Lin Chen-Xi, Lu Yu-Ying
School of Nursing, National Defense Medical Center, Taipei City, Taiwan.
Department of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan.
Breastfeed Med. 2023 Oct;18(10):779-784. doi: 10.1089/bfm.2023.0081. Epub 2023 Oct 5.
Breastfeeding has health benefits for both mothers and children. Nipple problems may result in the child being weaned prematurely before the recommended 6 months minimum period of exclusive breastfeeding. The study aimed to compare the effectiveness of topically applying olive oil and breast milk in treating nipple pain and soreness in breastfeeding mothers during the early postpartum period. A quasi-randomized controlled trial was conducted in a maternity ward of a medical center in northern Taiwan. Eighty breastfeeding mothers were recruited, and randomly assigned to the olive oil or breast milk group. Visual analogue pain scale (intensity of nipple pain) and nipple soreness scores were collected at 24, 48, and 72 hours after delivery. Differences in postintervention outcomes between groups were examined using the Generalized Estimating Equation model. The results indicated that both olive oil and breast milk groups reported a significant increase in the intensity of nipple pain and nipple soreness at 24, 48, and 72 hours after delivery. However, differences in the outcome measurements between olive oil and breast milk groups were statistically insignificant at -value >0.05. This study found that olive oil had similar effects on nipple pain and soreness to breast milk. In addition, most breastfeeding mothers provided positive feedback on using olive oil. Olive oil can be a safe, accessible, and alternative choice for breastfeeding mothers in treating nipple pain and soreness, especially early in the breastfeeding period. The Clinical Trail Registration Number: NCT03568370.
母乳喂养对母亲和孩子都有健康益处。乳头问题可能导致孩子在建议的至少6个月纯母乳喂养期之前过早断奶。本研究旨在比较局部涂抹橄榄油和母乳对产后早期母乳喂养母亲乳头疼痛和酸痛的治疗效果。在台湾北部一家医疗中心的产科病房进行了一项半随机对照试验。招募了80名母乳喂养母亲，并随机分配到橄榄油组或母乳组。在分娩后24、48和72小时收集视觉模拟疼痛量表（乳头疼痛强度）和乳头酸痛评分。使用广义估计方程模型检查两组干预后结果的差异。结果表明，橄榄油组和母乳组在分娩后24、48和72小时乳头疼痛强度和乳头酸痛均显著增加。然而，橄榄油组和母乳组在结果测量上的差异在P值>0.05时无统计学意义。本研究发现，橄榄油对乳头疼痛和酸痛的效果与母乳相似。此外，大多数母乳喂养母亲对使用橄榄油给予了积极反馈。橄榄油对于母乳喂养母亲治疗乳头疼痛和酸痛可能是一种安全、可及的替代选择，尤其是在母乳喂养早期。临床试验注册号：NCT03568370。
