Graduate school of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan
Faculty of Health Sciences, Hokkaido University, Sapporo, Hokkaido, Japan.
BMJ Open. 2024 Sep 13;14(9):e083389. doi: 10.1136/bmjopen-2023-083389.
Breastfeeding is crucial in infant nutrition and bonding, recommended for at least 6 months and up to 2 years postpartum, providing health benefits for both infants and mothers. However, nipple trauma is common among lactating mothers. Moisturising therapies, such as hydrogel application, aim to promote the healing of nipple wounds. Despite various interventions proposed, comprehensive reviews evaluating the efficacy of moisturising therapies for nipple trauma are lacking. This review aims to appraise the effectiveness of moisturising therapy, particularly tailored for nipple trauma in lactating women.
This systematic review protocol adheres to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines and is registered in the International Prospective Register of Systematic Reviews. The focus will be on both randomised and non-randomised controlled trials addressing the treatment of nipple trauma in lactating women. In this context, 'moisturising therapy' is categorised as a non-pharmacological intervention applied directly to the nipple, excluding treatments for bacterial or fungal infections. The primary outcomes will include measures of the healing efficiency of nipple trauma and reduction in nipple pain. Searches will be conducted without date restrictions across multiple databases, including PubMed, CINAHL, the Cochrane Library, Web of Science, CiNii Research and Ichushi-Web, in addition to exploration of grey literature. Two independent reviewers will manage all stages of the review process, under the supervision of a third reviewer. Data extraction will encompass participant demographics, study methodologies, sample specifics and measured outcomes. Quality assessment will be conducted using the Joanna Briggs Institute Appraisal Checklist Tools.
Ethics approval is not required for this study. The findings of this review will be disseminated through academic publications, detailed reports and presentations at relevant conferences.
CRD42023481761.
母乳喂养在婴儿营养和母婴联系中至关重要，推荐至少持续 6 个月，并在产后持续 2 年，为婴儿和母亲提供健康益处。然而，哺乳期母亲常见乳头创伤。保湿疗法，如凝胶应用，旨在促进乳头伤口愈合。尽管提出了各种干预措施，但缺乏全面评估保湿疗法治疗乳头创伤效果的综述。本综述旨在评估保湿疗法，特别是为哺乳期妇女乳头创伤定制的保湿疗法的效果。
本系统综述方案遵循系统评价和荟萃分析报告规范，并在国际前瞻性系统评价注册库中注册。重点将放在针对哺乳期妇女乳头创伤的随机和非随机对照试验上。在这种情况下，“保湿疗法”被归类为直接应用于乳头的非药物干预，不包括治疗细菌或真菌感染的疗法。主要结局将包括乳头创伤愈合效率和乳头疼痛减轻的衡量指标。将在多个数据库中进行无日期限制的搜索，包括 PubMed、CINAHL、Cochrane 图书馆、Web of Science、CiNii Research 和 Ichushi-Web，此外还将探索灰色文献。两名独立的审查员将在第三名审查员的监督下管理审查过程的所有阶段。数据提取将包括参与者人口统计学、研究方法、样本细节和测量结果。质量评估将使用 Joanna Briggs 研究所评估清单工具进行。
本研究不需要伦理批准。本综述的结果将通过学术出版物、详细报告和相关会议上的演示进行传播。
PROSPERO 注册号：CRD42023481761。
