Generic placeholder image

Current Women`s Health Reviews

Editor-in-Chief

ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Clinical Trial

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

Author(s): Atefeh Vafadar, Seyedeh Zahra Masoumi*, Fatemeh Shobeiri and Youness Mohammadi

Volume 18, Issue 1, 2022

Published on: 22 January, 2021

Article ID: e061221190626 Pages: 8

DOI: 10.2174/1573404817666210122152447

Price: $65

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.

Keywords: Breastfeeding, breast, consultation, healthcare, primigravidity, nipples.

Graphical Abstract
[1]
Gafari Asl M, Fadakar Sogheh R, Ghavi A. Related factors to continued breastfeeding in infants. J Holist Nurs Midwifery 2014; 24(2): 1-8.
[2]
Kaski K, Kvist LJ. Deep breast pain during lactation: A case-control study in Sweden investigating the role of Candida albicans. Int Breastfeed J 2018; 13(1): 21.
[http://dx.doi.org/10.1186/s13006-018-0167-8] [PMID: 29977322]
[3]
Saljughi F. Promoting breastfeeding self-efficacy through role- playing in pregnant women. Int J Pediatr 2016; 4(7): 2061-8.
[4]
Santana GS, Giugliani ERJ, Vieira TO, Vieira GO. Factors associated with breastfeeding maintenance for 12 months or more: A systematic review. J Pediatr (Rio J) 2018; 94(2): 104-22.
[http://dx.doi.org/10.1016/j.jped.2017.06.013] [PMID: 28886401]
[5]
Sheinizadeh-Emadi S. Comparison evaluation of Curcumin (Curcuma longa extract) with the application of expressed breast milk in the treatment of nipple cracks in lactating primiparous women: A randomized clinical trial. J Clin Nurs Midwifery 2015; 4(2): 11-9.
[6]
Alamolhoda SH. Effects of Aloe vera gel on breast fissures in breastfeeding women. Pajoohandeh 2014; 19(1): 13-7.
[7]
Storr GB. Prevention of nipple tenderness and breast engorgement in the postpartal period. J Obstet Gynecol Neonatal Nurs 1988; 17(3): 203-9.
[http://dx.doi.org/10.1111/j.1552-6909.1988.tb00426.x] [PMID: 3392623]
[8]
Hashemzadeh M. Effect of educational package on breastfeeding self-efficacy in postpartum period. Payesh 2014; 13(2): 221-8.
[9]
Marrazzu A, Sanna MG, Dessole F, Capobianco G, Piga MD, Dessole S. Evaluation of the effectiveness of a silver-impregnated medical cap for topical treatment of nipple fissure of breastfeeding mothers. Breastfeed Med 2015; 10(5): 232-8.
[http://dx.doi.org/10.1089/bfm.2014.0177] [PMID: 25989381]
[10]
Tafazoli M, et al. Effect of breastfeeding technique modification on prevention of nipple sore. Iran J Obstet Gynecol Infertil 2015; 17(138): 10-7.
[11]
Amir LH, Jones LE, Buck ML. Nipple pain associated with breastfeeding: incorporating current neurophysiology into clinical reasoning. Aust Fam Physician 2015; 44(3): 127-32.
[PMID: 25770578]
[12]
Keramat A, Masoumi SZ, Shobeiri F, Raei M, Andarzgoo M, Babazadeh R. Effectiveness of educational program related to persuade women for breast feeding based on theory of planned behavior (TPB). Avicenna J Nurs Midwifery Care 2013; 21(2): 21-31.
[13]
Heidari MS, Yadollahpour MH, Hoseiny Z, Basirat Z. Comparative study of the importance of breast milk from Quran and medical science approach. IHJ 2014; 9: 69-77.
[14]
Shahrahmani N, Amir Ali Akbari S, Mojab F, Mirzai M, Shahrahmani H. The effect of Zizyphus Jujuba fruit lotion on improvement of nipple fissure pain in breastfeeding primipara women. Iran J Obstet Gynecol Infertil 2016; 19(35): 13-21.
[15]
Eshgizade M, et al. A comparison of the efficacy of olive oil, aloe vera extract and breast milk on healing breast fissure in the breastfeeding women. Avicenna J Phytomed 2015; 5: 86-7.
[16]
Maleki-Saghooni N. Investigating the breastfeeding self-efficacy and its related factors in primiparous breastfeeding mothers. Int J Pediatr 2017; 5(12): 6275-83.
[17]
Asaadi N, Kariman N, Shahrahmani H, Ghalandari S, Khodakarami N. A systematic review of clinical trials in the treatment of sore nipple and nipple pain in breastfeeding women. Iran J Obstet Gynecol Infertil 2016; 19(6): 22-33.
[18]
Saeidi R. New treatment for nipple soreness in breastfeeding mothers: A clinical trial study. Iran J Neonatol 2015; 6(2): 48-51.
[19]
Kent JC, Ashton E, Hardwick CM, et al. Nipple pain in breastfeeding mothers: Incidence, causes and treatments. Int J Environ Res Public Health 2015; 12(10): 12247-63.
[http://dx.doi.org/10.3390/ijerph121012247] [PMID: 26426034]
[20]
Tiruye G, Mesfin F, Geda B, Shiferaw K. Breastfeeding technique and associated factors among breastfeeding mothers in Harar city, Eastern Ethiopia. Int Breastfeed J 2018; 13(1): 5.
[http://dx.doi.org/10.1186/s13006-018-0147-z] [PMID: 29434650]
[21]
Dehkordi Z. Effect of telephone counseling on continuity and duration of breastfeeding among primiparus women. Hayat (Tihran) 2012; 18(2): 57-65.
[22]
Parashar M. Breastfeeding attachment and positioning technique, practices, and knowledge of related issues among mothers in a resettlement colony of Delhi. Infant Child Adolesc Nutr 2015; 7(6): 317-22.
[http://dx.doi.org/10.1177/1941406415602528]
[23]
Kazemirad M. Comparison of calendit-e cream versus expressed breast milk. Adv Nurs Midwifery 2014; 23(80): 1-9.
[24]
Ingram J, Johnson D, Copeland M, Churchill C, Taylor H. The development of a new breast feeding assessment tool and the relationship with breast feeding self-efficacy. Midwifery 2015; 31(1): 132-7.
[http://dx.doi.org/10.1016/j.midw.2014.07.001] [PMID: 25061006]
[25]
Asadi N, Kariman N, Mojab F, Pourhoseingholi MA. The effect of Saqez (Pistacia atlantica) ointment on nipple fissure improvement in breastfeeding women during one-month follow-up. Avicenna J Phytomed 2017; 7(6): 477-85.
[PMID: 29299430]
[26]
Mojalli M, Basiri Moghadam M, Shamshiri M. Effectiveness of instructional environment and related factors on breastfeeding function of mothers. Horizon Med Sci 2010; 16(1): 59-64.
[27]
Zhang YX, Moore DR, Guiraud J, Molloy K, Yan TT, Amitay S. Auditory discrimination learning: Role of working memory. PLoS One 2016; 11(1): e0147320.
[http://dx.doi.org/10.1371/journal.pone.0147320] [PMID: 26799068]
[28]
Otsuka K, Taguri M, Dennis CL, et al. Effectiveness of a breastfeeding self-efficacy intervention: Do hospital practices make a difference? Matern Child Health J 2014; 18(1): 296-306.
[http://dx.doi.org/10.1007/s10995-013-1265-2] [PMID: 23592322]
[29]
Emmanuel A. Evaluation of workplace breastfeeding support for female staff in a Nigerian University. Open Sci J Clin Med 2016; 2016(4): 3.

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy