A Comparison of Topical Agents to Relieve Nipple Pain and Enhance Breastfeeding

Pugh, Linda C.; Buchko, Barbara L.; Bishop, Beverly A.; Cochran, Janet F.; Smith, LuAnn R.; Lerew, Donna J.

doi:10.1111/j.1523-536x.1996.tb00835.x

Cited by 44 publications

(47 citation statements)

References 17 publications

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“…The beneficial effects of lanolin in the prevention or treatment of sore or damaged nipples have been demonstrated before [1,8,38] . However, in these trials lanolin has always been compared to or combined with other interventions, and the purity, quality and form of the lanolin and the frequency of application have varied.…”

Section: Discussionmentioning

confidence: 99%

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Positive Effect of HPA Lanolin versus Expressed Breastmilk on Painful and Damaged Nipples during Lactation

Abou-Dakn

Fluhr

Gensch

et al. 2010

Skin Pharmacol Physiol

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Painful and/or damaged nipples associated with breastfeeding are common and represent a challenge for both the persons experiencing nipple pain and/or trauma and for those providing treatment. However, evidence-based data has been insufficient to demonstrably minimize these common reasons for failure to initiate or continue successful breastfeeding. The aim of this study was to evaluate the efficacy of specific-grade highly purified anhydrous (HPA) lanolin versus expressed breastmilk (EBM) for the treatment of painful and damaged nipples associated with breastfeeding in a prospective controlled clinical trial evaluating 84 lactating mothers. Nipple trauma and healing rates were rated by the Nipple Trauma Score. Nipple pain intensity was assessed on a visual analog scale. Outcome parameters were in favor of the HPA lanolin group, reaching statistical significance for healing rates, nipple trauma and nipple pain. In our study, we found HPA lanolin more effective than EBM, inducing faster healing of nipple trauma (absolute risk reduction of 0.43) and reducing nipple pain (absolute risk reduction of 0.61 on day 3). We concluded that HPA lanolin, combined with breastfeeding education, was more effective than EBM, combined with breastfeeding education, in reducing nipple pain and promoting healing of nipple trauma.

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Section: Discussionmentioning

confidence: 99%

“…ing education [1,3,[6][7][8] . However, there is little evidence from prospective trials regarding the use of topical agents [9][10][11][12][13] .…”

mentioning

confidence: 99%

Positive Effect of HPA Lanolin versus Expressed Breastmilk on Painful and Damaged Nipples during Lactation

Abou-Dakn

Fluhr

Gensch

et al. 2010

Skin Pharmacol Physiol

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“…In all cases, there was minimal blood loss, that is, no more than a drop or two, collected on sterile gauze, and infant crying lasted a few seconds only. In every sequence, and after each sham or frenotomy procedure, a standardized latch score [9] (10 points minimum difficulties) and pain score using a standard visual analogue pain scale [10] (10 points maximum pain) were obtained from the mother by the lactation consultant.…”

Section: Methodsmentioning

confidence: 99%

Immediate nipple pain relief after frenotomy in breast-fed infants with ankyloglossia: a randomized, prospective study

Dollberg

Botzer

Grunis

et al. 2006

Journal of Pediatric Surgery

136

147

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“…The conclusion was that no difference exists between the different treatments with regard to pain intensity and maintenance of breastfeeding. 11 Another study revealed that modified lanolin is useful in alleviating nipple pain, especially between the sixth and tenth days after delivery. 12 A practice that has become quite popular in some Brazilian regions is the use of tea bags for the treatment of sore nipple.…”

Section: Treatmentmentioning

confidence: 99%

Problemas comuns na lactação e seu manejo

Giugliani¹

2004

J. Pediatr. (Rio J.)

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Suggested citation: Giugliani ER. Common problems during lactation and their management. J Pediatr (Rio J). 2004;80(5 Suppl):S147-S154. AbstractObjective: To present an update review on common problems associated with breastfeeding and their management.Source of data: A comprehensive bibliographic review on the issue was performed by searching publications from the MEDLINE database and from national and international organizations. Books and some key articles cited in other sources were also selected.Summary of the findings: Several common problems that may arise during the breastfeeding period, such as breast engorgement, plugged milk duct, breast infection and insufficient milk supply, originate from conditions that lead the mother to inadequate empty the breasts. Incorrect techniques, not frequent breastfeeding and breastfeeding on scheduled times, pacifiers and food suppliers are important risk factors that can predispose to lactation problems. The adequate management of those conditions is fundamental, as if not treated they frequently lead to early weaning. There are specific measures that should be taken to empty the breasts effectively. Besides, the emotional support and actions that yield more comfort to the lactating mother can not be neglected.Conclusions: Most common problems associated with breastfeeding can be prevented if the mother empties her breasts effectively. If they occur, they should be carefully and adequately approached, thus avoiding the early weaning resultant from painful and stressing situations the mother may face.J Pediatr (Rio J). 2004;80(5 Suppl):S147-S154: Breastfeeding, lactation problems, mastitis, hypogalactia. Common problems during lactation and their managementElsa R. J. Giugliani* 0021-7557/04/80-05-Suppl/S147 Jornal de Pediatria Copyright © 2004 by Sociedade Brasileira de PediatriaThe human species is the only one among mammals in which breastfeeding and weaning are not governed only by instinct. Therefore, breastfeeding and weaning have to be learned. Currently, especially in modern societies, women have few opportunities to learn something about breastfeeding because their traditional sources of learning more experienced women in the family were lost as extended families were replaced by nuclear families. Consequently, women become mothers with little or no ability to breastfeed, which makes them more vulnerable to difficulties during the process. Health professionals play a crucial role in the prevention and management of such difficulties, but to do that, they need specific knowledge, attitudes and skills.The present article reviews the major difficulties encountered in breastfeeding and their management and seeks to provide technical and practical information necessary for health professionals to promote, protect and support the breastfeeding practice. Common problems related to breastfeeding are discussed, including breast engorgement, nipple pain/trauma, nipple infection caused by Staphylococcus aureus, candidiasis, Raynauds phenomenon, plugged ducts, mastitis, br...

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A Comparison of Topical Agents to Relieve Nipple Pain and Enhance Breastfeeding

Abstract: Further investigation is required into ways of supporting young mothers and how caregivers provide support to breastfeeding mothers in the early weeks after childbirth.

Cited by 44 publications

References 17 publications

Positive Effect of HPA Lanolin versus Expressed Breastmilk on Painful and Damaged Nipples during Lactation

Positive Effect of HPA Lanolin versus Expressed Breastmilk on Painful and Damaged Nipples during Lactation

Immediate nipple pain relief after frenotomy in breast-fed infants with ankyloglossia: a randomized, prospective study

Problemas comuns na lactação e seu manejo

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