Prevalence of nipple traumas and related factors among post-partum women assisted in a teaching hospital

Abstract

Objectives: To estimate the prevalence of nipple traumas and to correlate this occurrence with socio-demographic and obstetric factors in a sample of assisted post-partum patients in a teaching hospital. Method: Cross-sectional, quantitative study of 320 post-partum patients assisted in the maternity from October 2015 to October 2016. Results: The prevalence of nipple trauma in the sample was 35.3%, and only previous experience with breastfeeding has behaved as a protective factor for trauma. No statistical associations were found with other variables. Conclusions and implications for practice: The data presented allowed us to delineate a profile of the post-partum patients assisted in a teaching hospital, as well as the characterization of the occurrence of nipple traumas. From this profile, guidelines can be established on the subject, both in the institution where the study was carried out and in other institutions, since from the literature, the need for this orientation in different contexts and institutions is identified.

Complexidades intrínsecas ao aleitamento materno sob a ótica de nutrizes primigestas

“…Olha, no primeiro momento foi muito difícil, dava pra desistir, porque é bem complicado assim, doloroso [...] O trauma mamilar trata-se de uma lesão na região do mamilo que geram desconforto e dor, podendo resultar em interrupção parcial ou total da amamentação (Urasaki et al, 2017;Cunha et al, 2019). Esta alteração pode ocorrer em toda extensão do mamilo, sendo mais frequente em sua ponta, sendo que seu aparecimento, geralmente, ocorre nas primeiras horas da amamentação até os primeiros sete dias após o parto (Dias et al, 2017;Cunha et al, 2019).…”

“…Dentre alguns fatores de risco associados ao trauma mamilar estão: a primiparidade, não amamentar na primeira hora de vida, mamilos semi-protusos, invertidos e pseudo-invertidos, ingurgitamento mamário, mastite, uso de bombas de extração, uso de óleo, cremes e pomadas no mamilo que não são recomendados, uso de chupeta e mamadeira, forro úmido, pega e posicionamento incorreto do lactente (Cunha et al, 2019;Dias et al, 2017, Brasil, 2015. Cunha et al (2019), aponta em seu estudo, escoriações, hiperemia e fissura como os tipos de trauma mais frequentes.…”

A aplicação da laserterapia no tratamento de traumas mamilares: revisão de literatura

“…The literature points out that, in addition to pain threatening breastfeeding, trauma is associated with increased anxiety in the mothers, with the risk of developing mastitis, thus hindering breastfeeding (15) . The healing ONLINE BRAZILIAN JOURNAL OF NURSING, 20: e20216508 time of nipple trauma varies according to its extension and severity, but it is known that, when installed without treatment during breastfeeding, the lesion will cause more damage to the breast, regressing healing (8) .…”