A STUDY TO ASSESS THE EFFECT OF LUKE WARM WATER COMPRESS VERSUS BREAST MASSAGE FOR BREAST ENGORGEMENT IN PEUPERIUM AMONG POSTNATAL MOTHERS IN SELECTED HOSPITAL OF PUNE

Introduction: Postpartum engorgement of the breast is important because it can be extremely painful, as it may predispose to the development of nipple fissure and breast abscesses, and because it is associated with lactation failure. Severe engorgement often leads to lactation failure, the reason why the milk cannot be withdrawn is that the ducts are closed by the pressure in the tissues around them. Present study title:A study to assess the effect of luke warm water compress versus breast massage for breast engorgement in peuperium among postnatal mothers. The objectives are to assess the breast engorgement ,to find the effect of lukewarm water compress and breast massage on breast engorgement, to compare the effect of lukewarm water compress with breast massage for breast engorgement in peuperium among postnatal mothers, and find out,the association between the degree of breast engorgement with their selected demographic variables. Material and Methods: Researcher adopted quantitative research approach. Quasi experimental pre-test post-test two groupwas used. Data collected on 60 samples. Non-probability Purposive Sampling Technique was used. Result: It was seen that in lukewarm water compress group, 98.3% of the primi postnatal mothers had severe pain (score 7-9). This indicates that the pain reduced remarkably after lukewarm water compress. Average pain score in pre-test was 7.7 which reduced to 4.5 in post-test. t-value for this test was 19.6 with 59 degrees of freedom. Corresponding p-value was of the order of 0.001 which is small (less than 0.05), null hypothesis is rejected. Lukewarm water compress was significantly effective in improving the pain due to breast engorgement among postnatal mothers. In pretest breast massage group, 98.3% of the primi postnatal mothers had severe pain (score 7-9). This indicates that the pain among postnatal mothers had reduced remarkable after breast massage. Average pain score in pre-test was 7.7 which reduced to 1.7 in post-test. T-value for this test was 50.8 with 59 degrees of freedom. Corresponding p-value was of the order of 0.001 which is small (less than 0.05), null hypothesis is rejected. Breasts massage was significantly effective in improving the pain due to breast engorgement among postnatal mothers. Conclusion: It was evident that Breast massage was significantly more effective than lukewarm water compress in improving the pain due to breast engorgement among the postnatal mothers.