Ingurgitación mamaria desde la fisioterapia a través de agentes físicos y técnicas manuales: una revisión sistemática con meta-análisis

DOI:  https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.13665

Barra lateral de artigos

PDF (Español (España)) HTML (Español (España)) XML (Español (España))

Publicado: mai. 31, 2024
Edição: v. 22 n. 2 (2024): Revista Ciencias de la Salud
Seção Artículo de investigación clínica o experimental


Conteúdo do artigo principal

Autores

Andrea Sánchez-Gadvay
Facultad de Ciencias de la Salud, Universidad Nacional de Chimborazo, Ecuador
Lina María Benavides
2- Universidad Europea de Madrid, Facultad de Ciencias de la Actividad Física y Deporte
Yennyt Tatiana Hoyos-Calderón
Universidad Europea de Madrid, Facultad de Ciencias de la Actividad Física y Deporte
Yury Rosales-Ricardo
Facultad de Ciencias de la Salud, Universidad Nacional de Chimborazo, Ecuador

Resumo

Objetivo: Analisar a evidência de estudos prévios sobre as diferentes alternativas de tratamento com o uso de agentes físicos e técnicas manuais utilizadas em fisioterapia para o ingurgitamento mamário a nível internacional.  Método: Estudo de revisão sistemática com meta-análise de acordo com o protocolo PRISMA. Pesquisa nas bases de dados Scopus e Medline via PubMed, publicados de 01 de janeiro de 2015 a 31 de dezembro de 2021. A estratégia de pesquisa utilizou os seguintes termos: ingurgitamento mamário, tratamento, amamentação, escala de ingurgitamento de seis pontos, fisioterapia, cancro da mama, Fisioterapia. Os 5 estudos escolhidos para esta revisão sistemática foram avaliados com a Escala PEDro para qualidade metodológica. Resultados: As diferenças médias normalizadas variaram entre 0,5959 e 2,7373, sendo a maioria das estimativas positivas. O resultado médio diferiu significativamente de zero (z = 3,5686, p = 0,0004). De acordo com o teste Q, os resultados efectivos parecem ser heterogéneos (Q (5) = 23,2212, p = 0,0003, tau² = 0,4759, I² = 83,6163%). O intervalo de previsão de 95 % para os resultados efectivos é dado por -0,3733 a 2,5931.  O intervalo de previsão de 95% para os resultados efectivos é dado por -3,6762 a 11,5933. Conclusões: As técnicas estudadas diminuem a dor e o ingurgitamento mamário, no entanto, foi demonstrado que a combinação destas técnicas pode melhorar ainda mais a dor e o ingurgitamento. Quando aplicadas em mulheres com ingurgitamento, geraram benefícios a curto e longo prazo na redução da dor e do ingurgitamento mamário.

Como Citar
Sánchez-Gadvay, A. ., Benavides, L. M. ., Hoyos-Calderón, Y. T., & Rosales-Ricardo, Y. (2024). Ingurgitación mamaria desde la fisioterapia a través de agentes físicos y técnicas manuales: una revisión sistemática con meta-análisis. Revista Ciencias De La Salud, 22(2), 1–22. https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.13665
Referências

Martínez-García RM, Jiménez-Ortega AI, Peral-Suárez Á, Bermejo LM, Rodríguez-Rodríguez E. Importancia de la nutrición durante el embarazo. Impacto en la composición de la leche materna. Nutrición hospitalaria. 2020; 37(SPE2): 38-42.

Gay MC, Koleva PT, Slupsky CM, Toit ED, Eggesbo M, Johnson CC. Worldwide variation in human milk metabolome: indicators of breast physiology and maternal lifestyle? Nutrients. 2018;10(9), 1151.

Prieto-Gómez R, Saavedra-Sepúlveda A, Alvear-Aguirre G, Lazo-Millar L, Soto-Acuña A. Lactancia materna no exitosa, percepción de los profesionales de la salud: estudio de casos, IX Región, Chile. Revista Colombiana de Obstetricia y Ginecología. 2019; 70(4): 219-227

Jiang X, You L, Zhang Z, Cui X, Zhong H, Sun X, Chi X. Biological properties of milk-derived extracellular vesicles and their physiological functions in infant. Frontiers in Cell and Developmental Biology. 2021;9, 693534.

Camacho-Morales A, Caba M, García-Juárez M, Caba-Flores MD, Viveros-Contreras R, Martínez-Valenzuela C. Breastfeeding contributes to physiological immune programming in the newborn. Frontiers in Pediatrics. 2021; 9, 744104.

Nolan LS, Parks OB, Good M. A review of the immunomodulating components of maternal breast milk and protection against necrotizing enterocolitis. Nutrients. 2018; 12(1): 14.

Lawrence RA, Lawrence RM. Breastfeeding: a guide for the medical professional. 2021; Elsevier Health Sciences.

Boudry G, Charton E, Huerou-Luron I, Ferret-Bernard S, Le Gall S, Even S, Blat S. The relationship between breast milk components and the infant gut microbiota. Frontiers in nutrition. 2021; 8, 629740.

Lyons KE, Ryan CA, Dempsey EM, Ross RP, Stanton C. Breast milk, a source of beneficial microbes and associated benefits for infant health. Nutrients. 2020; 12(4): 1039.

López VC, Fernández JÁ, Ozores PP, Mosquera AC, López RL. Marcadores moleculares en el cáncer de mama. Implicaciones terapéuticas. Medicine-Programa de Formación Médica Continuada Acreditado. 2021; 13(27): 1543-1545.

Jantzer AM, Anderson J, Kuehl RA. Breastfeeding support in the workplace: the relationships among breastfeeding support, work–life balance, and job satisfaction. Journal of Human Lactation. 2018;34(2): 379-385.

McFadden A, Siebelt L, Marshall JL, Gavine A, Girard LC, Symon A, MacGillivray S. Counselling interventions to enable women to initiate and continue breastfeeding: a systematic review and meta-analysis. International Breastfeeding Journal. 2019; 14(1): 1-19.

Farshidfar B, Hamed Jafarpour, Amir Hossein Salimi Kordasiabi, Mohsen Hosseinzadegan, Moghadaseh Jahanshahi, Zanbagh Pirastehfar TGM. The Effect of Massage and Acupressure on Breast Engorgement: A Review. Int J Pediatr. 2020;8(5):11127–232.

Gertosio C, Meazza C, Pagani S, Bozzolab M. Breastfeeding and its gamut of benefits. Miner Pediatr. 2016;68 (3):201-12

Geddes D, Perrella S. Breastfeeding and human lactation. Nutrients. 2019; 11(4): 802.

Senol DK, Yurdakul M, Ozkan SA. The effect of maternal fatigue on breastfeeding. Nigerian Journal of Clinical Practice. 2021; 22(12): 1662-1668.

Pérez‐Escamilla R, Hromi‐Fiedler AJ, Gubert MB, Doucet K, Meyers S, dos Santos G. Becoming Breastfeeding Friendly Index: Development and application for scaling‐up breastfeeding programmes globally. Maternal & child nutrition. 2018; 14(3): e12596.

Witt AM, Bolman M, Kredit S. Mothers Value and Utilize Early Outpatient Education on Breast Massage and Hand Expression in Their Self-Management of Engorgement. Breastfeed Med. 2016;11(9):433–9.

Tirano Bernate DC, Pinzón Espitia OL, González Rodríguez JL. Factores de riesgo y barreras de implementación de la lactancia materna: revisión de literatura. Revista Española de Nutrición Humana y Dietética. 2018; 22(4): 263-271.

Huda MH, Chipojola R, Lin YM, Lee GT, Shyu ML, Kuo SY. The influence of breastfeeding educational interventions on breast engorgement and exclusive breastfeeding: a systematic review and meta-analysis. Journal of Human Lactation. 2022; 38(1): 156-170.

Indrani D, Sowmya MV. A study to find the prevalence of breast engorgement among lactating Mothers. J Reprod Med Gynecol Obstet. 2019; 4: 023.

Wizia L, Susanti E. Aloe vera gel compression as breast engorgement pain relief. Women, Midwives and Midwifery. 2021; 1(3): 13-19.

Scime NV, Metcalfe A, Nettel-Aguirre A, Nerenberg K, Seow CH, Tough SC, Chaput KH. Breastfeeding difficulties in the first 6 weeks postpartum among mothers with chronic conditions: a latent class analysis. BMC Pregnancy and Childbirth. 2023; 23(1): 90.

Johansson M, Fenwick J, Thies‐Lagergren L. Mothers' experiences of pain during breastfeeding in the early postnatal period: A short report in a Swedish context. American Journal of Human Biology. 2020; 32(3): e23363.

Radke SM. Common Complications of Breastfeeding and Lactation: An Overview for Clinicians. Clinical obstetrics and gynecology. 2022; 65(3): 524-537.

Carreiro JDA, Francisco AA, Abrão ACF. Marcacine KO, Abuchaim ED, Coca KP. Breastfeeding difficulties: analysis of a service specialized in breastfeeding. Acta Paulista de Enfermagem. 2018; 31: 430-438.

Anderson L, Kynoch K, Kildea S, Lee N. Effectiveness of breast massage for the treatment of women with breastfeeding problems: a systematic review. JBI Evidence Synthesis. 2019; 17(8):1668-1694.

Gupta SS, Mayrovitz HN, Gupta SS. The breast edema enigma: features, diagnosis, treatment, and recommendations. Cureus. 2022; 14(4).

Johansson K, Jönsson C, Björk-Eriksson T. Compression treatment of breast edema: a randomized controlled pilot study. Lymphatic Research and Biology. 2020; 18(2): 129-135.

Wen J, Yu G, Kong Y, Wei H, Zhao S, Liu F. Effects of a theory of planned behavior-based intervention on breastfeeding behaviors after cesarean section: A randomized controlled trial. International journal of nursing sciences. 2021; 8(2): 152-160.

Park S, Lee JL, In Sun J, Kim Y. Knowledge and health beliefs about gestational diabetes and healthy pregnancy's breastfeeding intention. Journal of clinical nursing. 2018; 27(21-22): 4058-4065.

Santiago-Sanabria L, Garza-Arrieta J., Porras-Ibarra GD, Malfavón-Farias M. Linfoma no Hodgkin de células B primario de mama. Reporte de caso y revisión de la literatura. Revista Colombiana de Obstetricia y Ginecología. 2023;74(1): 53-67.

Chuisano SA, Anderson OS. Assessing application-based breastfeeding education for physicians and nurses: a scoping review. Journal of Human Lactation. 2020; 36(4): 699-709.

Sepúlveda ÓAB. Mastitis puerperal. Medicina UPB. 2019; 38(2): 140-146.

Wilson E, Woodd SL, Benova L. Incidence of and risk factors for lactational mastitis: a systematic review. Journal of Human Lactation. 2020; 36(4): 673-686.

Suresh V, Singh S. An Experimental Study to Assess the Effectiveness of Application of Cabbage Leaves on Reduction of Breast Engorgement among Postnatal Mothers in Selected Hospitals of Jabalpur. Indian Journal of Holistic Nursing. 2021; 12(4): 12-18.

Razmjouei P, Khashkhashi Moghaddam S, Heydari O, Mehdizadeh B, Pouredalati M, Tabarestani M, Moeindarbary S. Investigating the effect of non-pharmacological treatments on reduction of breast engorgement in breastfeeding women: A review study. International Journal of Pediatrics. 2020; 8(3): 11041-11047.

Zakarija-Grkovic I, Stewart F. Treatments for breast engorgement during lactation. 2020; Cochrane Database of Systematic Reviews, (9).

Anderson L, Kynoch K, Kildea S, Lee N. Effectiveness of breast massage for the treatment of women with breastfeeding problems: a systematic review. JBI Evidence Synthesis. 2019; 17(8): 1668-1694.

Napisah P, Widiasih R, Maryati I, Hermayanti Y, Natasya W. The effectiveness of cabbage leaf compress and the education of lactation management in reducing breast engorgement in postpartum. Open Access Macedonian Journal of Medical Sciences. 2021; 9(T6): 106-110.

Gresh A, Robinson K, Thornton CP, Plesko C. Caring for women experiencing breast engorgement: A case report. Journal of Midwifery & Women's Health. 2019; 64(6): 763-768.

Zakarija-Grkovic I, Stewart F. Treatments for breast engorgement during lactation. Cochrane Database Syst Rev. 2020; 2020(9).

Cátedra-Vallés E, García-Bascones M, Puentes-Gutierrez AB. Drenaje linfático manual y presoterapia. Rehabilitación. 2010; 44: 63-67.

Álvaro-de-Thomas B, de-Sus-Giménez R, Calvo S, Jiménez-Sánchez C. Efectividad del ejercicio terapéutico y drenaje linfático manual en personas con síndrome pospoliomielitis que presentan sobrepeso y adiposidad abdominal: serie de casos. Fisioterapia- 2021; 43(2): 119-123.

Thompson B, Gaitatzis K, Janse de Jonge X, Blackwell R, Koelmeyer LA. Manual lymphatic drainage treatment for lymphedema: a systematic review of the literature. Journal of Cancer Survivorship. 2021; 15: 244-258.

de Godoy JMP, Godoy MDF. Drenagem linfática manual: novo conceito. Jornal Vascular Brasileiro. 2020; 3(1): 77-80. http://www.jvb.periodikos.com.br/article/5e205e690e8825125e11f7b1/pdf/jvb-3-1-77.pdf).

Roy SK, Tasnim S, Jahan MK, Nazmeen S, Debnath SC, Islam AM. Difficulties in breastfeeding: Easy solution by Oketani breast massage. Bangladesh Medical Research Council Bulletin. 2019;45(3): 149-154.

Anderson LA, Kildea S, Lee N, Kynoch K, Gao Y. A comparison of the timing of hand expressing of human milk with breast massage to standard care for mothers of preterm infants: an exploratory pilot using a randomized controlled design. Journal of Human Lactation. 2023; 39(2): 226-235.

Masae M, Kala S, Chatchawet W. Effect of self-breast massage program on milk ejection of first-time mothers. Princess of Naradhiwas University Journal. 2019;11(3): 1-14.

Evans A, Trimboli RM, Athanasiou A, Balleyguier C, Baltzer PA, Bick U, European Society of Breast Imaging (EUSOBI). Breast ultrasound: recommendations for information to women and referring physicians by the European Society of Breast Imaging. Insights into imaging. 2018; 9: 449-461.

Stachs A, Stubert J, Reimer T, Hartmann S. Benign breast disease in women. Deutsches Ärzteblatt International. 2019; 116(33-34): 565.

Diab HA, Asham HN, Aboelnour NH, Alagizy HA. Effect of Intermittent Pneumatic Compression in Combination with Kinesiotape on Post Mastectomy Lymphedema. The Egyptian Journal of Hospital Medicine. 2021;85(1): 2794-2799.

Özçete ZA, Eyigör S. Kinesio taping and low-level laser therapy in breast cancer-related lymphedema in an arm with arteriovenous fistula for hemodialysis. Turkish journal of physical medicine and rehabilitation. 2020; 66(2): 214.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Revista Española de Cardiología [Internet]. 2021;74(9):790–9. Available from: https://www.sciencedirect.com/science/article/pii/S030089322100274

Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating quality of randomized controlled trials. Phys Ther. 2003;83(8):713-21.

Meng S, Deng Q, Feng C, Pan Y, Chang Q. Effects of massage treatment combined with topical cactus and aloe on puerperal milk stasis. Breast Dis. 2015;35(3):173-8. doi: 10.3233/BD-150401.

Habibu W, Hanif S. Efficacy of Non-thermal Ultrasound in the Management of Breast Engorgement in Post-partum Women: A randomized controlled trial. African Journal of Physiotherapy and Rehabilitation Sciences. 2017; 9(1-2): 9-15.

Indrani D, Alagesan J, Suganthirababu P, Sowmya MV, NagaRaju D. Compare the Effects of Ultrasound Versus Taping in Lactating Mothers with Breast Engorgement. 2022. Milk Protein: New Research Approaches, 81.

Doğan H, Eroğlu S, Akbayrak T. Comparison of the Effect of Kinesio Taping and Manual Lymphatic Drainage on Breast Engorgement in Postpartum Women: A Randomized-Controlled Trial. Breastfeeding Medicine. 2021;16(1): 82-92.

Witt AM, Bolman M, Kredit S, Vanic A. Therapeutic Breast Massage in Lactation for the Management of Engorgement, Plugged Ducts, and Mastitis. J Hum Lact. 2016;32(1):123-31.

Manuel MA. Aspectos metodológicos del metaanálisis (1). Pediatría Atención Primaria. 2018; 20(79): 297-302.

Villasís-Keever MÁ, Rendón-Macías ME, García H, Miranda-Novales MG, Escamilla-Núñez A. La revisión sistemática y el metaanálisis como herramientas de apoyo para la clínica y la investigación. Revista Alergia México. 2020; 67(1): 62-72.

Estatísticas de consulta

Downloads

Não há dados estatísticos.
Métricas de publicação

0




 

Creative Commons License

Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial 4.0 International License.

Los manuscritos postulados a la Revista Ciencias de la Salud deben ser originales e inéditos y no deben estar simultáneamente en proceso de publicación en otras revistas, compilaciones o cualquier otro medio de publicación. Los derechos de autor serán de la Universidad del Rosario. Cuando el autor quiera publicar el manuscrito en otra publicación, deberá pedir a la Editorial de la Universidad del Rosario los permisos correspondientes. De igual forma, cuando la Revista Ciencias de la Salud esté interesada en publicar artículos que ya han sido publicados en otras revistas, procederá a solicitar los permisos correspondientes en la editorial donde se realizó la primera publicación. 

Bajo una Creative Commons Attribution License los autores pueden compartir el trabajo con un reconocimiento de la autoría del trabajo y la publicación inicial en esta revista.