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Breast shells for pain and nipple injury prevention: A non-randomized clinical trial. | LitMetric

AI Article Synopsis

  • The study evaluated how effective breast shells were in reducing pain and preventing nipple injuries in breastfeeding women through a clinical trial involving 62 participants.
  • The research found no significant difference in nipple pain or injury rates between the group using breast shells and the control group, although breast engorgement was linked to pain in the experimental group.
  • This study is notable as it is the first clinical research to assess breast shells from the antenatal stage in terms of preventing nipple-related issues during breastfeeding.

Article Abstract

Objective: This study aimed to analyze the effectiveness of breast shells in preventing pain and nipple injury during breastfeeding.

Method: 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.

Results: 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.

Conclusion: Breast shells do not prevent nipple pain or injury.

Innovation: 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10194121PMC
http://dx.doi.org/10.1016/j.pecinn.2022.100101DOI Listing

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