Reflexology on Anxiety and Pain in 80 Primigravida Labor

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The Effect of Foot Reflexology on Anxiety, Pain, and Outcomes of the Labor in Primigravida Women

The Effect of Foot Reflexology on Anxiety, Pain, and Outcomes of the Labor in Primigravida Women

  • Soheila Moghimi-HanjaniDepartment of Midwifery, School of Nursing and Midwifery, Islamic Azad University, Karaj Branch, Karaj, Iran.
  • Zahra Mehdizadeh-Tourzani  Department of Midwifery, School of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran.
  • Mahnaz ShoghiDepartment of Nursing, School of Nursing and Midwifery, Islamic Azad University, Karaj Branch, Karaj, Iran.

ABSTRACT

Reflexology is a technique used widely as one of non-pharmacological pain management techniques. The present study aimed to review and determine the effect of foot reflexology on anxiety, pain and outcomes of the labor in primigravida women.

This clinical trial study was conducted on 80 primigravida mothers who were divided randomly into an intervention group (Foot reflexology applied for 40 min, n=40) and control group (n=40). The pain intensity was scored immediately after the end of intervention and at 30,60 and 120 min after the intervention in both groups, based on McGill Questionnaire for Pain Rating Index (PRI).

Spielberger State-Trait Anxiety Inventory (STAI) was completed before and after intervention in both groups. Duration of labor phases, the type of labor and Apgar scores of the infant at the first and fifth minute were recorded in both groups. Descriptive and inferential statistics methods (t-test and chi-square test) were applied in analyzing data. Application of reflexology technique decreas d pain intensity (at 30, 60 and 120 min after intervention) and duration of labor as well as anxiety level significantly (P<0.001).

Furthermore, a significant difference was observed between two groups in terms of the frequency distribution of the type of labor and Apgar score (P<0.001). Results of this study show that reflexology reduces labor pain intensity, duration of labor, anxiety, frequency dist ibution of natural delivery and increases Apgar scores.

Using this non-invasive technique, obstetricians can achieve, to some extent, to one of the most important goals of midwifery as pain relief and reducing anxiety during labor and encourage the mothers to have a vaginal delivery.

KEYWORDS: Pain relief, Reflexology, Anxiety, Labor pain, Duration of labor, Apgar, Primiparous

Citation:

Moghimi-Hanjani S, Mehdizadeh-Tourzani Z, Shoghi M. The Effect of Foot Reflexology on Anxiety, Pain, and Outcomes of the Labor in Primigravida Women. Acta Med Iran. 53(8):507-511.

Actionable Information for Reflexologists

In this section you will find how this research paper enacted reflexology to produce these results. We at Reflexology.Report distilled the Methodology portion of this research paper and we are presenting you with:

  • General methods used
  • Organization and duration of sessions
  • Reflexology points

The purpose of this section is to make this research paper useful to all reflexologists. This is a tool developed by the Center of Reflexology and Research (Κέντρο Ρεφλεξολογίας και Έρευνας) in Greece and supervised volunteers from across the world.

After rubbing the sole with sunflower oil, reflexology was performed by mild massage of all feet sole (by relaxation techniques that loosened the foot and prepared it to do specific reflexology techniques) and then fixed or rotating pressure was applied on pituitary gland (Pituitary gland is located in the center of thumb ) , Solar plexus, and uterine for 40 minutes (20 minutes for each foot).

Μετά την εφαρμογή λαδιού στο πέλμα, πραγματοποιήθηκε ρεφλεξολογία με ήπιο μασάζ στο πέλμα (με τεχνικές χαλάρωσης που χαλαρώνουν το πόδι και το προετοιμάζουν να δεχτεί συγκεκριμένες τεχνικές ρεφλεξολογίας) και στη συνέχεια εφαρμόστηκε σταθερή ή περιστρεφόμενη πίεση στην υπόφυση (Η υπόφυση βρίσκεται στο κέντρο του μεγάλου δακτύλου), στο ηλιακό πλέγμα και στη μήτρα για 40 λεπτά (20 λεπτά για κάθε πόδι).

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