Physiotherapy Specialist, Cairo, Egypt.
Professor at Cairo University, Vice Dean Faculty of physical therapy Helwan National University Cairo, Cario, Egypt.
Lasers Med Sci. 2024 Jul 24;39(1):192. doi: 10.1007/s10103-024-04132-w.
During the first several weeks following lactation, nipple pain frequently prevents mothers from continuing breastfeeding. To evaluate the efficacy of using Photobiomodulation (PBM) versus anti-inflammatory topical cream, on inflamed nipple, and the effect on milk production. This study was carried-out on 50 breastfeeding women with nipple pain and fissure. Our patients were divided into two groups ; study group (Group I): 25 patients received 12 sessions of PBM using Diode laser for a period of 4 weeks, 3 sessions per week every alternative day, and controlled group (Group II): 25 patients used Anti-inflammatory topical cream. Regarding inflammatory signs in both groups, Group I showed a significant decrease in redness compared to Group II at the 3rd and 4th week, and a significant decrease in nipple fissure and pain at the 3rd week. There was a significant increase in milk amount reflected on the infant's weight. We concluded that PBM was more effective in decreasing nipple pain, inflammation and subsequently milk production and infant weight than topical anti-inflammatory creams.
在哺乳期的最初几周,乳头疼痛常常使母亲无法继续母乳喂养。为了评估光生物调节(PBM)与抗炎局部乳膏在发炎乳头上的疗效,以及对乳汁产量的影响。本研究对 50 名有乳头疼痛和皲裂的哺乳期妇女进行了研究。我们的患者分为两组;研究组(I 组):25 名患者接受二极管激光治疗 12 次,为期 4 周,每周 3 次,每隔一天一次;对照组(II 组):25 名患者使用抗炎局部乳膏。关于两组的炎症指标,I 组在第 3 周和第 4 周时的红肿程度明显低于 II 组,第 3 周时乳头皲裂和疼痛明显减轻。婴儿体重反映出乳汁量有显著增加。我们得出结论,与局部抗炎乳膏相比,PBM 更能有效减轻乳头疼痛、炎症,进而增加乳汁产量和婴儿体重。