Coca Kelly Pereira, Gamba Mônica Antar, de Sousa e Silva Rebeca, Abrão Ana Cristina Freitas de Vilhena
Rev Esc Enferm USP. 2009 Jun;43(2):446-52. doi: 10.1590/s0080-62342009000200026.
The aim of the study was to identify the breast feeding position and holding variables related to nipple trauma. This case-control study assessed the onset of nipple trauma among women hospitalized at a University Hospital in the city of São Paulo, in 2004 and 2005. Subjects were puerperae diagnosed with unilateral or bilateral nipple trauma. Data analysis was performed using chi-square, Student's t, and odds ratio tests (CI = 95%) and correspondence analysis. Participants were 146 puerperal women and their newborns, being 73 cases and 73 controls. Statistically significant position and holding variables for causing lesions were the following: newborns with their necks bent/contorted, chin away from the breast and lip-related defect (turned inward). Trauma prevention at the beginning of breast feeding is crucial for continuing this practice. Following adequate positioning is decisive for establishing effective and prolonged breast feeding.
本研究的目的是确定与乳头损伤相关的母乳喂养姿势和抱持变量。这项病例对照研究评估了2004年和2005年在圣保罗市一家大学医院住院的女性中乳头损伤的发生情况。研究对象为被诊断患有单侧或双侧乳头损伤的产妇。数据分析采用卡方检验、学生t检验、优势比检验（置信区间=95%）和对应分析。参与者为146名产妇及其新生儿，其中73例为病例组，73例为对照组。导致损伤的具有统计学意义的姿势和抱持变量如下：新生儿颈部弯曲/扭曲、下巴远离乳房以及唇部相关缺陷（向内翻转）。母乳喂养开始时的创伤预防对于持续进行这种做法至关重要。遵循适当的姿势对于建立有效且持久的母乳喂养具有决定性作用。
