Cecilio Jessica Oliveira, MendonçaVieira Flaviana Vely, Oliveira Flávia Silva, Guimarães Janaína Valadares, Del'Angelo Aredes Natalia, Evangelista Danielle Rosa, Campbell Suzanne Hetzel
School of Nursing, Federal University of Goias, Goiânia, Brazil.
School of Nursing, Federal University of Tocantins, Palmas, Brazil.
PEC Innov. 2022 Nov 8;1:100101. doi: 10.1016/j.pecinn.2022.100101. eCollection 2022 Dec.
This study aimed to analyze the effectiveness of breast shells in preventing pain and nipple injury during breastfeeding.
A non-randomized clinical trial was carried out with blinding to the evaluators of the study results. The study included women with ≥35 weeks of singleton pregnancy, no nipple changes, and a desire to breastfeed. Resulting in 62 lactating women. The experimental group used breast shells and health education with clinical demonstration ( = 29), whereas the control group used no breast shells ( = 33). Pain and nipple injury were assessed three times, twice prenatally and once up to 14 days postpartum.
Nipple injury (50.0%) and nipple pain (67.7%) presented with similar frequency in both groups ( = 1). Breast engorgement (35,5%) was associated with nipple pain ( = 0.019 and its onset was delayed in the experimental group ( = 0.001). Health education contributes to breast and nipple care and increases favorable breastfeeding patterns.
Breast shells do not prevent nipple pain or injury.
As far as we know, this is the first clinical research evaluating the use of breast shells since the antenatal care to prevent the occurrence of nipple pain and injury.
本研究旨在分析哺乳罩在预防母乳喂养期间疼痛和乳头损伤方面的有效性。
进行了一项非随机临床试验，对研究结果的评估者进行了盲法处理。该研究纳入了单胎妊娠≥35周、乳头无变化且有母乳喂养意愿的女性。最终有62名哺乳期妇女。实验组使用哺乳罩并接受健康教育及临床示范（n = 29），而对照组不使用哺乳罩（n = 33）。在产前进行了两次、产后14天内进行了一次共三次疼痛和乳头损伤评估。
两组乳头损伤（50.0%）和乳头疼痛（67.7%）的出现频率相似（P = 1）。乳房胀痛（35.5%）与乳头疼痛相关（P = 0.019），且在实验组其发作延迟（P = 0.001）。健康教育有助于乳房和乳头护理，并增加良好的母乳喂养模式。
哺乳罩不能预防乳头疼痛或损伤。
据我们所知，这是第一项评估从产前护理开始使用哺乳罩预防乳头疼痛和损伤发生情况的临床研究。
