As'adi Nayereh, Kariman Nourossadat, Mojab Faraz, Pourhoseingholi Mohamad Amin
Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Research Center for Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Avicenna J Phytomed. 2017 Nov-Dec;7(6):477-485.
Painful nipple fissure is a troublesome problem for breastfeeding mothers. This study was conducted to evaluate the effect of saqez () ointment on the improvement of nipple fissure in breastfeeding women during one-month follow-up.
This randomized controlled clinical trial was conducted on 100 eligible women who visited the selected health centers affiliated to Shahid Beheshti University of Medical Sciences, Tehran, Iran, from July 2015 to December 2015 during their postpartum period. A total of 100 subjects were randomly divided into two equal groups of 50 women grouped as saqez ointment group and breast milk group, and followed-up for one month. Both groups received face-to-face instructions on breastfeeding techniques. For severity of nipple fissure, Storr scale and to measure the intensity of pain, visual analog scale (VAS) were used.
The results showed that the two groups were matched in terms of demographic and obstetric characteristics. Mean of nipple fissure severity in ointment group (42.62) was lower than that of the control group (48.02), that was significantly different between the two groups (p=0.047). In addition, Mean nipple pain intensity in ointment group (40.57) was lower than that of the control group (49.81), but there was no significant difference between the two groups (p=0.056).
The present study showed that saqez ointment was more effective than breast milk in healing and controlling nipple fissures during one-month follow-up, without resulting in any side effects.
乳头疼痛性皲裂对母乳喂养的母亲来说是个棘手的问题。本研究旨在评估萨凯兹()软膏在为期一个月的随访中对改善母乳喂养女性乳头皲裂的效果。
本随机对照临床试验于2015年7月至2015年12月在伊朗德黑兰沙希德·贝赫什提医科大学附属的选定健康中心对100名符合条件的产后女性进行。总共100名受试者被随机分为两组,每组50名女性,分别为萨凯兹软膏组和母乳组,并随访一个月。两组均接受了关于母乳喂养技术的面对面指导。对于乳头皲裂的严重程度,使用斯托尔量表,对于疼痛强度的测量,使用视觉模拟量表(VAS)。
结果显示,两组在人口统计学和产科特征方面相匹配。软膏组乳头皲裂严重程度的平均值(42.62)低于对照组(48.02),两组之间存在显著差异(p = 0.047)。此外,软膏组乳头疼痛强度的平均值(40.57)低于对照组(49.81),但两组之间无显著差异(p = 0.056)。
本研究表明,在为期一个月的随访中,萨凯兹软膏在愈合和控制乳头皲裂方面比母乳更有效,且未产生任何副作用。