Reverse Pressure Softening of Areola: Its Effect on Breast Engorgement and Newborn Feeding Behavior among Puerperal Mothers

Om Hashim Saadoon
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Abstract

Background: Breast engorgement is a serious and painful health problem. Reverse pressure softening of areola helps in pushing fluid back, empowers the nipple to protrude better, reduce breast engorgement and enhance newborn feeding behavior. Aim: Evaluate the effect of reverse pressure softening of areola on breast engorgement and newborn feeding behavior among puerperal mothers. Design: Quasi experimental pre & posttest study design was used. Study sample: A purposive sample of ninety puerperal mothers were allocated to either the intervention or the control group, with forty-five mothers in each group. Setting: The study was conducted at postpartum wards and Gynecological outpatient clinic, Mansoura University Hospitals, Egypt. Four tools were used: A structured interview questionnaire, six-point breast engorgement scale, visual analogue scale & LATCHES newborn feeding behavior. Results: At posttest two 37.8% of the intervention group had normal breast compared to 11.1% in the control group and 77.8% had adequate newborn feeding behavior in the intervention group vs. 6.7% in the control group. Highly statistical decrease in levels of breast engorgement, breast pain and improved newborn feeding behavior in favor of the intervention group at posttest one and two (p= 0.001). Conclusion: Reverse pressure softening of areola was an effective method in reducing breast engorgement, breast pain and improving newborn feeding behavior among puerperal mothers. Recommendations: Raising awareness of puerperal mothers regarding the beneficial effect of reverse pressure softening of areola on breast engorgement and newborn feeding behavior.
乳晕反向压力软化:对产褥期母亲乳房胀大和新生儿喂养行为的影响
背景介绍乳房胀痛是一个严重而痛苦的健康问题。反向加压软化乳晕有助于将液体向后推,使乳头更好地突出,减少乳房胀痛并改善新生儿喂养行为。目的:评估乳晕反向加压软化对产褥期母亲乳房胀痛和新生儿喂养行为的影响。设计:采用前测和后测的准实验研究设计。研究样本:九十位产褥期母亲被有目的性地分配到干预组或对照组,每组四十五位母亲。研究地点研究在埃及曼苏拉大学医院产后病房和妇科门诊进行。使用了四种工具:结构化访谈问卷、六点乳房充血量表、视觉模拟量表和 LATCHES 新生儿喂养行为量表。结果显示在后期测试中,干预组有 37.8%的人乳房正常,而对照组只有 11.1%;干预组有 77.8%的人有适当的新生儿喂养行为,而对照组只有 6.7%。在第一次和第二次测试后,干预组的乳房充血、乳房疼痛和新生儿喂养行为改善程度均有显著下降(P= 0.001)。结论乳晕反向加压软化术是减少产后母亲乳房胀痛、乳房疼痛和改善新生儿喂养行为的有效方法。建议提高产后母亲对乳晕反向加压软化对乳房胀痛和新生儿喂养行为的有益影响的认识。
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