Effectiveness of Reverse Pressure Softening of Areola in Women with Postpartum Breast Engorgement
Keywords:Postpartum breast engorgement, Reverse Pressure Softening of Areola, breastfeeding and latching technique, manual expression of milk.
Background and Objectives: Breast engorgement is a frequent problem for lactating mother. It can be
extremely painful and may predispose to nipple tenderness, fissures and abscesses. It is associated with
termination of lactation.There are many suggested treatments, these interventions alone did not show any
significant results.The objective of the research was to study the effectiveness of Reverse Pressure Softening
of Areola in postpartum breast engorgement and to determine whether Reverse Pressure Softening of Areola
with manual expression of milk and proper latching and breastfeeding techniques are effective as compared
to only manual expression of milk and proper latching and breastfeeding techniques.
Methods: 80 subjects with postpartum breast engorgement were randomly allocated in two groups. Group-A
(40 subjects) underwent interventions such as correction of breastfeeding and latching technique and manual
expression of milk. Whereas in case of group-B (40 subjects) , along with correction of breastfeeding and
latching technique and manual expression of milk, this group was given an additional treatment called as
“Reverse Pressure Softening of Areola.” The outcome was assessed in terms of Numeric Pain Rating Scale
(NPRS) and Six Point Breast Engorgement Scale (SPBES) at baseline and immediately post intervention.
Result and Interpretation: The result of the present study demonstrated significant improvement with
Conclusion: Both the interventions in control group and experimental group were found to be individually
effective in reducing pain and engorgement of breast among women with postpartum breast engorgement.
Further, the reduction observed in pain and engorgement of breast was more among the subjects treated in
experiment than the reduction observed in pain and engorgement of breast in control group.
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