Effect of Peppermint Water Versus Expressed Breast Milk on Nipple Trauma among Lactating Primiparous

Effect of Peppermint Water Versus Expressed Breast Milk on Nipple Trauma among Lactating Primiparous
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薄荷水与挤出母乳对哺乳期初产妇乳头损伤的影响

DOI:
10.21608/znj.2017.38320
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发表时间:
2017
期刊:
--
影响因子:
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通讯作者:
Rabaa Elsaid Shaban
Rabaa Elsaid Shaban
中科院分区:
--
文献类型:
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作者:
E. Naser;S. Nour;A. Gonied;Rabaa Elsaid Shaban

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背景:与母乳喂养相关的乳头创伤在哺乳期很常见,发生率在34%到96%之间,仍然是无法建立母乳喂养的主要原因。研究目的:确定薄荷水在预防母乳喂养期间乳头创伤方面的效果。主题和方法:研究设计:准实验设计。地点:研究在 Zagazig 大学医院产后科进行。 对象:100 名初产母乳喂养妇女被随机分为两组。每组(50 名女性)仅在双侧乳房上涂抹上述制剂之一,持续 14 天。结合女性知识和实践的变化来评估乳头外伤、乳晕破裂和疼痛的发生率。数据收集工具:结构化访谈表、评估女性母乳喂养相关实践的评估清单、视觉模拟量表、乳头创伤评分和乳头疼痛量表。结果:薄荷水组和挤出母乳组中绝大多数受试者对第一天母乳喂养的认识存在错误或不完整。薄荷水组和吸出母乳组中超过三分之二的女性在第 7 天感觉乳房或乳头没有疼痛。然而,到第 14 天,与挤母乳组相比,第 1 组(薄荷水)的女性明显出现轻度和中度疼痛,并且疼痛较轻。结论:与挤母乳组相比,薄荷水可有效预防乳头创伤,且乳头疼痛减轻。建议:建议进一步研究,以更深入地了解薄荷水的功效。
Back ground: Nipple trauma associated with breast feeding is common during lactation,with an incidence ranging from 34% to 96% and remains the major reason for failing toestablish breastfeeding. Aim of the study: was to determine the effect of peppermintwater in the prevention of nipple trauma during breastfeeding. Subjects and methods:Research design: A Quasi-experimental design. Setting: study was carried out atpostnatal department of Zagazig University Hospitals .Subject: One hundred primiparousbreastfeeding women were assigned randomly to two groups. Each group (50 women)applied only one of the above preparations on both breasts for 14 days. The rate of nippletrauma and areola crack and pain was evaluated together with the change in womenknowledge and practice. Tools of data collection: A structured interview sheet,Evaluation check list to assess women's practices related to breastfeeding, VisualAnalogue Scale, The Nipple Trauma Score and nipple soreness scale. Results: Vastmajority of the subjects in peppermint water group and group of expressed breast milk hadwrong or incomplete knowledge about breast feeding on the first day. More than two thirdsof women in peppermint water group and group of expressed breast milk felt no pain intheir breasts or nipple at the 7th day. However by the 14th day, women in group 1(peppermint water) had significantly experience mild and moderate pain and less severepain compared to group of expressed breast milk .Conclusion: peppermint water iseffective in the prevention of nipple trauma and less nipple pain compared to theapplication of express breast milk. Recommendations: Further studies are recommendedto gain more insight into the effectiveness of peppermint water.