RNRCTRevista da Escola de Enfermagem da U S P2026

The effect of infantile anti-colic massage and kangaroo care on postpartum anxiety, postpartum depression and maternal function of mothers.

Gülçah Sunay Ertem, Nurcan Özyazıcıoğlu

PMID 41670623

WHAT IT FOUND

For mothers of colicky infants, adding colic massage or kangaroo care to routine care for three weeks improved maternal function and lowered postpartum anxiety and depression more than routine care.

Massage lowered depression more than kangaroo care.

Key findings

01Mothers taught colic massage or kangaroo care had greater improvement in maternal functioning and greater reduction in postpartum anxiety than the control group, and the two intervention groups did not differ from each other on those outcomes.

02Mothers taught colic massage showed a larger reduction in depression scores than mothers taught kangaroo care and than the control group, while mothers taught kangaroo care showed a larger reduction than the control group.

03Greater improvement in infant colic symptoms was associated with greater improvement in maternal functioning and with greater reductions in postpartum anxiety and depression.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was done at one hospital outpatient clinic, so the results may not apply to other settings or populations. Mothers completed the techniques at home, and the study relied on their own reports of participation and correct practice. Six mothers dropped out, and the analysis included only mothers who completed the study, not all who were assigned. The control group also improved on maternal functioning, anxiety and depression, so some change may reflect time, routine care, or study contact rather than the taught technique alone. The authors did not test a Group by Time interaction because assumptions were violated, so the analysis is less able to describe how the groups changed over time. The sample required mothers who could read Turkish and use a smartphone, so it may not apply to families without those resources.

The easy way to misread this

Do not conclude that colic massage or kangaroo care alone caused the improvement. All groups, including the control group, improved, and the intervention groups also continued routine care and received study contact, so the separate contribution of the taught technique cannot be isolated.

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