The Effect of Acupressure and Back Massage on Lactation in Cesarean Deliveries: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 97
- 试验地点
- 2
- 主要终点
- Visual Analogue Scale by which Mothers Evaluate Lactation Onset Signs
研究概览
简要总结
Primiparous mothers after cesarean section often encounter insufficient milk production during breastfeeding. This study was planned as a randomized controlled study to examine the effect of acupressure and back massage on lactation in cesarean deliveries. The research will be carried out between July 2021 and July 2023 with mothers who had a cesarean section at Kocaeli University Research and Application Hospital and Health Sciences University Derince Training and Research Hospital. The research will be carried out with three groups as acupressure, back massage and control group. The sample number was calculated using the G*Power 3.1.9.2 program and the acupressure group: 24, the back massage group: 24, and the control group: 24. In order to increase the analysis power, the number of samples was increased by 25% and n=30 for each group (acupressure group: 30, back massage group: 30, and control group: 30). It is planned to collect the data with the Introductory Information Form, the Newborn Follow-up Form, the Mother's Follow-up Form, and the Visual Analogue Scale by which the Mothers Evaluate Lactation Onset Symptoms. The mothers will be given acupressure 4 minutes acupressure group, back massage group 3 minutes back massage, and no application will be made to the control group, once in the post-op 0th day, 2 times in the post-op 1st day and once in the post-op 2nd day. 15 minutes after the applications, the baby will be weighed while hungry and will be breastfed under the control of the researcher. Babies will be weighed again after breastfeeding. The data of the research will be evaluated using the Statistical Package for the Social Sciences 20.0 program. In the evaluation of the data; descriptive statistics will be given as percentage, arithmetic mean±standard deviation, median and minimum-maximum values, independent two-sample t-test for normally distributed variables and Mann-Whitney U test for non-normally distributed variables. Repeated measure covariance analysis will be applied to reveal the difference between the milk amounts of the mothers between the groups. Statistical significance level will be accepted as p<0.05.
详细描述
Objective: The aim of this study is to examine the effects of acupressure and back massage on lactation in cesarean deliveries.
Hypotheses:
H01: There is no difference in the amount of breast milk between the acupressure, back massage group and the control group in cesarean deliveries.
H02: There is no difference between the acupressure, back massage group and the control group in terms of lactation onset symptoms in cesarean deliveries.
This study was designed as a randomized controlled experimental study. The study was carried out in Kocaeli University Research and Application Hospital and Health Sciences University Derince Training and Research Hospital obstetrics service between July 2021 and July 2023. planned to be carried out.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Between the ages of 18-35,
- •Birth after 37 weeks of gestation,
- •Caesarean section with regional anesthesia,
- •Primiparous,
- •No contraindications for breastfeeding (infection, contraindicated drug use, breast problems, etc.),
- •Having no health problems (tuberculosis, HIV, cancer, etc.),
- •Not using drugs to increase breast milk, vitamins and additional supplements,
- •Does not have any problems preventing communication,
- •At least primary school graduate,
- •Able to speak and understand Turkish,
- •Volunteer mothers who agree to participate in the study will be included.
排除标准
- •• The baby has contraindications for breastfeeding (galactosemia, congenital anomalies, etc.),
- •Having postpartum complications (bleeding, embolism, etc.),
- •Separated from her baby for any reason after birth (in cases where the mother or baby is referred, hospitalized in intensive care or isolated),
- •Having complications during pregnancy (gestational diabetes, preeclampsia, Rh incompatibility, heart disease, etc.),
- •Tissue integrity deteriorated in the area to be treated,
- •Having lost her baby,
- •Smoking or using alcohol,
- •Those who test positive for Covid-19 will be excluded from the study.
- •Those who want to leave the research at any stage of the research will be excluded from the research.
结局指标
主要结局
Visual Analogue Scale by which Mothers Evaluate Lactation Onset Signs
时间窗: The Visual Analogue Scale, in which the Mothers Evaluate Lactation Onset Symptoms, will be filled in by the mothers between in postoperative period on 2.days at 08.00-16:00 am
Tension, temperature increase and pain in the breasts, which are the signs of starting lactation, will be scored between 0-10. 0 "None", 1-2 "Too little", 3-4 "A little too much", 5-6 "Too much", 7-8 "Too much" and 9-10 "Too much, unbearable" and what is the total score? it will be understood that the higher the lactation onset symptoms, the more
amount of breast milk
时间窗: Reported the use of baby weighing in postoperative period on 2.days at 08.00-16:00 am.
The baby will be weighed before and after breastfeeding. The amount of milk will be calculated according to the difference in weight.
次要结局
未报告次要终点
研究者
resmiye kaya odabaş
research assistant
Aydin Adnan Menderes University