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Effects of Manual Lymphatic Drainage and Therapeutic Ultrasound on Breast Engorgement

Not Applicable
Recruiting
Conditions
Postpartum Complication
Interventions
Other: MANUAL LYMPHATIC DRAINAGE
Other: THERAPEUTIC ULTRASOUND
Registration Number
NCT06303232
Lead Sponsor
Riphah International University
Brief Summary

To find the combined effects of the manual lymphatic drainage with therapeutic ultrasound on breast engorgement, pain and self-efficacy in post - partum women.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
42
Inclusion Criteria
  • Both primiparous or multiparous breastfeeding women
  • BMI: ≤30-≥25 (14)
  • Immediate puerperium with normal or C - section non-premature childbirth (19)
  • Postnatal lactating mother with symptoms of breast engorgement
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Exclusion Criteria
  • any breast infection, abscess, mastitis, breast cancer
  • torn/bleeding or crack nipples
  • any skin condition like dermatitis, psoriasis etc
  • non-lactating mothers
  • having heart pacemaker
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
MANUAL LYMPHATIC DRAINAGEMANUAL LYMPHATIC DRAINAGE-
THERAPEUTIC ULTRASOUNDTHERAPEUTIC ULTRASOUND-
Primary Outcome Measures
NameTimeMethod
Visual Analogue Scale - VAS7th day

VAS is an effective rule is measuring the pain score. It ranges from 0 -10 cm line scale with the following description; 0 cm = no pain

1 - 3 cm = mild pain 4 - 7 cm = moderate pain 8 - 10 cm = severe pain (20). When assessing the validity of VAS, a good-to-excellent correlation was found (r = 0.941), this scale had excellent test-retest reliability. The intra - class correlation coefficients of the VAS was 0.97

Six Point Engorgement Scale - SPE7th day

Six point engorgement scale was the scale for the determination of the breast engorgement.

The reliability of tool engorgement was 0.948 (22). The score of this scale ranges from 1 - 6.

Every score has a following description;

1. = no changes in breast / soft breast

2. = slight changes in breast

3. = firm but no breast tenderness

4. = firm with starting breast tenderness

5. = tender and firm

6. = very tender and very firm

Breastfeeding Self-Efficacy Scale - BSES7th day

It includes the 14 items that measure the confidence of the breastfeeding. The divergent validity of the BSES-SF was proved via a significant negative correlation with scores of the Edinburgh Postnatal Depression Scale (r = - 0.273, P \< 0.001). In sum, BSES-SF is a reliable and valid instrument for measuring breastfeeding self-efficacy

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Innovative Health Concepts Clinic

🇵🇰

Lahore, Pakistan

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