Identifying the cause of breast and nipple pain during lactation

Amir, Lisa H; Baeza, Carmela; Jones, Wendy

doi:10.1136/bmj.n1628

Cited by 13 publications

(15 citation statements)

References 40 publications

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“…Most of the challenges women reported in our included studies were related to socio‐cultural context and collective belief patterns of the women's social networks, including their families. Our findings suggest that these impact extensively on engagement with breastfeeding support programmes and services which is in line with the literature (Amir et al, 2021 ; Kim et al, 2017 ; Leeming et al, 2022 ). Before a support programme is developed, conflicting norms and traditions about infant feeding between professionals and women need to be identified.…”

Section: Discussionsupporting

confidence: 92%

“…When women are asked about why they stop breastfeeding, the following reasons are often cited: fatigue, inconvenience, concerns about milk supply, painful nipples or poor guidance from health care professionals (Amir et al, 2021 ). All these may result in early discontinuation of breastfeeding (Demirci & Bogen, 2017 ; Li et al, 2008 ) and can often be rectified with skilled support to enable women to continue breastfeeding (McFadden et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

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Factors that influence women's engagement with breastfeeding support: A qualitative evidence synthesis

Bengough

Dawson

Cheng

et al. 2022

Maternal & Child Nutrition

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Breastfeeding is an integral part of early childhood interventions as it can prevent serious childhood and maternal illnesses. For breastfeeding support programmes to be effective, a better understanding of contextual factors that influence women's engagement and satisfaction with these programmes is needed. The aim of this synthesis is to suggest strategies to increase the level of satisfaction with support programmes and to better match the expectations and needs of women. We systematically searched for studies that used qualitative methods for data collection and analysis and that focused on women's experiences and perceptions regarding breastfeeding support programmes. We applied a maximum variation purposive sampling strategy and used thematic analysis. We assessed the methodological quality of the studies using a modified version of the CASP tool and assessed our confidence in the findings using the GRADE‐CERQual approach. We included 51 studies of which we sampled 22 for in‐depth analysis. Our sampled studies described the experiences of women with formal breastfeeding support by health care professionals in a hospital setting and informal support as for instance from community support groups. Our findings illustrate that the current models of breastfeeding support are dependent on a variety of contextual factors encouraging and supporting women to initiate and continue breastfeeding. They further highlight the relevance of providing different forms of support based on socio‐cultural norms and personal backgrounds of women, especially if the support is one‐on‐one. Feeding decisions of women are situated within a woman's personal situation and may require diverse forms of support.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Factors that influence women's engagement with breastfeeding support: A qualitative evidence synthesis

Bengough

Dawson

Cheng

et al. 2022

Maternal & Child Nutrition

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“…There is an expected level of discomfort, ranging from moderate to intense, when breastfeeding during the first week (Tait, 2000). Considering the normal variability of breast and nipple anatomy, maternal pain with breastfeeding continuing after 1 week can be attributed to maternal anatomy such as flat or inverted nipples, infant anatomy such as tongue- or lip-tie, spasms, or infection such as thrush (Amir et al, 2021). Infant abnormalities such as tongue-tie affect the infant's ability to suckle properly, as the tongue cannot curve around the nipple, resulting in inadequate feeding and sore nipples (Tait, 2000).…”

Section: Discussionmentioning

confidence: 99%

“…as fl at or inverted nipples, infant anatomy such as tongueor lip-tie, spasms, or infection such as thrush (Amir et al, 2021). Infant abnormalities such as tongue-tie affect the infant's ability to suckle properly, as the tongue cannot curve around the nipple, resulting in inadequate feeding and sore nipples (Tait, 2000).…”

Section: Shutterstock/pr Image Factorymentioning

confidence: 99%

Breastfeeding Symptoms with Tongue- and Lip-Tie

Hill

Richard

Pados

2023

McN: The American Journal of Maternal/Child Nursing

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Purpose:The aims of this study were to describe maternal and infant symptoms relative to tongue-and lip-tie severity and describe changes in symptoms and feeding effi ciency from pre-to postfrenotomy. Study Design and Methods:A one-group pre-and post-intervention study design was used. Data from a dental practice were collected from medical records of infants less than 1 year old who underwent a frenotomy procedure for tongue-and/or lip-tie. Infant and maternal symptoms were compared with severity of tongue-and lip-tie using binary logistic regression. Wilcoxon Signed Rank test compared pain scores and feeding duration pre-and post-frenotomy. Linear regression compared total number of symptoms reported prefrenotomy with tongue-and lip-tie severity.Results: N = 121 dyads were included. More severe classifi cations of tongue-and lip-tie were signifi cantly associated with certain infant and maternal symptoms pre-frenotomy. Improvements were noted in all reported infant symptoms post-frenotomy. Feeding duration times signifi cantly decreased post-frenotomy. Clinical Implications: Infants and mothers experience problematic symptoms with feeding associated with tongue-and lip-tie. Nurses are the primary care providers during postpartum and should be alert to signs and symptoms that may suggest oral restrictions. Early evaluation and involvement of feeding experts may improve the breastfeeding experience of the dyad.

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“…Stasis can, in turn, cause an inflammatory response owing to components of milk entering the tissues or capillaries. Obstruction of milk ducts and surrounding inflammation can then lead to blocked ducts and mastitis48 as well as reduced supply of breast milk. Encourage women to recognise and alleviate engorgement in response to the baby’s feeding cues in order to prevent blocked ducts and mastitis 49.…”

Section: How To Support Breastfeeding Women With Common Challengesmentioning

confidence: 99%

Providing effective evidence based support for breastfeeding women in primary care

Marshall

Ross

Buchanan

et al. 2021

BMJ

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Identifying the cause of breast and nipple pain during lactation

Cited by 13 publications

References 40 publications

Factors that influence women's engagement with breastfeeding support: A qualitative evidence synthesis

Factors that influence women's engagement with breastfeeding support: A qualitative evidence synthesis

Breastfeeding Symptoms with Tongue- and Lip-Tie

Providing effective evidence based support for breastfeeding women in primary care

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