AIM The research was conducted as a randomized controlled pilot study to evaluate the effects of reflexology on lactation in mothers who delivered by cesarean section (CS). METHODS A single-blind randomized controlled experimental study was conducted with a total of 60 postpartum women in the reflexology application (n = 30) and control groups (n = 30). After the CS, the mothers in the control group were given approximately 3-h routine nursing care after recovering from the effects of anesthesia; the introductory information form was applied, and the Breastfeeding Charting System and Documentation Tool (LATCH) and visual analog scale (VAS) for the signs of the onset of lactation were implemented on the first and second days. Reflexology was applied to the women in the intervention group after an average of 3 h following the mother's condition had become stable and she had recovered from the effects of anesthesia. Reflexology was applied a total of 20 min - 10 min for the right foot, 10 min for the left foot - twice a day with 8-h intervals on the first and second days after CS. After the last reflexology application, the LATCH and VAS for the signs of the onset of lactation were applied. RESULTS Of the women, 70% breastfed their babies within 60 min after delivery; 46.7% of the mothers received breastfeeding training and 81.7% needed support for breastfeeding after the CS. The LATCH breastfeeding scores of the women in the intervention group on both days were significantly higher compared to those of the women in the control group (p < 0.001). On the first day after the CS, apart from breast pain, there was no significant difference between the two groups in terms of breast heat and breast tension (p > 0.05). On the second day after the CS, apart from breast tension, there was no significant difference between the groups in terms of breast heat and breast pain (p < 0.05). In the study, women in the intervention group were found to have higher scores in terms of all three symptoms compared to the control group (p < 0.05). CONCLUSIONS In the study, it was determined that LATCH scores and signs of the onset of breastfeeding increased in the mothers who received reflexology after CS.

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足底按摩对剖宫产妇女哺乳的影响：一项随机对照试验研究

目的 本研究是一项随机对照试验性研究，旨在评估反射疗法对剖宫产 (CS) 母亲哺乳的影响。方法 在反射疗法应用组（n = 30）和对照组（n = 30）中对总共 60 名产后妇女进行了一项单盲随机对照实验研究。CS后，对照组的母亲在麻醉恢复后给予约3小时的常规护理；应用介绍性信息表，并在第一天和第二天实施母乳喂养图表系统和文档工具（LATCH）和泌乳开始迹象的视觉模拟量表（VAS）。干预组的女性在母亲的平均 3 小时后应用反射疗法。她的情况已经稳定，从麻醉的影响中恢复过来。足底按摩总共应用 20 分钟 - 右脚 10 分钟，左脚 10 分钟 - 每天两次，在 CS 后的第一天和第二天间隔 8 小时。在最后一次反射疗法应用后，应用 LATCH 和 VAS 用于泌乳开始的迹象。结果 产后60分钟内母乳喂养的妇女占70%；46.7% 的母亲接受过母乳喂养培训，81.7% 的母亲在 CS 后需要母乳喂养支持。干预组妇女两天的LATCH母乳喂养评分均显着高于对照组妇女（p < 0.001）。CS术后第一天，除了胸痛，两组在乳房热度和乳房张力方面无显着差异（p > 0.05）。CS后第二天，除乳房张力外，各组在乳房热和乳房疼痛方面没有显着差异（p <0.05）。在该研究中，与对照组相比，干预组的女性在所有三种症状方面的得分都更高（p < 0.05）。结论 在该研究中，确定了在 CS 后接受反射疗法的母亲的 LATCH 评分和母乳喂养开始的迹象增加。与对照组相比，干预组的女性在所有三个症状方面的得分都更高（p < 0.05）。结论 在该研究中，确定了在 CS 后接受反射疗法的母亲的 LATCH 评分和母乳喂养开始的迹象增加。与对照组相比，干预组的女性在所有三个症状方面的得分都更高（p < 0.05）。结论 在该研究中，确定了在 CS 后接受反射疗法的母亲的 LATCH 评分和母乳喂养开始的迹象增加。