The Effect of Slow-Stroke Back Massage on the Anxiety Levels of Iranian Women on the First Postpartum Day

Fereshteh Jahdi, Maryam Mehrabadi, Forough Mortazavi, Hamid Haghani, Fereshteh Jahdi, Maryam Mehrabadi, Forough Mortazavi, Hamid Haghani

Abstract

Background: Anxiety disorder is common during the postpartum period. Back massage relaxation techniques are one of the most important nonpharmacological interventions to prevent and control postpartum-related anxiety.

Objectives: To determine the effectiveness of slow-stroke back massage on the anxiety levels of primiparous mothers in the first days after delivery.

Materials and methods: This single-blind controlled clinical trial consisted of 100 primiparous mothers with normal deliveries. The mothers were randomly allocated to interventional (n = 50) or control (n = 50) groups using binary blocks. Both groups were followed up just before, immediately after, and the morning after the intervention. Data were collected using a demographic questionnaire and Spielberger's state anxiety inventory (STAI) questionnaire.

Results: The mean age of the mothers was 22 years. There were no significant between-group differences in age (P = 0.333), education (P = 0.427), and medication during labor and the postpartum period (P = 0.412). There was no statistically significant difference between the mean anxiety scores of the experimental (6.66 ± 35.48) and control groups (9.05 ± 37.42) before the intervention (P = 0.268). Immediately after the massage and the next morning, there was a significant between-group difference in the anxiety scores (P < 0.001).

Conclusions: The findings demonstrate that slow-stroke back massage is a simple, inexpensive, noninvasive, and effective method to reduce the anxiety levels of primiparous women during the first postpartum day.

Keywords: Anxiety; Massage; Postpartum.

Figures

Figure 1.. Consort Flowchart of the Study
Figure 1.. Consort Flowchart of the Study
Figure 2.. Line Graph Showing the Differences…
Figure 2.. Line Graph Showing the Differences in Anxiety Levels in the Control and Intervention Groups on the First Postpartum Day
Figure 3.. Line Graph Showing the Differences…
Figure 3.. Line Graph Showing the Differences in Anxiety Levels Before Massage, After Massage, and the Morning After Massage in the Intervention Group on the First Postpartum Day
Figure 4.. Line Graph Showing the Differences…
Figure 4.. Line Graph Showing the Differences in Anxiety Levels Before, After, and the Morning After in the Control Group on the First Postpartum Day

References

    1. Klainin P, Arthur DG. Postpartum depression in Asian cultures: a literature review. Int J Nurs Stud. 2009;46(10):1355–73. doi: 10.1016/j.ijnurstu.2009.02.012.
    1. Yelland J, Sutherland G, Brown SJ. Postpartum anxiety, depression and social health: findings from a population-based survey of Australian women. BMC Public Health. 2010;10:771. doi: 10.1186/1471-2458-10-771.
    1. Cheng CY, Fowles ER, Walker LO. Continuing education module: postpartum maternal health care in the United States: a critical review. J Perinat Educ. 2006;15(3):34–42. doi: 10.1624/105812406X119002.
    1. Kudo N, Shinohara H, Kodama H. Heart rate variability biofeedback intervention for reduction of psychological stress during the early postpartum period. Appl Psychophysiol Biofeedback. 2014;39(3-4):203–11. doi: 10.1007/s10484-014-9259-4.
    1. Dennis CL, Coghlan M, Vigod S. Can we identify mothers at-risk for postpartum anxiety in the immediate postpartum period using the State-Trait Anxiety Inventory? J Affect Disord. 2013;150(3):1217–20. doi: 10.1016/j.jad.2013.05.049.
    1. Farr SL, Dietz PM, O'Hara MW, Burley K, Ko JY. Postpartum anxiety and comorbid depression in a population-based sample of women. J Womens Health (Larchmt). 2014;23(2):120–8. doi: 10.1089/jwh.2013.4438.
    1. Zafarmandi N, Hodavand S, Torkestani F, Zaeri F, Variji M. Prevalence of anxiety and fear of childbirth in the postpartum period in women referred to hospitals [in Persian]. Med Council Islam Repub Iran. 2005;23(2):155–60.
    1. Akbarzadeh M, Sharif F, Zare N, Ghodrati F. Prevalence of symptoms post-partum anxiety and baby blues and factors effective uponit in women with high risk pregnancies. J Famil Res. 2009;5(1):57–71.
    1. Ghaffari F, Pourghaznein T, Mazloum SR. Mental health of women and their partners during pregnancy and postpartum in women referring to health centers in the city of Ramsar. Iran J Obstetric, Gynecol Infertil. 2005;8(2):73–80.
    1. Soltani N, Abedian Z, Mokhber N, Esmaeili H. Study of Posttraumatic Stress Disorder in Women with Preeclampsia in Differentiation of Childbirth. Iran J Obstetric, Gynecol Infertil. 2013;15(37):14–20.
    1. Vizeh M, Kazemnejaz A, Afrasiabi S, Rouyhi M, Hassan M, Habibzadeh S. Prevalance of post traumatic stress disorder after childbirth and its precipitating factors. Bimonth J Hormozgan Univ Med Scie. 2012;16(4):309–16.
    1. Namazi M, Amir Ali Akbari S, Mojab F, Talebi A, Alavi Majd H, Jannesari S. Aromatherapy with citrus aurantium oil and anxiety during the first stage of labor. Iran Red Crescent Med J. 2014;16(6):e34270. doi: 10.5812/ircmj.18371.
    1. Tietz A, Zietlow AL, Reck C. Maternal bonding in mothers with postpartum anxiety disorder: the crucial role of subclinical depressive symptoms and maternal avoidance behaviour. Arch Womens Ment Health. 2014;17(5):433–42. doi: 10.1007/s00737-014-0423-x.
    1. Glasheen C, Richardson GA, Fabio A. A systematic review of the effects of postnatal maternal anxiety on children. Arch Womens Ment Health. 2010;13(1):61–74. doi: 10.1007/s00737-009-0109-y.
    1. Lonstein JS. Regulation of anxiety during the postpartum period. Front Neuroendocrinol. 2007;28(2-3):115–41. doi: 10.1016/j.yfrne.2007.05.002.
    1. Wenzel A, Haugen EN, Jackson LC, Brendle JR. Anxiety symptoms and disorders at eight weeks postpartum. J Anxiety Disord. 2005;19(3):295–311. doi: 10.1016/j.janxdis.2004.04.001.
    1. Adib-Hajbaghery M, Abasi A, Rajabi-Beheshtabad R. Whole body massage for reducing anxiety and stabilizing vital signs of patients in cardiac care unit. Med J Islam Repub Iran. 2014;28:47.
    1. Sherman KJ, Ludman EJ, Cook AJ, Hawkes RJ, Roy-Byrne PP, Bentley S, et al. Effectiveness of therapeutic massage for generalized anxiety disorder: a randomized controlled trial. Depress Anxiety. 2010;27(5):441–50. doi: 10.1002/da.20671.
    1. Meftahi N, Bervis S, Taghizadeh SH, Ghafarinejad F. The Effect of Lying in Prone Position on Blood Pressure and Heart Rate with and without Massage. JRSR. 2014;1(2):40–3.
    1. Ejindu A. The effects of foot and facial massage on sleep induction, blood pressure, pulse and respiratory rate: crossover pilot study. Complement Ther Clin Pract. 2007;13(4):266–75. doi: 10.1016/j.ctcp.2007.03.008.
    1. Fisher JR, Wynter KH, Rowe HJ. Innovative psycho-educational program to prevent common postpartum mental disorders in primiparous women: a before and after controlled study. BMC Public Health. 2010;10:432. doi: 10.1186/1471-2458-10-432.
    1. Williams J, Mitchell M. Midwifery managers' views about the use of complementary therapies in the maternity services. Complement Ther Clin Pract. 2007;13(2):129–35. doi: 10.1016/j.ctcp.2006.01.001.
    1. Nakakita Kenyon M. Randomized controlled trial on the relaxation effects of back massages for puerperants on the first post-partum day. Jpn J Nurs Sci. 2015;12(2):87–98. doi: 10.1111/jjns.12053.
    1. Varendi H, Porter RH, Winberg J. Natural odour preferences of newborn infants change over time. Acta Paediatr. 1997;86(9):985–90.
    1. Spielberger CD. Manual for the State-Trait Anxiety Inventory STAI (form Y)(self-evaluation questionnaire). UB Institutional Repository; 1983.
    1. B M. Standardization of Spielberger's State Anxiety Inventory in Mashhad, Iran. Master Thesis Assessment and Measurement inPsychology [in Persian]. AlameTabatabai University; 1994.
    1. kordi M, Riyazi S, Lotfalizadeh M, Shakeri MT, Jafari Suny H. Comparing the Effects of Group and Individual Education on Worry and Anxiety of Pregnant Women about Fetal Chromosomal Disorders Screening Tests. Iran J Obstetric, Gynecol Infertil. 2015;18(157):1–10.
    1. Dareshouri Mohammadi Z, Bosaknejad S, Sarvghad S. A survey on the effectiveness of stress management training with cognitive-behavioral group therapy approach on state/trait anxiety, pregnancy anxiety and mental health of primiparous women. Jentashapir J Health Res. 2013;3(4):495–504.
    1. Elizabeth R. Sensory stimulation techniques. Am J Nurs. 1966;66(2):281–6.
    1. Mok E, Woo CP. The effects of slow-stroke back massage on anxiety and shoulder pain in elderly stroke patients. Complement Ther Nurs Midwifery. 2004;10(4):209–16. doi: 10.1016/j.ctnm.2004.05.006.
    1. Nakakita M, Takenoue K. Effect of relaxing back massages on early healthy postpartum mothers–Autonomic nervous system activity and subjective analysis. J Japan Academ Midwife. 2009;23:230–40.
    1. Imura M, Misao H, Ushijima H. The psychological effects of aromatherapy-massage in healthy postpartum mothers. J Midwifery Womens Health. 2006;51(2):e21–7. doi: 10.1016/j.jmwh.2005.08.009.
    1. Karagozoglu S, Kahve E. Effects of back massage on chemotherapy-related fatigue and anxiety: supportive care and therapeutic touch in cancer nursing. Appl Nurs Res. 2013;26(4):210–7. doi: 10.1016/j.apnr.2013.07.002.
    1. Bazrafshan MR, Ghorbani The Effect of slow stroke back massages on anxiety among primigravid women. Hayat. 2010;16(1):34–40.
    1. Madhavanprabhakaran GK, D'Souza MS, Nairy KS. Prevalence of pregnancy anxiety and associated factors. Int J Africa Nurs Scie. 2015;3:1–7.
    1. Mortazavi F, Chaman R, Mousavi SA, Khosravi A, Ajami ME. Maternal psychological state during the transition to motherhood: a longitudinal study. Asia Pac Psychiatry. 2013;5(2):E49–57. doi: 10.1111/appy.12075.
    1. Mortazavi F, Mousavi SA, Chaman R, Khosravi A. [Validation of the World Health Organization-5 Well-Being Index; assessment of maternal well-being and its associated factors]. Turk Psikiyatri Derg. 2015;26(1):48–55.
    1. Dreyer NE, Cutshall SM, Huebner M, Foss DM, Lovely JK, Bauer BA, et al. Effect of massage therapy on pain, anxiety, relaxation, and tension after colorectal surgery: A randomized study. Complement Ther Clin Pract. 2015;21(3):154–9. doi: 10.1016/j.ctcp.2015.06.004.
    1. Chen WL, Liu GJ, Yeh SH, Chiang MC, Fu MY, Hsieh YK. Effect of back massage intervention on anxiety, comfort, and physiologic responses in patients with congestive heart failure. J Altern Complement Med. 2013;19(5):464–70. doi: 10.1089/acm.2011.0873.
    1. Harris M, Richards KC, Grando VT. The effects of slow-stroke back massage on minutes of nighttime sleep in persons with dementia and sleep disturbances in the nursing home: a pilot study. J Holist Nurs. 2012;30(4):255–63. doi: 10.1177/0898010112455948.
    1. Mortazavi SH, Khaki S, Moradi R, Heidari K, Vasegh Rahimparvar SF. Effects of massage therapy and presence of attendant on pain, anxiety and satisfaction during labor. Arch Gynecol Obstet. 2012;286(1):19–23. doi: 10.1007/s00404-012-2227-4.
    1. Nazari R, Ahmadzadeh R, Mohammadi S, Rafiei Kiasari J. Effects of hand massage on anxiety in patients undergoing ophthalmology surgery using local anesthesia. J Caring Sci. 2012;1(3):129–34. doi: 10.5681/jcs.2012.019.

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