Effect of Foot Reflexology on Duration of Labor and Severity of First-Stage Labor Pain

Document Type : Original Article

Authors

1 M.Sc. in Midwifery, Kerman, Iran.

2 Lecturer, Faculty of Nursing & Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.

3 Assistant Professor of Biostatistics, Shiraz University of Medical Sciences, Shiraz, Iran.

Abstract

Introduction:One of the problems that occupy pregnant women`s mind is the labor pain. Owing to considerable rate of Caesarean sections in our community (due to fear of labor pain) it is our duty to try to increase the rate of normal vaginal deliveries instead. The aim of this study is to investigate the effect of reflexology on the severity of labor pain and labor duration in nulliparous women.
 
Methods: This clinical trial study was carried out on 70 nulliparous women (39 intervention and 31 controls) who referring to labor room of Afzalipour Hospital (Kerman city) with gestational age of 37 weeks and above, and cervical dilatation of 3-4 cm. They had no significant diseases according to their medical records, nor had used any medications during labor. The intervention group received reflexology for 20 minutes (10 minutes each foot) during their uterus contraction in active phase of labor (acceleration). The control group underwent massage for 20 minutes at the same time but on other areas of their feet. Severity of labor pain was shown by Visual Analogue Scale (VAS), before and after the intervention. Moreover, the duration of labor was determined for both two groups.
 
Results: Severity of labor pain before foot reflexology did not vary between case and control groups (p = 0.14) but after it, severity of labor pain in the intervention group was lower than the control group (p < 0.001). The severity of labor pain reduced after the intervention in the intervention group (p < 0.001), whereas, labor pain increased in the control group (p < 0.001). However, the labor durations were same in both groups (p<0.063).
 
Conclusion: Reflexology have an indisputable effect on decreasing labor pain in the first phase, whereas, it does not affect the total duration of labor.

Keywords

References

1. Hodnett ED. Pain and women's satisfaction with the experience of childbirth: A systematic review.
Am J Obstet Gynecol 2002;186(5 Suppl Nature):S160-72.
2. Ahmad-Nia S, Delavar B, Eini-Zinab H, Kazemipour S, Mehryar AH, Naghavi M. Caesarean section in the
Islamic Republic of Iran: prevalence and some sociodemographic correlates. East Mediterr Health J
2009;15(6):1389-98.
3. Aali BS, Motamedi B. Women's knowledge and attitude towards modes of delivery in Kerman, Islamic
Republic of Iran. East Mediterr Health J 2005;11(4):663-72.
4. Wang MY, Tsai PS, Lee PH, Chang WY, Yang CM. The efficacy of reflexology: systematic review. J Adv Nurs
2008;62(5):512-20 .
5. Ager C. A complementary therapy clinic-making it work. RCM Midwives J 2002;5(6):198-200.
6. Tiran D, Mack S. Complementary therapies for pregnancy and childbirth. 2nd ed. Edinburgh: Bailliere
publication; 2000. p.134.
7. William F. Reflexology [Online]. 2005 [cited 2009 Apr 27];[3 screen]. Available from:
URL:http://www.crystaliks.com. accessed July 21,2009.
8. Klara M. Reflexology [Online]. 2003; [cited 2009 Apr 27];[3 screen]. Available from:
URL:http://www.klarafit.com. accessed July 21,2009.
9. Janin Y. Clare minster reflexology [Online]. 2003; [cited 2009 Apr 27];[4 screen]. Available from:
URL:http://www.klarafit.com. accessed July 21,2009.
 
10. McNeill JA, Alderdice FA, McMurray F. A retrospective cohort study exploring the relationship between
antenatal reflexology and intranatal outcomes. Complement Ther Clin Pract 2006;12(2):119-25.
11. Mackereth P, Booth K, Caress A. Reflexology and progressive muscle relaxation training for people with
multiple sclerosis: a crossover trial. Complement Ther Clin Pract 2008;14:150-8.
12. Ejindu A. Effect of foot and facial massage on sleep induction, blood pressure, pulse and respiratory rate.
Complement Ther Clin Pract 2007;13(4):266-75.
13. McVicar AJ, Greenwood CR, Fewell F, D'Arcy V, Chandrasekharan S, Alldridge LC. Evaluation of
anxiety, salivary cortisol and melatonin secretion following reflexology treatment: a pilot study in healthy
individuals. Complement Ther Clin Pract 2007;13(3):137-45.
14. Mollart L. Single-blind trial addressing the differential effects of two reflexology techniques versus rest,
on ankle and foot edema in late pregnancy. Complement Ther Nurs Midwifery 2003;9(4):203-8.
15. Hadari G. The effect of induction of labor on birth perception in term of sense of control and satisfaction
among primiparous women at>41 weeks. In: Yigit T, Winn E, editors. International confederation of
midwives and women working together for the family of the word 23rd international congress; 1993 Sep
10-15; Vancouver: North Canada; 1993. p.1326-9.
16. Hamilton A. Pain relief, and comfort in labor. In: Cooper MA, editor. Myles text book for midwives.
14th ed. London: Churchill Livingstone; 2003. p.478.
17. Feder E, Liisberg GB, Lenstrup C. Therapy in relation to birth. In: Rein M, Woty L, editors. Proceeding of
the international confederation of midwives 23rd international congress; 1993 Sep 10-15; Vancouver,
North Canada; 1993. p.1576-80.
18. Quinn F, Hughes CM, Baxter GD. Reflexology in the management of low back pain: a pilot randomized
controlled trial. Complement Ther Med 2008;16(1):3-8.
19. Philip H, Atkin S, Rhian Z. Using reflexology to manage stress in the work place: a preliminary study.
Complement Ther Clin Pract 2008;14(4):280-7.
20. Polit DF, Beck CT, Hungler BP. Essential of nursing research: methods, appraisal and utilization. 5th ed.
Philadelphia: Lippincott Williams & Wilkins; 2001. p. 122.
21. McCabe P. Complementary therapy in nursing practice: policy development in Australia. Aust J Holist Nurs
1996;3(1):4-11.
22. Westlake G. Massage as a therapeutic tool. Br J Occupational Ther 1993;56(5):177-80.
23. Oleson T, Focco W. Randomized controlled study of premenstrual symptoms treated with ear, hand and
foot reflexology. Obstet Gyn 1993;82(6):906-11. 

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