The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

Effect of Breast Oketani-Massage on the Severity of Breast engorgement

Document Type : Original Article

Authors
Mahsa Dehghani 1
Rahele Babazadeh 2
Talat Khadivzadeh 2
Seyyede Azam Pourhosseini 3
Habibollah Esmaeili 4
1 M.Sc. Student in Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
2 Assistant Professor, Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran.
3 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
4 Professor, Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
10.22038/ijogi.2017.9078
Abstract
Introduction: Breast engorgement is a common problem after delivery, which is considered as the third influential maternal factor on stopping the breastfeeding; it is possibly due to creating mastitis and breast abscess and reducing or stopping breastfeeding following breast engorgement. This study was performed with aim to determine the effect of breast oketani massage on the severity of breast engorgement.
Methods: This clinical trial was performed on 94 lactating women who were suffering from breast engorgement within the first to fifth days after delivery referred tothe obstetrics clinic and gynecology department of Imam Reza Hospital in 2016. The subjects were divided into two groups of oketani massage and routine care. Severity of engorgement was determined by engorgement severity standard index. Both groups received two treatments on two consecutive days. The collected data regarding the severity of engorgement before and after the intervention were analyzed by SPSS software (Version 20) and Mann-Whitney, paired-t, independent t, Chi-square, and Analysis of Variance (ANOVA) with repeated measurements. P<0.05 was considered significant.
Results: The mean of engorgement severity after intervention in right and left breast was decreased in oketani massage group and control group. However, there was a significant difference between two groups in terms of mean severity of engorgement in both breasts, so that the reduction in the severity of breast engorgement was significantly higher in the oketani group than the control group (P<0.001).
Conclusion: Breast oketani-massage compared to routine care quickly and more efficiently reduces the severity of breast engorgement after delivery.
Keywords
Alternative Medicine
Breast Engorgement Severity
Breast Oketani-Massage
  1. de Sousa L, Haddad ML, Nakano AM, Gomes FA. A non-pharmacologic treatment to relieve breast engorgement during lactation: an integrative literature review. Rev Esc Enferm USP 2012; 46(2):472-9.
  2. Hanif S, Murtaza G, HanifMemon M. Factors associated with cessation of breast feeding. J Dow Univ Health Sci 2011; 5(1):21-5.
  3. Ramezandadeh M .The effect of softening the areola reverse massage with cold compresses on the severity of breast congestion in the postpartum period. [Master Thesis]. Mashhad, Iran: Nursing and Midwifery School of Mashhad University of Medical Sciences; 2011. (Persian).
  4. Kamali Moradzade M, Ahmadi M, Heshmat R, Akbarzade Baghban A. Comparing the effect of acupressure and intermittent compress on the severity of breast hyperemia in lactating women. Horizon Med Sci 2013; 18(4):155-60.
  5. Walker M. Breastfeeding and engorgement. Breastfeed J 2000; 20(2):11-2.
  6. Oketani S. Oketani's breast massage therapy. Tokyo, Japan: Bong Hwang Dang Press; 1991.
  7. Cho J, Ahn HY, Ahn S, Lee MS, Hur MH. Effects of oketani breast massage on breast pain, the breast milk pH of mothers, and the sucking speed of neonates. Korean J Women Health Nurs 2012; 18(2):149-58.
  8. Cho,jeongsung, Sukhee A. development and evaluation of breastfeeding promotion program for mothers with breast engorgement following cesarean brith.Jornal of Korean academy of Nursing2014; 44(2): 170-178
  9. Khosravan S, Mohammadzadeh-Moghadam H, Mohammadzadeh F, Fadafen SA, Gholami M. The effect of Hollyhock (Althaea officinalis L) leaf compresses combined with warm and cold compress on breast engorgement in lactating women: A randomized clinical trial. J Evid Based Complement Alternat Med 2017; 22(1):25-30.
  10. Demir A, Nikdem KD. Do cold gels treat breast engorgement? A randomized controlled study. Birth 2008; 40:61-4.
  11. Boskabadi H, Maamouri G, Ebrahimi M, Ghayour-Mobarhan M, Esmaeily H, Sahebkar A, et al. Neonatal hypernatremia and dehydration in infants receiving breastfeeding. Asia Pac J Clin Nutr 2010; 19(3):301-7.
  12. Karimi A, Khadivzadeh T, Tara F. Evaluate effect of immediate birth mother-infant skin-to-skin contact on exclusive breastfeeding and weight gain. J Mashhad Sch Nurs Midw 2010; 10(1):20–31. (Persian). 
The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 20, Issue 5
July 2017
Pages 30-38