Title:The Effect of Consulting Correct Techniques of Breastfeeding on Treatment
of Fissure on the Nipple in Primiparous Mothers Referred to Hamadan
Healthcare Centers: A Randomized Controlled Trial Study
Volume: 18
Issue: 1
Author(s): Atefeh Vafadar, Seyedeh Zahra Masoumi*, Fatemeh Shobeiri and Youness Mohammadi
Affiliation:
- Department of Midwifery,
Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical
Sciences, Hamadan, Iran
Keywords:
Breastfeeding, breast, consultation, healthcare, primigravidity, nipples.
Abstract:
Background: Nipple fissures are frequent complaints of breastfeeding mothers. Many
treatments have been used to treat this problem. However, low-risk methods are more useful for
treatment.
Objective: This study aimed to investigate the effect of consulting correct techniques of breastfeeding
on the treatment of fissures on the nipple in primiparous mothers referred to Hamadan healthcare
centers during 2017.
Methods: This is a clinical trial study that was conducted on two groups comprised of 74 primiparous
mothers who were admitted to Hamadan health centers in 2017. They were randomly assigned
to two groups of treatment and control. After completing the demographic questionnaire,
the intervention group received breastfeeding consultation 3-5, 10, and 15 days after birth, and the
control group received routine training like applying a little expressed milk on nipples. Storr and
Bristol Scales were completed by the researcher before and one week after the last consultation session.
Data were analyzed using SPSS software version 20, and the significance level was considered
0.05.
Results: The results showed that the mean score of the Bristol checklist in the intervention group
after counseling was significantly increased (p < 0.05), and there were also more people in the intervention
group with improvement in their nipple fissures (66.7% vs. 37.9% at the score of zero).
Conclusion: Multi-session and face-to-face correct techniques of breastfeeding counselling can
help nipple fissure healing in nursing mothers.