Factors associated with nipple trauma in the maternity unit
Factors associated with nipple trauma in the maternity unit
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DOI：
10.2223/jped.1916
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发表时间：
2009-08-01
影响因子：
3.3
通讯作者：
Abrão, Ana Cristina F. V.
中科院分区：
文献类型：
--
作者：
Coca, Kelly Pereira;Gamba, Mônica Antar;Abrão, Ana Cristina F. V.
目的：探讨在产科病房纯母乳喂养的产妇中乳头损伤的相关因素。方法：采用病例对照研究，共纳入146例住院分娩的产妇，其中73例为乳头损伤组，73例为非乳头损伤组。纯母乳喂养的妇女每天都要接受检查，以确定是否患有乳头损伤，并使用放大镜进行识别。研究了社会人口学、产科和新生儿变量。结果：病例组和对照组在社会人口学变量方面具有可比性，尽管乳头创伤的女性更有可能不与伴侣同居。以下变量被发现与乳头损伤有关：初产(OR 3.16；95%CI 1.19-8.42)，不与伴侣同居(OR 3.25；95%CI 1.18-8.93)，乳房肿胀和/或充血(OR 12.31；95%CI 4.48-33.78)，乳头半突出和/或畸形(OR 4.69；95%CI 1.50-14.62)，以及乳头色素脱失(OR 13.98；95%可信区间为4.43~44.06。结论：初产、不与伴侣同住、乳房肿胀和/或充血、乳头半突出和/或畸形、乳头脱色与乳头损伤有关。
Objective: To identify factors associated with nipple trauma in women breastfeeding exclusively in a maternity unit.Methods: This was a case-control study that recruited 146 recently-delivered mothers in rooming-in wards: 73 cases, defined as women with nipple trauma, and 73 controls, defined as women free from this pathology. Women breastfeeding exclusively were tested daily for a diagnosis of nipple injury, identified using a magnifying glass. Sociodemographic, obstetric and neonatal variables were studied. A logistic regression model was used for statistical analysis.Results: Cases and controls proved to be comparable in terms of their sociodemographic variables, although the women with nipple trauma were more likely not to be living with a partner. The following variables were found to be factors associated with nipple trauma: primiparity (OR 3.16; 95% CI 1.19-8.42), not living with a partner (OR 3.25; 95% CI 1.18-8.93), turgid and/or engorged breasts (OR 12.31; 95% CI 4.48-33.78), semi-protruding and/or malformed nipples (OR 4.69; 95% CI 1.50-14.62), and depigmentation of nipples (OR 13.98; 95% CI 4.43-44.06).Conclusion: Primiparity, not living with a partner, turgid and/or engorged breasts, semi-protruding and/or malformed nipples, and depigmentated nipples are associated with nipple trauma.