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Nipple Soreness in Lactation

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1. Breastfeeding Success With the Use of the WHO Syringe Technique for Management of Inverted Nipples in Lactating Women

of infants with successful latching while breastfeeding 1-month mixed feeding rate [ Time Frame: 1 month postpartum ] Proportion of infants on mixed feeding 3-month mixed feeding rate [ Time Frame: 3 months postpartum ] Proportion of infants on mixed feeding 6-month mixed feeding rate [ Time Frame: 6 months postpartum ] Proportion of infants on mixed feeding Breastfeeding-associated complications [ Time Frame: 1 week postpartum ] Rate of breastfeeding-associated complications such as sore nipple (...) , mastitis, pain, bleeding, breast engorgement Breastfeeding-associated complications [ Time Frame: 1 month postpartum ] Rate of breastfeeding-associated complications such as sore nipple, mastitis, pain, bleeding, breast engorgement Breastfeeding-associated complications [ Time Frame: 3 months postpartum ] Rate of breastfeeding-associated complications such as sore nipple, mastitis, pain, bleeding, breast engorgement Breastfeeding-associated complications [ Time Frame: 6 months postpartum ] Rate

2018 Clinical Trials

2. Nipple and Breast Pain With Breastfeeding: What You Need to Know About Ductal Yeast Infections and Their Treatment

of ductal yeast infections. This means that at this time, there is no proof from medical research that fluconazole works to treat breast- feeding pain caused by ductal yeast infections, or if its use is safe for breastfeeding babies. We also looked at the literature for some other treatments of yeast infections in breastfeeding moms and babies but found that there was very little evidence to guide treatment decisions. When we looked at the evidence for treating cracked and sore nipples (from any cause (...) is a common reason for stopping breastfeeding so it’s important to try and prevent and treat anything causing pain. If nipple or breast pain does occur, it’s important to know that a yeast infection is only one of the causes of pain with breastfeeding. If your pain is not due to a yeast infection, treatments for yeast infections will not help. Frequent hand-washing, keeping nipples clean and dry, and a good latch may help to prevent sore nipples and yeast infections. Your healthcare provider may have

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

3. Nipple Soreness in Lactation

Nipple Soreness in Lactation Aka: Nipple Soreness in Lactation , Sore Nipples due to Breast Feeding From Related Chapters II. Causes Normal for first several days after birth Resolves in first week if positioning is ok Infant factors Incorrect infant positioning or latching on Incorrect infant positioning Infant with strong clench Ankyloglossia (tight frenulum or tied) Maternal factors difficulties engorgement Nipple vasospasm (e.g. Raynaud's of the nipple) Flat or inverted nipples Local Dermatitis (...) Nipple Soreness in Lactation Nipple Soreness in Lactation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Nipple Soreness in Lactation

2018 FP Notebook

4. Simple help for painful nipples in breastfeeding women

-grandmothers? Credit: Wellcome Library, London. There’s nothing like a common problem to spawn a whole industry of products offering solutions. If you are a breastfeeding woman who’s feeling sore, should you part with your money for glycerin gel dressings, ointments, or breast shells with lanolin? How do you know if you should trust the claims? You might like to know the latest independent evidence on this to help you decide. Here it is, from a new , which set out to bring together the best available (...) evidence from trials of treatments for painful nipples in breastfeeding women. There were four trials, all of which included teaching all the mothers about correct positioning. In addition, they evaluated five interventions: glycerine pads, lanolin breast shells, lanolin alone, expressed breast milk, and an all-purpose nipple ointment. Here’s what they found Applying nothing, or expressed breast milk, may be as good or better than applying an ointment, such as lanolin, for both nipple pain and healing

2015 Evidently Cochrane

5. Community pharmacists' services for women during pregnancy and breast feeding in Kuwait: a cross-sectional study. Full Text available with Trip Pro

Community pharmacists' services for women during pregnancy and breast feeding in Kuwait: a cross-sectional study. This study was designed to identify the services provided by community pharmacists in Kuwait and their views regarding self-care in pregnancy and lactation. In addition, it determined the pharmacists' recommendations for treatment of pregnancy-related and breast feeding-related ailments.Cross-sectional questionnaire-based survey.Community pharmacies in Kuwait.207 pharmacies were (...) randomly selected from the Ministry of Health database. One registered pharmacist was approached from each pharmacy. One hundred and ninety-two (92.8%) pharmacists agreed to participate and completed a self-administered questionnaire.The proportions of pharmacists offering particular advice for health conditions in pregnancy and lactation, pharmacists' recommendations for common and specific ailments during pregnancy and breast feeding, and pharmacists' views about self-care in pregnancy and breast

2018 BMJ open

6. Breast Feeding Problems for the Mother

Feeding Problems for the Mother Breast Feeding Problems for the Mother Aka: Breast Feeding Problems for the Mother , Lactation Problems for the Mother From Related Chapters II. Approach: Nipple Conditions Inverted Nipples Identify problem well before delivery Recommend nipple shells to help evert nipples Sore Nipples See Milk Blebs (milk-filled s on nipple) Soak in warm water for 5-10 minutes, then gently rub nipple with washcloth to unroof may be unroofed with sterile 18 gauge needle III. Approach (...) Lett 23(12): 71 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Breast Feeding Problems for the Mother." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Lactation Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains

2018 FP Notebook

7. Breast Feeding Technique

Feeding Technique Aka: Breast Feeding Technique , Lactation Technique , Breast Feeding Pearls , Effective Breast Feeding Signs From Related Chapters II. Technique: Breast Feeding positions Cradle hold Use arm on side of Mother's antecubital space supports baby's head Mother's hand supports baby's bottom Cross-cradle hold Use arm on opposite side of Mother's antecubital space supports baby's bottom Mother's hand supports baby's head Baby cradled like football inside arm Similar to football hold (except (...) -on Infants positioned under nipple Do not block infant's nares with Infant's chin should be pressed into the mother's Use finger to break infant's suction should not be painful after the first 30-60 seconds of latching on Infant should have a rhythmic suck and swallow feeding pattern Ensure that infant latches on to entire areola Use C-Hold to support and direct latch-on Avoid baby latching onto only nipple Results in nipple soreness and fissures Infant should latch on to as much of areola as possible

2018 FP Notebook

8. Breastfeeding - Promoting and Supporting the Initiation, Exclusivity, and Continuation of Breastfeeding in Newborns, Infants and Young Children

Association ® IMS insufficient milk supply LATCH L = how well the baby latches A = audible number of swallows T = type of nipple C = comfort level with breastfeeding H = amount of assistance required when positioning the infant at the breast LC lactation consultant LEAARC Lactation Education Accreditation and Approval Review Committee LGBTQ lesbian, gay, bisexual, trans, and queer BACKGROUND7 BEST PRACTICE GUIDELINES • www.RNAO.ca BACKGROUND Breastfeeding - Promoting and Supporting the Initiation (...) ) their partners G , family G , and support network G . The focus of this Guideline is breastfeeding which recognizes and includes the varied ways in which breast milk G may be fed to a newborn, infant, or young child. This includes direct breastfeeding, expressed breast milk (EBM) G , and/ or donor human milk. The use of formula supplementation or other manufactured infant and young child feeding products are included in the BPG only as clinically necessary and when breast or donor breast milk

2018 Registered Nurses' Association of Ontario

9. Effects of Olive Oil on Nipple Cracking, Nipple Pain and Maternal Satisfactions

nipple and sore nipple in breastfeeding mothers. The aim of the study is to evaluate the effectiveness of olive oil in the prevention of nipple cracking, nipple pain and ascension of maternal satisfaction in lactating women. It's a prospective, randomized study of 80 lactating women, admitted to TSGH postpartum unit. Eligible patients were randomized into two groups of 40 women. In Group 1 Olive oil will be applied on the nipple after breastfeeding, and in Group 2 drops of breast milk were applied (...) Other: olive oil Evaluate the effectiveness of olive oil and human milk in the prevention of nipple cracking, nipple pain and maternal satisfaction in lactating women during the first 3 days of treatment and the 7th and 10th day after delivery. Other Name: human milk No Intervention: breast milk use breast milk on each nipple after each feeding Outcome Measures Go to Primary Outcome Measures : Nipple pain change [ Time Frame: Change from baseline nipple pain at 10 days ] use Numeric Rating Scale 0

2017 Clinical Trials

10. Lanolin for the treatment of nipple pain in breastfeeding women: a randomized controlled trial. (Abstract)

with treatment compared with those receiving usual care. No significant group differences were found for other secondary outcomes. While more women were satisfied using lanolin, its application to sore/damaged nipples was ineffective for reducing nipple pain or improving breastfeeding outcomes.© 2016 John Wiley & Sons Ltd. (...) Lanolin for the treatment of nipple pain in breastfeeding women: a randomized controlled trial. Nipple pain and damage are commonly experienced by breastfeeding women and are associated with negative breastfeeding outcomes. Health care providers often recommend the application of lanolin to treat painful/damaged nipples, yet no randomized controlled trial has evaluated the effectiveness of lanolin on nipple pain and breastfeeding outcomes. The purpose of this study was to evaluate the effect

2016 Maternal & child nutrition Controlled trial quality: predicted high

11. Breastfeeding Guidance Post Hospital Discharge for Mothers or Infants with Suspected or Confirmed SARS-Co V-2 Infection

and stool color, engorgement, sore nipples, advice about maternal medications, etc. Usage of a baby doll, breast model, or breast diagram during telehealth visits are beneficial. At any time, if the health care professional triaging or providing advice has any concerns, the baby should be referred for urgent in-person evaluation, recognizing that poor feeding or a change in feeding behavior can be a symptom indicating serious illness. For guidance on coding and telehealth issues please refer (...) stay. Breastfeeding concerns during the first few weeks are associated with a decreased duration of breastfeeding (especially concerns about sore nipples/difficulties latching, low milk supply, and medications). A mother with suspected or confirmed COVID-19 may have been separated from her newborn after birth or experienced other events that have impacted breastfeeding. To date, breastmilk is considered to be an unlikely source of transmission of SARS-CoV-2, and the AAP strongly supports

2020 American Academy of Pediatrics

12. Nipple Soreness in Lactation

Nipple Soreness in Lactation Aka: Nipple Soreness in Lactation , Sore Nipples due to Breast Feeding From Related Chapters II. Causes Normal for first several days after birth Resolves in first week if positioning is ok Infant factors Incorrect infant positioning or latching on Incorrect infant positioning Infant with strong clench Ankyloglossia (tight frenulum or tied) Maternal factors difficulties engorgement Nipple vasospasm (e.g. Raynaud's of the nipple) Flat or inverted nipples Local Dermatitis (...) Nipple Soreness in Lactation Nipple Soreness in Lactation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Nipple Soreness in Lactation

2015 FP Notebook

13. Transitioning the Breastfeeding Preterm Infant from the Neonatal Intensive Care Unit to Home

?ts to their health and well-being. 1–3 Ideally, preterm infants in the neonatal intensive care unit (NICU) are fed their own mothers’ milk or donor human milk forti?ed with multiple nutrients and calories to optimize growth and development. 4 Breastfeeding at the breast in the NICU before discharge should be encouraged as it may in- crease the breastfeeding duration. 5 Near the time of dis- charge, a decision must be made as to how preterm infants should feed in the postdischarge period. Growth (...) , IB, IIA, IIB, III, and IV] is based on levels of evidence used for the National Guidelines Clearing House and is noted in parentheses. 18 General Strategies A. The goal of the discharge feeding plan recommenda- tions for preterm infants is to enable the mother to exclusively breastfeed or provide as much human milk as possible while protecting and supporting the mothers’ decisions. Speci?c recommendations on supporting breastfeeding in mothers of premature infants are given in the Support

2019 Academy of Breastfeeding Medicine

14. Breast feeding: Guidance for staff assisting the mother

accommodation to prevent them having to walk to the hospital in the middle of the night. Rationale 18: Expression during the night is important for the maintenance of a healthy lactation. Rationale 19: Difficulties in establishing breastfeeding may stem from a lack of confidence, anxiety or physical discomfort. Rationale 20: Ineffective positioning will lead to a poor latch and ineffective breast feeding. Poor positioning is a common predisposing factor for sore nipples. Rationale 21: Engorged breasts (...) regarding the process of breastfeeding and confidence in their ability to breastfeed. Rationale 3: Sufficient rest, fluid and a balanced diet create the optimum conditions for the initiation and maintenance of lactation. Rationale 4: Comfort, privacy and a calm, supportive environment facilitate the let down reflex. Rationale 5: To initiate and maintain lactation if the baby is unable to suckle. Rationale 6: Incorrect use of the breast pump may result in breast and nipple trauma. Rationale 7: Correct

2009 Publication 1593

15. Optimizing Support for Breastfeeding as Part of Obstetric Practice

fat concentration. Infants will sometimes reject the milk from an irradiated breast or show strong preference for the nonirradiated breast, or both ( ). A full milk supply may develop in the nonirradiated breast, however, counseling about nipple soreness and complications is prudent. Breastfeeding is an option for women who have undergone double mastectomy and reconstruction by feeding with a supplemental feeding tube device at the breast ( ). This device has a container, often a syringe, that has (...) stopped breastfeeding in the first month, approximately two out of three cited pain or sore, cracked, or bleeding nipples as an important reason ( ). The differential diagnosis of nipple or breast pain is broad and complex. The support of the breastfeeding woman with pain requires time and knowledge. If the symptoms, history, and physical examination do not confer a diagnosis, additional evaluation with a certified lactation professional should be strongly considered ( ). Disrupted lactation is common

2018 American College of Obstetricians and Gynecologists

16. Healing Nipple Wounds: Comparison Between 2 Treatment Modalities

about their intentions to breastfeed. Only 70.9% are still breastfeeding 2 months postpartum. Nipple pain is a highly prevalent, significant reason for breastfeeding cessation. In the past, we encouraged wound healing nipples by drying (air drying; sun; other heat source). It turned out that this drying only delays the healing due to lack of moisture, causing cracks in the outer layer of the nipple. Today, nipple wound care needs treatment approaches consistent with wounds treatment in other body (...) parts (moist wound healing), and which also addresses reduction of pain. Studies have shown that the preservation of moisture accelerates healing and allows epithelization. In the past couple of years, the Nursicare therapeutic breastfeeding pads have become a commonly used option for sore nipples. Nursicare pads enhance moist wound healing and soothe traumatized tissues, localize the inflammation, reducing wound pain and providing comfort at the wound site. This solution seems to be more efficient

2017 Clinical Trials

17. Perceptions and experiences of using a nipple shield among parents and staff - an ethnographic study in neonatal units. Full Text available with Trip Pro

Perceptions and experiences of using a nipple shield among parents and staff - an ethnographic study in neonatal units. Preterm infants have an immature sucking behavior and the capacity to be exclusively breastfed may be reduced for a period of weeks or months, depending on gestational age. Nipple shields have been used, not only as a device to help mothers with sore nipples, but also to facilitate the infant's latch on to the breast. However, the benefits of using nipple shields have been (...) and yet facilitating or supporting the progression of breastfeeding in the period from tube feeding or cup feeding to breastfeeding. It is a liminal time as mothers and their infants are "in between" phases and the outcome, in terms of breastfeeding, is yet to be realized.This study demonstrates parents' and staffs' perceptions of the nipple shield as a short term solution to help initiation of breastfeeding but also as a barrier between the mother and infant. It is important that the mother

2017 BMC Pregnancy and Childbirth

18. Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services

, during their stay at the facility providing maternity and newborn services (recommended, high-quality evidence). 9. For preterm infants who are unable to breastfeed directly, non-nutritive sucking and oral stimulation may be beneficial until breastfeeding is established ( recommended, low-quality evidence). 10. If expressed breast milk or other feeds are medically indicated for term infants, feeding methods such as cups, spoons or feeding bottles and teats may be used during their stay (...) . Show mothers how to breastfeed and how to maintain lactation, even if they are separated from their infants. 6. Give newborn infants no food or drink other than breast milk, unless medically indicated. 7. Practise rooming-in – allow mothers and infants to remain together – 24 hours a day. 8. Encourage breastfeeding on demand. 9. Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants. 10. Foster the establishment of breastfeeding support groups and refer

2017 World Health Organisation Guidelines

19. Breast Feeding Problems for the Mother

Feeding Problems for the Mother Breast Feeding Problems for the Mother Aka: Breast Feeding Problems for the Mother , Lactation Problems for the Mother From Related Chapters II. Approach: Nipple Conditions Inverted Nipples Identify problem well before delivery Recommend nipple shells to help evert nipples Sore Nipples See Milk Blebs (milk-filled s on nipple) Soak in warm water for 5-10 minutes, then gently rub nipple with washcloth to unroof may be unroofed with sterile 18 gauge needle III. Approach (...) Lett 23(12): 71 Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Breast Feeding Problems for the Mother." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Related Topics in Lactation Disorders About FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. Started in 1995, this collection now contains

2015 FP Notebook

20. Breast Feeding Technique

Feeding Technique Aka: Breast Feeding Technique , Lactation Technique , Breast Feeding Pearls , Effective Breast Feeding Signs From Related Chapters II. Technique: Breast Feeding positions Cradle hold Use arm on side of Mother's antecubital space supports baby's head Mother's hand supports baby's bottom Cross-cradle hold Use arm on opposite side of Mother's antecubital space supports baby's bottom Mother's hand supports baby's head Baby cradled like football inside arm Similar to football hold (except (...) -on Infants positioned under nipple Do not block infant's nares with Infant's chin should be pressed into the mother's Use finger to break infant's suction should not be painful after the first 30-60 seconds of latching on Infant should have a rhythmic suck and swallow feeding pattern Ensure that infant latches on to entire areola Use C-Hold to support and direct latch-on Avoid baby latching onto only nipple Results in nipple soreness and fissures Infant should latch on to as much of areola as possible

2015 FP Notebook

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