Quasi-Experimental Study to Assess the Effectiveness of Reverse Pressure Softening Technique on Level of Breast Engorgement Among Postnatal Mothers in Selected Hospitals of Metropolitan City.

Abstract

Introduction : Breastfeeding is universally acknowledged as the most effective means to promote infant health and survival; however, many mothers face challenges such as breast engorgement, which can hinder successful breastfeeding. Breast engorgement, characterized by breast swelling, pain, and tenderness due to milk accumulation, affects a large proportion of postnatal women and can lead to complications like mastitis, nipple trauma, and premature cessation of breastfeeding. The present study aimed to assess the effectiveness of the Reverse Pressure Softening (RPS) technique in reducing breast engorgement among postnatal mothers in selected hospitals of a metropolitan city.

Aim: To assess the effectiveness of the Reverse Pressure Softening technique on the level of breast engorgement among postnatal mothers in selected hospitals of a metropolitan city.

Methodology: A quantitative research approach with a quasi-experimental two-group pre-test post-test design was adopted. The study included 80 postnatal mothers (40 in the experimental group and 40 in the control group), selected through non-probability purposive sampling. Data were collected using a structured questionnaire and the Six-Point Breast Engorgement Scale. The experimental group received RPS for 10 minutes twice daily for three consecutive days, while the control group received routine postnatal care. Data were analyzed using descriptive and inferential statistics, including paired t-tests and two- sample z-tests.

Results: Findings revealed a marked reduction in breast engorgement scores in the experimental group compared to the control group. The mean engorgement score in the experimental group decreased substantially by Day 3 evening, while the control group showed minimal improvement. Statistical analysis demonstrated significant differences (p < 0.05) from Day 1 evening onwards, confirming the effectiveness of RPS in relieving breast engorgement.

Conclusion: The study concluded that the Reverse Pressure Softening technique is a safe, simple, and effective non-pharmacological method to alleviate breast engorgement, enhance maternal comfort, and promote successful breastfeeding. It can be integrated into routine postnatal care to improve breastfeeding outcomes and maternal well-being.