The Effects of Acupressure and Massage Following Cesarean Section

The Effects of Acupressure and Back Massage on Pain, Fatigue, and Sleep Quality in Cesarean Sections: A Randomized Controlled Study

Cesarean section births have rapidly increased both in our country and worldwide in recent years. According to OECD data, one in four births worldwide and one in two births in our country is a cesarean section. The cesarean section has become one of the most frequently performed surgical interventions. The incision from a cesarean section causes pain, mobilization issues, and delays in mother-infant interaction. The choice of pharmacological methods used after a cesarean section is often limited by concerns about the baby and breastfeeding, leading to inadequate pain management and causing women to experience moderate to high levels of pain. Pain negatively affects individuals' comfort, leading to sleep disturbances, fatigue, and a decreased quality of life. It makes daily activities and responsibilities as individuals more challenging to manage. There is a need for nurses, in their primary caregiver role, to adopt a multidisciplinary approach to pain management and to develop their skills in using non-pharmacological methods. These methods should be clinically applied and proven effective. Acupressure and massage are long-standing, cost-effective, easy-to-apply, and effective methods used to reduce pain. This study aims to reduce pain and fatigue and improve sleep quality in women who have undergone a cesarean section by applying acupressure and massage in the postoperative period, thereby preventing the chronicization of these problems.

Inclusion Criteria:

• Women aged 18-45 years
• Undergoing cesarean delivery under spinal anesthesia,
• Having a term, single, and healthy newborn,
• Gestational age of 37-40 weeks,
• No communication difficulties,
• No systemic or chronic diseases,
• Willing to participate in the study.

Exclusion Criteria:

• Undergoing cesarean delivery under general or epidural anesthesia,
• Development of any maternal or neonatal complications during the postpartum period (hypertension, hemorrhage, infants requiring intensive care, etc.),
• Having chronic fatigue or pain problems,
• Using caffeine (tea, coffee, chocolate, etc.).