Positive Effect of HPA Lanolin versus Expressed Breastmilk on Painful and Damaged Nipples during Lactation
Positive Effect of HPA Lanolin versus Expressed Breastmilk on Painful and Damaged Nipples during Lactation
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DOI：
10.1159/000318228
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发表时间：
2011-01-01
影响因子：
2.7
通讯作者：
Woeckel, A.
中科院分区：
文献类型：
--
作者：
Abou-Dakn, M.;Fluhr, J. W.;Woeckel, A.
与母乳喂养有关的乳头疼痛和/或受损是常见的，这对经历乳头疼痛和/或创伤的人以及提供治疗的人来说都是一个挑战。然而，以证据为基础的数据不足以明显地减少这些导致无法开始或继续成功母乳喂养的常见原因。本研究的目的是在一项对84名哺乳期母亲进行的前瞻性对照临床试验中，评估特定级别高纯度无水（HPA）羊毛脂与表达母乳（EBM）治疗与母乳喂养相关的乳头疼痛和损伤的疗效。乳头创伤和愈合率由乳头创伤评分评定。乳头疼痛强度以视觉模拟量表评估。结果参数支持HPA羊毛脂组，在愈合率、乳头创伤和乳头疼痛方面均达到统计学意义。在我们的研究中，我们发现HPA羊毛脂比EBM更有效，诱导乳头创伤更快愈合（绝对风险降低0.43），并减少乳头疼痛（第3天绝对风险降低0.61）。我们认为HPA羊毛脂联合母乳喂养教育在减少乳头疼痛和促进乳头创伤愈合方面比EBM联合母乳喂养教育更有效。版权所有：S. Karger AG，巴塞尔
Painful and/or damaged nipples associated with breastfeeding are common and represent a challenge for both the persons experiencing nipple pain and/or trauma and for those providing treatment. However, evidence-based data has been insufficient to demonstrably minimize these common reasons for failure to initiate or continue successful breastfeeding. The aim of this study was to evaluate the efficacy of specific-grade highly purified anhydrous (HPA) lanolin versus expressed breastmilk (EBM) for the treatment of painful and damaged nipples associated with breastfeeding in a prospective controlled clinical trial evaluating 84 lactating mothers. Nipple trauma and healing rates were rated by the Nipple Trauma Score. Nipple pain intensity was assessed on a visual analog scale. Outcome parameters were in favor of the HPA lanolin group, reaching statistical significance for healing rates, nipple trauma and nipple pain. In our study, we found HPA lanolin more effective than EBM, inducing faster healing of nipple trauma (absolute risk reduction of 0.43) and reducing nipple pain (absolute risk reduction of 0.61 on day 3). We concluded that HPA lanolin, combined with breastfeeding education, was more effective than EBM, combined with breastfeeding education, in reducing nipple pain and promoting healing of nipple trauma. Copyright (C) 2010 S. Karger AG, Basel