Injuries Resulted From Breastfeeding: A New Approach To A Known Problem

Abstract

Injuries resulted from breastfeeding: a new approach to a known problemCervellini MP, Gamba MA, Coca KP, Abrão ACFV RESUMENEste estudio tuvo como objetivo analizar las grietas del pezón causadas por el amamantamiento bajo el enfoque dermatoló-gico. Se realizaron dos revisiones integradoras de la literatura, una relacionada con definiciones, clasificaciones y métodos de evaluación de las lesiones en el pezón y otra sobre los estudios de validación relacionadas a esas temáticas. En la primera se incluyeron 20 artículos y sólo un tercio de los estudios definió el trauma del pezón, más de la mitad no definió las lesiones del pezón reportadas y cada autor demostró una forma particular de evaluación de las lesiones, sin consenso. En la segunda revisión, no se encontró ningún estudio de validación y algoritmo relacionado con lesiones en el pezón causadas por la lactancia materna. Este hecho demuestra que las lesiones del pezón mencionadas en la primera revisión no pasaron por los estudios de validación, explicando las inconsistencias identificadas en relación a los métodos de evaluación, definición y clasificación de lesiones en el pezón. DESCRIPTORES Lactancia materna Pezones Heridas y traumatismos Enfermería obstétrica Revisión RESUMOEste estudo teve como objetivo analisar o trauma mamilar decorrente da prática da amamentação sob o enfoque dermatológi-co. Duas revisões integrativas da literatura foram realizadas, uma relacionada a definições, classificações e método de avaliação dos traumas mamilares e outra sobre estudos de validação relacionados a essas temáticas. Na primeira foram incluídos 20 artigos e apenas um terço conceituou o trauma mamilar, mais da metade não definiu as lesões mamilares relatadas e cada autor demonstrou uma forma particular de avaliação das lesões, sem que houvesse consenso. Na segunda, nenhum estudo de validação ou algoritmo relacionado ao trauma mamilar decorrente da amamentação foi encontrado. Este achado demonstrou que as lesões citadas na primeira revisão não passaram por estudos de validação com especialistas, o que explica as discordâncias identificadas em relação à definição, classificação e métodos de avaliação dos traumas mamilares. DESCRITORES Aleitamento materno Mamilos Ferimentos e lesões Enfermagem obstétrica Revisão ABSTRACTThis study aimed at analyzing nipple trauma resulted from breastfeeding based on dermatological approach. Two integrative reviews of literature were conducted, the first related to definitions, classification and evaluation methods of nipple trauma and another about validation studies related to this theme. In the first part were included 20 studies and only one third defined nipple trauma, more than half did not defined the nipple's injuries reported, and each author showed a particular way to assess the injuries, without consensus. In the second integrative review, no validation study or algorithm related to nipple trauma resulted from breastfeeding was found. This fact demonstrated that the nipple's injuries mentioned in the first review did not go thro...

Factors associated to nipple trauma in lactation period: a systematic review

“…[10][11][12] In relation to the types of nipple injuries, there is no consensus as regarding to the degree of impairment of the tissue layer on the nipple-areola region. 13,14 The lack of clinical definition for nipple trauma results in disagreements, up to a point that its diagnosis and treatment may be compromised. 14 It is suggested that in the context of assisting nursing mothers, nipple trauma may be defined as an alteration in the normal anatomy of the nipple skin with the presence of a primary lesion caused by the modification of the color or thickness and not only as a solution of continuity on the skin.…”

“…14 It is suggested that in the context of assisting nursing mothers, nipple trauma may be defined as an alteration in the normal anatomy of the nipple skin with the presence of a primary lesion caused by the modification of the color or thickness and not only as a solution of continuity on the skin. 14 The location of the lesion is observed in the upper part of the body and around the base of the nipple, more often found at the tip of the nipple 10,12,15 involving dermis and epidermis with the presentation in the form of linear ulceration or curved. 13 The woman presents symptoms of severe pain on the nipples during breastfeeding.…”

The Impact of Nipple Repair in the Treatment of Lactating Nipple Injury

“…The type and severity of nipple injury are affected by subjective factors. There is no uniform consensus on the de nition, classi cation, and evaluation methods of nipple injury [8] . There is currently no highquality research on the treatment of nipple injury [9] .…”

Health Education to Strengthen Breastfeeding Actions

“…This is a cause for concern, because breast problems are a determining factor for breastfeeding abandonment, due to the pain and discomfort they can cause [15].…”