Effects of Manual Lymph Drainage on Breast Engorgement in Postpartum Period.

NCT06168630 | Unknown

• 1 other identifier: Aqsa Ejaz
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

There have been many studies on the treatment of breast engorgement, there is a lack of research comparing the effectiveness of manual lymph drainage with massage. Therefore, this study will be a randomized controlled trial that aims to compare the effects of manual lymph drainage with massage on breast engorgement, pain, and self efficacy in the postpartum period.

Conditions

Postpartum

Keywords

Engorgement; Manual lymph drainage; Postpartum period; Pain; Self efficacy

Outcome Measures

Primary Outcomes (3)

• Numerical pain rating scale

  The Numerical pain rating scale is the most commonly used pain scale in the health care. This scale is used on subjects of age more than 9. By using this scale ask the participant to rate their pain orally by giving the numbers from 0-10

  5th day

• Six point self rated engorgement scale

  Six point self rated engorgemet scale is valid and reliable measures to assess breast engorgement and pain

  5th day

• Breast feeding self efficacy questionnaire

  The divergent validity of the BSES-SF was proved via a significant negative correlation with scores of the Edinburgh Postnatal Depression Scale (r = - 0.273, P \< 0.001). BSES-SF is a reliable and valid instrument for measuring breastfeeding self-efficacy

  5th day

Study Arms (2)

Manual Lymph Drainage

EXPERIMENTAL

Other: Manual lymph drainage

Control group

OTHER

Other: Control group

Interventions

Manual lymph drainage OTHER

It consists of patients who will receive manual lymph drainage everyday for 5 days. The subject's position will be supine with their knees bent. Every session will be of 45 minutes. Manual lymph drainage will with abdominal lymph drainage, after which central lymph stimulation will be performed. Then, by stimulating the bilateral axillary lymph nodes, the flow of fluid over the right and left breasts will be directed toward the axillary lymph nodes. While the patients in the prone position, bilateral axillary lymph nodes will be stimulated, and each manual lymph drainage will be performed from the dorsum to the axillary lymph node .

Manual Lymph Drainage

Control group OTHER

The other group will receive massage for 20 minutes every day for 5 days from first day of treatment. Massage will be done using the index and middle fingers in a spiral motion towards the nipples.

Control group

Eligibility Criteria

• Age: 25 Years - 35 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Women aged 25 to 35 years. Lactating mothers who presents with breast pain after birth. Women with breast heaviness. Women who rate themselves 4 on engorgement scale on six-point self-rated engorgement scale.

You may not qualify if:

• Patients with gastrointestinal, urogynaecological, autoimmune or any neurological condition.
• Women with breast cancer. Women with breast abcess. Women taking other medications.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International university, Lahore

Lahore, Punjab Province, Pakistan

RECRUITING

Related Publications (3)

• Monazzami M, Yousefzadeh S, Rakhshandeh H, Esmaeili H, Afiat M. The effect of hot ginger compress (Zingiber officinale) on the severity of breast engorgement in lactating women. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2019;21(12):77-84.

  BACKGROUND

• Song JA, Hur MH. A Systematic Review of Breast Care for Postpartum Mothers. Korean J Women Health Nurs. 2019 Sep;25(3):258-272. doi: 10.4069/kjwhn.2019.25.3.258. Epub 2019 Sep 2.

  PMID: 37679918 BACKGROUND

• Manna M, Podder L, Devi S. Effectiveness of hot fomentation versus cold compression on breast engorgement among postnatal mothers. International Journal of Nursing Research and Practice. 2016;3(1):13-8.

  BACKGROUND

MeSH Terms

Conditions

Hyperemia; Pain

Interventions

Manual Lymphatic Drainage; Control Groups

Condition Hierarchy (Ancestors)

Vascular Diseases; Cardiovascular Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Drainage; Physical Therapy Modalities; Rehabilitation; Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Lecturer

Study Record Dates

• First Submitted: December 4, 2023
• First Posted: December 13, 2023
• Study Start: April 5, 2023
• Primary Completion: January 1, 2024
• Study Completion: January 10, 2024
• Last Updated: December 13, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)