413829

Effect of Reverse Pressure Softening Technique on Breast Engorgement Among Postnatal Women

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Last updated: 25 Feb 2025

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Abstract

Background: Proper breastfeeding technique and an effective latch are essential for preventing breast engorgement in new mothers. In the first 14 days after delivery, Reverse Pressure Softening (RPS) has been proven to be a valuable intervention for alleviating breast engorgement. RPS involves applying gentle positive pressure to the areola near the nipple to reduce swelling and alleviate engorgement. This research's objective was estimating RPS effect on breast engorgement in postnatal women. Design: This research utilized a quasi-experimental approach. Setting: The study was executed in the postnatal ward of El-shatby Maternity University Hospital, with follow-up at participants' homes. Sample: A purposive sample of 80 postnatal women distributed equally between the control group (40 postnatal women), and the intervention group (40 postnatal women). Tools: Four different tools were employed for data collection: tool I Semi-structured Interview on General Characteristics of Postnatal Women. Tool II Visual Analog Scale (VAS) for pain assessment, tool III Six-point breast engorgement scale to measure engorgement severity and tool IV LATCH breastfeeding charting system to assess breastfeeding behaviors. Results: The study group (RPS intervention group) demonstrated a statistically significant improvement in comparison with the control group, as measured by the VAS and breast engorgement scale (p < 0.001). The study group also showed improved breastfeeding behaviors (p < 0.001). Conclusion: The RPS technique is an effective method for reducing breast engorgement and associated pain, particularly in primiparous (first-time) postnatal women. Additionally, it positively impacted newborn breastfeeding behavior. Recommendation: RPS should be promoted as a standard practice and incorporated into institutional policies as routine care for postnatal mothers experiencing breast engorgement.

DOI

10.21608/ejhc.2024.413829

Keywords

breast engorgement, Post natal women, Reverse pressure softening

Authors

First Name

Nadia

Last Name

Mahmoud Mohamed

MiddleName

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Affiliation

Lecturer in Obstetric & Gynecologic Nursing Dep. Alexandria University, Egypt

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Orcid

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First Name

Eman

Last Name

Hussein Abd Elbary

MiddleName

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Affiliation

Lecturer in Community Health Nursing Dep. Alexandria University, Egypt

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Orcid

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First Name

Isis

Last Name

Emile Gohar

MiddleName

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Affiliation

Assist. Prof. in Obstetric & Gynecologic Nursing Dep. Alexandria University, Egypt

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Volume

15

Article Issue

2

Related Issue

46847

Issue Date

2024-06-01

Receive Date

2025-02-23

Publish Date

2024-06-01

Page Start

1,930

Page End

1,947

Print ISSN

1687-9546

Online ISSN

3009-6766

Link

https://ejhc.journals.ekb.eg/article_413829.html

Detail API

http://journals.ekb.eg?_action=service&article_code=413829

Order

413,829

Type

Original Article

Type Code

631

Publication Type

Journal

Publication Title

Egyptian Journal of Health Care

Publication Link

https://ejhc.journals.ekb.eg/

MainTitle

Effect of Reverse Pressure Softening Technique on Breast Engorgement Among Postnatal Women

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Article

Created At

25 Feb 2025