A Quasi-experimental Study to Assess the Effectiveness of Chilled Cabbage Leaves on Breast Engorgement among Postnatal Mothers Admitted in a Selected Hospital of Delhi

Thomas, Angel Akanksha; Chhugani, Manju; Thokchom, Somibala

doi:10.24321/2455.9318.201702

Cited by 5 publications

(6 citation statements)

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“…Following MRM intervention, breast engorgement significantly decreased. Like breast pain, in the previous study [20], breast engorgement was reduced after general breast massage therapy; however, in the present study, the average reductions in breast engorgement for both breasts were 2.85 and 0.47 points in the experimental group and control group, respectively. These results show a six-fold difference in breast engorgement reduction between the groups, demonstrating the effective-ness of the MRM intervention.…”

Section: Discussioncontrasting

confidence: 76%

“…After MRM II, breast pain was significantly reduced relative to before the MRM I treatment. Although direct comparison is limited, in a study [ 20 ] where women received general breast massages and cabbage therapy for 3 days after childbirth, breast pain was slightly reduced in the experimental group compared to the control group. Breast pain is caused by fascia tension, nerve entrapment and blood vessel constriction in the chest muscles; this aligns with the results of this study, since the pectoralis muscle massage was effective for immediate relief of breast pain by relaxing the breast muscles [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

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A randomized controlled trial of pectoralis major myofascial release massage for breastfeeding mothers: breast pain, engorgement, and newborns’ breast milk intake and sleeping patterns

Choi¹,

Hur

Kim

et al. 2023

Korean J Women Health Nurs

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Purpose: Supportive interventions to improve breastfeeding practice are needed in nursing. This study investigated the effects of pectoralis major myofascial release massage (MRM) on breast pain and engorgement among breastfeeding mothers and on breast milk intake and sleep patterns among newborns. Methods: Breastfeeding mothers who had delivered between 37 and 43 weeks and had 7- to 14-day-old newborns were recruited from a postpartum care center in Gunpo, Korea. Participants were randomized to the MRM or control group. The outcome variables were breast pain and breast engorgement among breastfeeding mothers and breast milk intake and sleep time among newborns. The experimental treatment involved applying MRM to separate the pectoralis major muscle and the underlying breast tissue in the chest. After delivery, the first MRM session (MRM I) was provided by a breast specialist nurse, and the second (MRM II) was administered 48 hours after MRM I. Results: Following MRM, breast pain (MRM I: t=−5.38, p<.001; MRM II: t=−10.05, p<.001), breast engorgement (MRM I: right, t=−1.68, p =.100; left, t=−2.13, p=.037 and MRM II: right, t=−4.50, p<.001; left, t=−3.74, p<.001), and newborn breast milk intake (MRM I: t=3.10, p=.003; MRM II: t=3.09, p=.003) differed significantly between the groups. Conclusion: MRM effectively reduced breast engorgement and breast pain in breastfeeding mothers, reducing the need for formula supplementation, and increasing newborns’ breast milk intake. Therefore, MRM can be utilized as an effective nursing intervention to alleviate discomfort during breastfeeding and to improve the rate of breastfeeding practice (clinical trial number: KCT0002436).

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Section: Discussioncontrasting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

A randomized controlled trial of pectoralis major myofascial release massage for breastfeeding mothers: breast pain, engorgement, and newborns’ breast milk intake and sleeping patterns

Choi¹,

Hur

Kim

et al. 2023

Korean J Women Health Nurs

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“…In the morning, the mother will experience breast swelling. In this condition, compressing cabbage leaves on the breast will be very helpful in reducing breast swelling in postpartum mothers [13].…”

Section: Discussionmentioning

confidence: 99%

The Effect of Cabbage Leaf Treatment in Alleviating Breast Engorgement in Postpartum Mother

Khofiyah¹,

Febriyanti²

2021

Proceedings of the International Conference on Health and Medical Sciences (AHMS 2020)

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Breast engorgement takes place because breast milk is not implanted adequately. In consequence, the rest of the milk is collected in the ductal system triggering engorgement. If the breast engorgement is not resolved, mastitis and breast abscess will occur. This study aims to determine the effect of cabbage leaf treatment in alleviating breast engorgement in postpartum mothers. This research conducted a pre-experiment with one group pretest-posttest design method. The samples were selected with accidental sampling and analyzed with paired t-tests. The instrument of this study was a six-point engorgement scale (SPES). The statistical test showed that there was an effect of giving cabbage leaf compresses to relieve breast swelling in postpartum mothers with p = 0,000. The results of this study were expected to be a reference in treating breast engorgement by handling cabbage leaf treatment as non-pharmacological therapy.

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“…However, women may also receive limited advice and support from the health professionals; a lack of knowledge in managing this condition could be the reason for limited or inappropriate advice. [7] Managing breast engorgement has always been a challenge for clinicians working with postnatal mothers. Many pharmacological and non-pharmaceutical methods for the treatment of breast engorgement have been explored.…”

Section: Introductionmentioning

confidence: 99%

“…[11] In addition, cabbage identified that contains mustard oil, magnesium, oxylate and sulphurheterosidesn and has antibiotic and anti-inflammatory properties. [7] It improves the blood flow in and out of the area, allowing the body to reabsorb the fluid trapped in the breasts. Chilled cabbage leaves compresses should not be used if the skin is broken or cracked, or if the nipples are blistered.…”

Section: Introductionmentioning

confidence: 99%

Comparing warm compresses application vs. chilled cabbage leaves for relieving breast engorgement among post-natal mothers

Eittah

Ashour

2019

CNS

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Background: Breast engorgement is a common problem among postnatal women worldwide, some of whom use warm compresses to promote vasodilatation, improve circulation, and promote the amount of milk produced by the breasts. Conversely, the application of chilled cabbage leaves can reduce pain, the firmness of the engorged breasts, and prolong breastfeeding duration.Purpose: To examine the effect of warm compresses application as compared to chilled cabbage leaves for relieving breast engorgement and pain.Methods: Setting: The study was carried out at a postnatal ward and outpatient clinic at two hospitals in Menoufia Governorate, Egypt. Sampling: simple randomization technique was used to divide 100 post-natal women into two groups who received intervention with warm compresses (Group 1) and chilled cabbage leaves (Group 2). Instruments: Instrument I: interviewing questionnaire; Instrument II: six-points breast engorgement scale; and Instrument III: visual analog scale (VAS).Results: There was a highly statistically significant difference and improvement in terms of reduced engorgement and pain degree for both groups, with greater improvement was observed in Group 2 when compared to Group 1.Conclusions: Chilled cabbage leaves are effective in the treatment of breast engorgement and pain than warm compresses.Recommendations: The mothers should be advised to use chilled cabbage leaves as a home remedy to minimize breast engorment and promote comfort, further studies are recommended in this area in order to expand the evidence based approaches on management of breast engorgement.

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A Quasi-experimental Study to Assess the Effectiveness of Chilled Cabbage Leaves on Breast Engorgement among Postnatal Mothers Admitted in a Selected Hospital of Delhi

Cited by 5 publications

References 0 publications

A randomized controlled trial of pectoralis major myofascial release massage for breastfeeding mothers: breast pain, engorgement, and newborns’ breast milk intake and sleeping patterns

A randomized controlled trial of pectoralis major myofascial release massage for breastfeeding mothers: breast pain, engorgement, and newborns’ breast milk intake and sleeping patterns

The Effect of Cabbage Leaf Treatment in Alleviating Breast Engorgement in Postpartum Mother

Comparing warm compresses application vs. chilled cabbage leaves for relieving breast engorgement among post-natal mothers

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