Comparative Study of the Use of HPA Lanolin and Breast Milk for Treating Pain Associated with Nipple Trauma

Neto, Corintio Mariani; Albuquerque, Rosemeire Sartori de; Souza, Sonia Cristina de; Giesta, Renata Oliveira; Fernandes, Andrea; Mondin, Bárbara

doi:10.1055/s-0038-1675180

Cited by 22 publications

(23 citation statements)

References 14 publications

(40 reference statements)

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“…So, lanolin did not have a strong influence in the healing of damaged nipples, in comparison with human milk. Our results differ from the results of Mariani Neto et al (2018) who reported a lower level of pain and better healing of damaged nipples in the group that used HPA lanolin in comparison with human milk during 7 days of treatment.…”

Section: Discussioncontrasting

confidence: 99%

“…However, due to a small sample sizes, most researchers’ studies have not properly answer the question regarding the most effective treatment. Lanolin has had a curative influence on painful and damaged nipples (Bourdillon et al, 2020; Mariani Neto et al, 2018) and has often been recommended by experts. The healing properties of human milk in the treatment of painful and damaged nipples are widely known (Witkowska-Zimny et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Lanolin and Human Milk Treatment of Painful and Damaged Nipples: A Randomized Control Trial

et al. 2022

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Background: Painful and damaged nipples are frequently associated with breastfeeding cessation in the early postpartum period. The results of researchers’ studies utilizing different treatments have been inconclusive. Research Aim: To compare the intensity of nipple pain and the healing of damaged nipples during the first 10 days postpartum using either lanolin or human milk treatments. Methods: This single-blind randomized controlled trial included participants ( N = 206) who were primiparous with painful and damaged nipples. Participants were recruited from the tertiary teaching hospital within the first 72 hr after delivery and randomized to the intervention group with lanolin ( n = 103) and a human milk control group ( n = 103). Data were collected in the maternity ward, 3 and 7 days after randomization. The primary outcome was nipple pain intensity and quality measured 3 and 7 days after randomization by the McGill Pain Questionnaire – short form. The nipple damage self-assessment questionnaire was used for the assessment of nipple healing. Breastfeeding self-efficacy, breastfeeding duration, and exclusivity were assessed as secondary outcomes. Results: Participants in both groups reported a statistically nonsignificant reduction in pain (quality and intensity of pain) as well as improved nipple healing 7 days after randomization. Participants in the lanolin group exclusively breastfed their infants 3 days after randomization—significantly more often than participants in the control group ( p = .026). The study did not reveal any statistically significant differences for other secondary outcomes. Conclusion: Both lanolin and human milk are equally effective in treating painful and damaged nipples. Registered with Clinicaltrials.gov (NCT04153513)

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of Lanolin and Human Milk Treatment of Painful and Damaged Nipples: A Randomized Control Trial

et al. 2022

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“…Lanolin was associated with less nipple pain and damage at 49 h after treatment commenced, with the effect persisting for up to 7 days. 171 This corroborated the findings of a 2010 German RCT of 84 lactating mothers with painful and damaged nipples, who had significantly reduced pain with breastfeeding and significantly higher healing rates of nipple trauma within 3 days of commencing lanolin treatment, with effects still evident at 14 days. 172…”

Section: Key Aspects Of Functional Anatomy Of the Nipple And Areolar ...supporting

confidence: 80%

Re-thinking lactation-related nipple pain and damage

Douglas

2022

Womens Health (Lond Engl)

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Nipple pain is a common reason for premature cessation of breastfeeding. Despite the benefits of breastfeeding for both infant and mother, clinical support for problems such as maternal nipple pain remains a research frontier. Maternal pharmaceutical treatments, and infant surgery and bodywork interventions are commonly recommended for lactation-related nipple pain without evidence of benefit. The pain is frequently attributed to mammary dysbiosis, candidiasis, or infant anatomic anomaly (including to diagnoses of posterior or upper lip-tie, high palate, retrognathia, or subtle cranial nerve abnormalities). Although clinical protocols universally state that improved fit and hold is the mainstay of treatment of nipple pain and wounds, the biomechanical parameters of pain-free fit and hold remain an omitted variable bias in almost all clinical breastfeeding research. This article reviews the research literature concerning aetiology, classification, prevention, and management of lactation-related nipple–areolar complex (NAC) pain and damage. Evolutionary and complex systems perspectives are applied to develop a narrative synthesis of the heterogeneous and interdisciplinary evidence elucidating nipple pain in breastfeeding women. Lactation-related nipple pain is most commonly a symptom of inflammation due to repetitive application of excessive mechanical stretching and deformational forces to nipple epidermis, dermis and stroma during milk removal. Keratinocytes lock together when mechanical forces exceed desmosome yield points, but if mechanical loads continue to increase, desmosomes may rupture, resulting in inflammation and epithelial fracture. Mechanical stretching and deformation forces may cause stromal micro-haemorrhage and inflammation. Although the environment of the skin of the nipple–areolar complex is uniquely conducive to wound healing, it is also uniquely exposed to environmental risks. The two key factors that both prevent and treat nipple pain and inflammation are, first, elimination of conflicting vectors of force during suckling or mechanical milk removal, and second, elimination of overhydration of the epithelium which risks moisture-associated skin damage. There is urgent need for evaluation of evidence-based interventions for the elimination of conflicting intra-oral vectors of force during suckling.

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“…9 There are various interventions for management of nipple pain such as breastfeeding education, applying compresses, dressings, ointments or tea bags. 10 Evidence suggests that utilization of some drops of expressed breast milk can be a facilitator of moist and healing nipple tissue among breastfeeding women. Expressed breast milk is a treatment for nipple pain as it works as a barrier that avoids losing the natural moistness of deeper skin layers.…”

Section: Introductionmentioning

confidence: 99%

Benefits of breast milk for prevention of sore nipple & association with their demographic variables: A quasi-experimental study

Mir¹,

Rashid

2022

IJPNS

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A newborn baby has only three demands. They are warmth in the arms of his mother, food from her breasts and security in the knowledge of her presence. Breastfeeding satisfies all three. While breastfeeding may not seem the right choice for every parent, it is the choice for every baby because it fulfills the physical needs as well as psychotic complementary of the child. The study aimedto find out the association of nipple soreness in experimental group and comparison group in terms of sample characteristics of postnatal mothers. A quasi experimental study was conducted on 70 postnatal mothers, (35 in experimental group and 35 in the comparison group) who breast feeds their babies were selected conveniently. Feeding pattern was assessed by LATCH scale four times in a day followed by the application of hind milk minimum four times in a day for three or four days as per discharge day of mother. The mother was asked to rub hind milk on nipples after feeding the baby and letting it air dry in front of researcher and nipple soreness scale was used to check the sore nipple at third and fifth day or at the day of discharge. Follow up of postnatal mothers was done telephonically by using interview questionnaire on day 15 in both groups. Study findings revealed that on 3rd day, the mean nipple soreness score was higher in comparison group (1.45) than experimental group (0.10) and thus there was significant difference (t value = 3.87) in nipple soreness score.Study concluded that breast milk application was effective in preventing sore nipples among postnatal mothers. Hence, it can be recommended to use breast milk for the prevention of sore nipple.

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Comparative Study of the Use of HPA Lanolin and Breast Milk for Treating Pain Associated with Nipple Trauma

Cited by 22 publications

References 14 publications

Comparison of Lanolin and Human Milk Treatment of Painful and Damaged Nipples: A Randomized Control Trial

Comparison of Lanolin and Human Milk Treatment of Painful and Damaged Nipples: A Randomized Control Trial

Re-thinking lactation-related nipple pain and damage

Benefits of breast milk for prevention of sore nipple & association with their demographic variables: A quasi-experimental study

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