An evaluation of the effect ov lanolin in healing nipple injuries

Coca, Kelly Pereira; Abrão, Ana Cristina Freitas de Vilhena

doi:10.1590/s0103-21002008000100002

Cited by 14 publications

(10 citation statements)

References 7 publications

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“…Studies have shown that there is a higher incidence of nipple pain and injuries in primiparas, fair-skinned women and mothers with male newborns, and that these discomforts appear mainly in the first week after birth. 13,[16][17][18][19] The data in the present study corroborates previous studies in relation to the number of children and skin color, but differs in relation to the gender of the newborn and to the time at which the pain or trauma first occurred, since it was higher for females, and a higher number of nursing mothers reported pain and trauma in both nipples 24 hours after birth. It is estimated that between 80 and 96% of women experience some degree of pain in the first week after birth.…”

Section: Discussionsupporting

confidence: 89%

“…The size of the injuries decreased at the assessment after 24 hours in the experimental group, compared with the group that used breast milk. 18 In a controlled randomized trial with 35 nursing mothers in each group, Shanazi et al (2015) 25 compared the effects of the use of lanolin, peppermint, and dexpanthenol cream for treating nipple trauma in breastfeeding mothers. The results were similar using the three substances, leading to the conclusion that peppermint can be considered an effective option for treating traumatized nipples in patients who want to use plant-based medications.…”

Section: Discussionmentioning

confidence: 99%

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

Neto

Albuquerque

Souza

et al. 2018

Rev Bras Ginecol Obstet

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Objective To compare two different treatments—the use of highly purified anhydrous (HPA) lanolin and expressed breast milk—for women with pain and nipple trauma during the breastfeeding process. Method A total of 180 puerperal women were randomly assigned to 2 groups: one was treated with HPA lanolin and the other with their own expressed breast milk. All of the participants received the same breastfeeding technique instructions and therapeutic care standard. Three assessments were performed: at the time of inclusion in the study (after randomization); after 48 hours; and after 7 days. At each interval, data was collected in relation to pain and trauma. A numerical/verbal category scale was used for the pain variable, and the nipple trauma score for the trauma variable. The results were subjected to statistical analysis using the chi-squared test, the Fisher exact test, the student t-test, and the Kolmogorov-Smirnov test. Generalized estimating equations were calculated using the STATA 12 statistical software package (StataCorp LLC, College Station, TX, USA) and IBM SPSS Statistics for Windows, Version 20.0 (IBM Corp, Armonk, NY, USA). Results There was pain improvement from the second to the third assessment in the group that used HPA lanolin, while the pain remained unchanged between these two periods (p < 0.001) in the breast milk group. In terms of trauma, improvement was identified in its extension and depth from the first to the third assessment, and it was higher in the HPA lanolin group than in the breast milk group (p = 0.025). Conclusion The treatment of pain and nipple trauma with HPA lanolin achieved better results than the one with breast milk, based on a 7-day treatment period.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

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

Neto

Albuquerque

Souza

et al. 2018

Rev Bras Ginecol Obstet

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“…Breast milk is a natural treatment that promotes wound healing, but over a long period of time . Milk contains bioactive factors that employ antimicrobial and anti‐inflammatory mechanisms to stimulate and modulate the development of immune function and the growth and development of lactating tissues.…”

Section: Introductionmentioning

confidence: 99%

“…The comparison of lanolin and breast milk in randomized clinical trials has had conflicting results. Two randomized controlled trials have demonstrated the superiority of treatment with lanolin . In contrast, one study reported that breast milk was better than lanolin .…”

Section: Introductionmentioning

confidence: 99%

Effects of Anhydrous Lanolin versus Breast Milk Combined with a Breast Shell for the Treatment of Nipple Trauma and Pain During Breastfeeding: A Randomized Clinical Trial

Vieira¹,

Mota²,

Castral³

et al. 2017

J Midwife Womens Health

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“…Porém, a aplicação do leite foi combinada ao uso da concha de proteção dos mamilos, o que possivelmente justificaria o resultado de processo cicatricial mais rápido e melhor alívio da dor na região areolomamilar Por outro lado, a defesa, especificamente da indicação da pomada à base de lanolina, baseia-se em seus efeitos positivos no processo de cicatrização. O produto forma uma barreira que impede a perda da umidade natural das camadas mais profundas da pele e aumenta a velocidade de proliferação das células epiteliais, diminui a formação de tecido desvitalizado e crostas e, desse modo, reduz o tempo de cicatrização 13,19 . Outra vantagem é o fato de dispensar a limpeza do mamilo antes da próxima mamada 23 .…”

Section: Introductionunclassified

Trauma Mamilar: Cuidados Adotados por Mulheres no Pós-parto

Urasaki

Teixeira

Cervellini

2017

Estima

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RESUMOO trauma mamilar é uma intercorrência frequente no pós-parto e interfere no processo de amamentação por ocasionar desconforto e dor à mulher. O objetivo deste estudo foi conhecer os cuidados adotados por mulheres que apresentaram trauma mamilar no pós-parto. Estudo descritivo, exploratório e de abordagem quantitativa. A amostra foi composta por 112 mulheres com filhos de idade inferior a 2 anos. Os dados foram coletados em parques e praças da zona leste de São Paulo, por meio de formulário composto por questões fechadas e abertas. Todas as participantes amamentaram seus filhos, variando apenas o tempo da amamentação; o trauma mamilar não foi motivo para desmame; 44% observaram algum tipo de lesão no mamilo, e a maioria em ambas as mamas. Dessas mulheres, 85,4% recorreram a algum tipo de tratamento, sendo mencionados tratamentos úmidos e secos, isolados ou em associações e correção da pega. Medidas preventivas no pré-natal foram empregadas por 28 (30,1%) gestantes. Conclui-se que é expressivo o número de mulheres com trauma mamilar; algumas possuem informações imprecisas sobre as causas da lesão, como prevenir ou cuidar, constituindo tanto fatores de risco para seu surgimento quanto para seu agravamento. DESCRITORES:Ferimentos e lesões. Mamilos. Aleitamento materno. Estomaterapia. ABSTRACTNipple trauma is a frequent intercurrence at postpartum and interferes at breastfeeding by causing discomfort and pain to women. The objective of this study was to know the adopted cares by women who had nipple trauma during the postpartum period. This was a descriptive and exploratory study with quantitative approach. The sample included 112 women with children under the age of 2. The data were collected in parks and squares of the East Zone of São Paulo city, Brazil, by means of a form with closed and open questions. All participants breastfed their children varying only the breastfeeding period; the nipple trauma was no reason for weaning; 44% noted some type of nipple injury, the majority in both breasts. It was found that 85.4% had recoursed to some kind of treatment, being mentioned wet or dry treatments, isolated or in associations, and latch correction. Preventive measures in prenatal were employed by 28 (30.1%) pregnant women. We conclude that the number of women with nipple trauma is expressive; some have inaccurate information about its causes, how to prevent or take care of it, which constitutes risk factors for its onset and worsening.

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An evaluation of the effect ov lanolin in healing nipple injuries

Cited by 14 publications

References 7 publications

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

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

Effects of Anhydrous Lanolin versus Breast Milk Combined with a Breast Shell for the Treatment of Nipple Trauma and Pain During Breastfeeding: A Randomized Clinical Trial

Trauma Mamilar: Cuidados Adotados por Mulheres no Pós-parto

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