The Effect of Reverse Pressure Softening Technique on Primiparous Postpartum Women Experiencing Breast Engorgement | ||||
| Tanta Scientific Nursing Journal | ||||
| Volume 36, Issue 1, February 2025 PDF (1.16 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/tsnj.2025.418151 | ||||
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| Authors | ||||
| Fayza Ahmed Ali Abdelbaky1; Asmaa Mohammad Ahmad Mohammad1; Sahar Sayed Abd El-Ghafar Mohamed2; Rania Ezzat Elgobashy3 | ||||
| 1Lecturer of Maternal and Neonatal Health Nursing, Faculty of Nursing, Fayoum University, Egypt. | ||||
| 2Lecturer of Community Health Nursing, Faculty of Nursing, Beni-Suef University, Egypt. | ||||
| 3Lecturer of Maternal and Newborn Health Nursing, Faculty of Nursing, Menofia University, Egypt. | ||||
| Abstract | ||||
| Background: Breast engorgement is one of the most common problems confronting women after delivery, especially primiparous women, and hinders successful breastfeeding. Reverse Pressure Softening is a non-pharmacological technique that can help in reducing breast engorgement by helping in pushing fluid back, softening the areola, empowering the nipple to protrude better and reducing breast engorgement. Aim: Evaluate the effect of reverse pressure softening technique on primiparous postpartum women experiencing breast engorgement. Design: A quasi-experimental (non-randomized control group) design was used. Setting: Fayoum University Hospital's obstetrics and gynecology outpatient clinic served as the study's location. Sample: One hundred primiparous postpartum women who satisfied the inclusion requirements and had breast engorgement were selected using purposive sampling. Tools: The Structured Interviewing Questionnaire, the Visual Analog Scale, the Six-point Engorgement Scale, the Breast Redness and Edema around Areola Assessment Scale, and the Latch Score record were the five instruments utilized to gather data. Results: Compared to before the intervention, there was a significant reduction in breast engorgement after using the areola reverse pressure softening method. Compared to pre-intervention (40%), there was a significant drop in pain (10.0%) after the intervention. The study group's post-intervention (58%) breastfeeding rate was much higher than the pre-intervention (18%) rate for women. Conversely, following routine care, women in the control group were less likely to be able to breastfeed (18%) than they were previously (26%).Conclusion: There was a noteworthy decrease in breast engorgement following the application of the reverse pressure softening technique of the areola as compared to pre- intervention. These findings achieved the study's aim and supported the research hypothesis. Recommendations: Raising awareness of postpartum mothers, especially the newly breast feeding mothers, through prenatal classes regarding the beneficial effect of the reverse pressure softening of the areola on breast engorgement and newborn feeding behavior. | ||||
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