflexology group total scores of feeding performance (P < 0.001) after intervention for 6 weeks approved of reflexology strategy. Reflexology group majority (88.3%) demonstrated good breastfeeding as compared to (55.2%) in the study group.
Conclusion: The present study highlights the effect of reflexology strategy on the mother’s satisfaction, breast milk volume, and their premature weight gain. On the other hand, intervention accelerates the early transition of premature from the tube feeding to breastfeeding and discharge from the hospital.
Recommendation: In-service education program could be designed and implemented in the pediatric field to enable the nurses to apply reflexology strategy to improve empower early transitioning of the preterm from tube feeds to breastfeeding and early discharge. Reflexology strategy is non-pharmacological, simple, noninvasive and cheap technique would be welcomed by the nurses, physicians and mothers.
- reflexology strategy
- breast milk volume the premature
- weight gain
How to Cite
Centers for Disease Control and Prevention. U.S. Breastfeeding Rates Are Up! More Work Is Needed; 2018.
American Academy of Pediatrics (AAP. Policy Statement: Breastfeeding and the Use of Human Milk; 2018.
World Health Organization. 10 facts on breastfeeding [The Internet]; 2017.
The United States Department of Health and Human Services .Maternal, Infant, and Child Health. Healthy People (2020) November 1, 2017. 200 Independence Avenue, S.W., Washington, DC 20201; 2018. Available: https://www.cdc.gov/breastfeeding/resources/us-breastfeeding-rates.html
Bastani F, Aliabadi T, Haghani H. The impact of caring partnership program in the neonatal intensive care unit on anxiety of the mother of premature infants. J Babol Univ Med Sci. 2012;14:59‑ 65.
Embong NH, Soh YC, Ming LC, Wong TW. Revisiting reflexology: Concept, evidence, current practice, and practitioner training. J Tradit Complement Med. 2015; 5(4):197e206.
Abdullahi S, Dolatian M, Heshmat AS, AlaviMajd H. Effect of reflexology on severity of symptoms of premenstrual syndrome. J Shahid Beheshti Univ Med Sci. 2013;18:8–15.
Alison Boots: What Are the Benefits of Reflexology Massage?; 2019.
Available:strong.com C:UserspnuadminDesktopReflexology for Cancer _ Childhood Cancers Support for All AffectedWhat Are the Benefits of Reflexology Massage_ _ Livestrong.com.html
Tiran D, Mack S. Complementary therapies for pregnancy and child birth. Edniburg, Bailliere tindal, New York; 2000.
Lubbe W. Clinicians guide for cue-based transition to oral feeding in preterm infants: An easy-to-use clinical guide. J Eval Clin Pract; 2017.
Kirk A, Alder S, King J. Cue‐based oral feeds clinical pathway results in earlier attainment of the full oral feeding in premature infants. J Perinatol. 2007;27(9): 572‐578.
Puckett B, Grover VK, Holt T, Sankaran K. Cue-based feeding for preterm infants: A prospective trial. Am J Perinatol. 2008; 25(10):623-628.
McCormick FM, Tosh K, McGuire W. Ad libitum or demand/semi‐ demand feeding versus scheduled interval feeding for preterm infants. The Cochrane Library; 2010.
Hedberg Nyqvist K, Rubertsson C, Ewald U, Sjoden P-O. Development of the Preterm Infant ´ Breast-feeding Behavior Scale (PIBBS): A study of nurse–mother agreement. J Hum Lact. 1996;12:207–19.
Johnson TS, Mulder PJ, Strube K. Mother-infant breastfeeding progress tool: A guide for education and support of the breastfeeding dyad JOGNN J Obstet Gynecol Neonat Nurs. 2007;36:319-327.
Laura Thomas. Reflexology to support breastfeeding and increase lactation; 2007.
Available:http://www.mamatoto.co.za/ reflexology -breastfeeding/ 1/2
Embong Nurul Haswani Yee Chang Sohb, Long Chiau Ming, Tin Wui Wong. Perspectives on reflexology: A qualitative approach Journal of Traditional and Complementary Medicine. 2017;7:327-331.
Hughes CM, Krisnakriengkrai S, Kumar S, McKonough SM. Journal of Alternative Therapies in Health and Medicine. 2011; 17(3):32-7.
Shaker CS. Cue‐based feeding in the NICU: Using the infants communication as a guide. Neonatal Network: The Journal of Neonatal Nursing. 2013;32(6):404‐408.
Lubbe W, Ten Ham-Baloyi W. When is the use of pacifiers justifiable in the baby-friendly hospital initiative context? A clinician’s guide. BMC Pregnancy Childbirth. 2017;17:130.
Feldman R, Rosenthal Z, Eidelman AI. Maternal‐preterm skin‐to‐skin contact enhances child physiologic organization and cognitive control across the first 10 years of life. Biol Psychiatry. 2014;75(1):56‐64.
Bache M, Pizon E, Jacobs J, Vaillant M, Lecomte A. Effects of pre feeding oral stimulation on oral feeding in preterm infants: a randomized clinical trial. Early Hum Dev. 2014;90(3):125‐129.
Tavafian S. The examination of the breast feeding of 6- month babies who were delivered in baby friendly hospital and non-baby friendly hospitals of Tabriz: A cross sectional study. Milit Caring Sci J. 2015; 1:41–7.
Parisa Mirzaiea, Sakineh Mohammad-Alizadeh- Charandabib Sakineh Goljarianc Mojgan Mirgha fourvandd Mohammad Bager Hoseiniee. The effect of foot reflexology massage on breast milk volume of mothers with premature infants: A randomized controlled trial European Journal of Integrative Medicine. 2018;17: 72-78.
Uinted States Preventive Services Task Force, Bibbins-Domingo K, Grossman DC, et al. Primary Care Interventions to Support Breastfeeding: US Preventive Services Task Force Recommendation Statement. JAMA. 2016;316:1688.
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