JOURNAL CLUB PRESENTATION

BY
A. PUSHPALATHA
MSC NURSING 1ST YEAR
OBSTETRICS AND GYNECOLOGY
VIJAY MARIE COLLEGE OF NURSING
 Journal club presentation -1

 Retrived from EFFECT OF FOOT REFLEXOLOGY ON

LACTATION, INDIAN JOURNAL OF PUBLIC HEALTH
RESEARCH &DEVELOPMENT:

 VOLUME: NO 11

 PUBLISHED ON; APRIL -30- 2020

 AUTHOR ; Nikita Machhi , Anjali Tiwari

 INTRODUCTION
 Breast milk provides all the nutritional needs of the child

during the first 6 months of life. Moreover, the necessity of

lactation promotion and support for the health and

development of children is indisputable, and thus,

breastfeeding is one of the priorities of public health in the

world.

 [1] Exclusive breastfeeding during the first 6 months and its

 CONTINUED…….

Soon after delivery till 6 weeks lasts the postnatal period.

Mothers undergoes with many physiological and emotional
changes during this period and learn that how to overcome
with these problems.
Breast feeding is important to provide complete nutrition to
baby. Most of the women are able to produce enough breast
milk to support the growth of their child, but some women
face difficulty to produce breast milk because of many factors.
 CONTINUED……
 Foot reflexology has been considered as a complementary
therapy
by many western countries from 1930 onwards.

 It is a non pharmacological method which includes the

application of firm continuous pressure at specific points of the
body which in turn help release endorphins , promote
lymphatic flow in the body and even promote blood circulation.

 It also has significant effect on hypothalamus for hormone

production.
 STATEMENT OF THE PROBLEM
A Quasi experimental study to evaluate the effect of
reflex zone stimulation on initiation and maintenance of
lactation among postnatal mothers in a selected
hospital, of central Gujarat.
 OBJECTIVES OF THE STUDY
 To assess the level of lactation among post cesarean mothers

 To plan and administer reflex zone stimulation among

experimental group

 To assess the effectiveness of reflex zone stimulation on

lactation among post cesarean mothers

 To find out the association between effectiveness of reflex zone

stimulation with their selected demographic variables.
 MATERIALS AND METHOD

:A Quasi- experimental study was done on 90 participants

(45 participants in each experimental

and control group)who were recruited from selected

hospitals of central Gujarat.

 SAMPLING TECHNIQUE
 For the present study  

purposive sampling technique

was used, and using on 90

participants postnatal mothers

selected and categorized into

two groups for present study.

 DATA COLLECTION
 Tools of data collection
included performa of demographic and maternal
variables and Infant breastfeeding assessment tool.

 The intervention was given to experimental group

participants by application of foot reflexology 2 times
per day for 3 consecutive days. Investigator assessed
the lactation after 30 minutes of the last intervention.
 DISCUSSION AND RESULTS
 Wilcoxon signed rank test was used to determine the effect of foot
reflexology on lactation among postnatal women of experimental group
and control group.

 There was statistically significant difference found on all the parameters

of Infant breastfeeding assessment tool among experimental group at p
value <0.001.
 DISCUSSION AND RESULTS
 The data presented in table indicates that there was statistically significant
difference found on all the parameters of Infant breastfeeding assessment tool
among experimental group with p value <0.001. Hence, the research hypothesis
stands accepted which state that there is statistically significant effect of foot
reflexology among postnatal womenat0.05 level of significance.
 Fisher’s chi square test was used to find the association between pre-
intervention lactation of postnatal women of both experimental and control
group with their socio demographic and maternal variables.
 There was statistically significant association found between rooting with
Gravida (df= 6 and P value= 0.048) and Sucking pattern with breastfeeding after
delivery (df= 6 and P value=0.021) of experimental group.
 Whereas Sucking pattern with breastfeeding after delivery (df= 4 and P
value=0.047) and Sucking pattern with frequency of breastfeeding (df=4 and p
value= 0.04) of control group too showed association.
 Remaining variables were statistically independent as they did not have any
discussion
 CONCULSION
 The study concluded that foot reflexology were

effective in improving lactation among postnatal

women.

 Hence, it can be used as a non-pharmacological method

of improve lactation.