Interventions for treating painful nipples among breastfeeding women

Cochrane Database of Systematic Reviews

Volumn 2014, Issue 12, 2014, Pages

  Dennis, Cindy Lee ^a   Jackson, Kim ^b   Watson, Jo ^c  

^a WOMEN S COLLEGE HOSPITAL   (Canada)

^b UNIVERSITY OF TORONTO   (Canada)

^c SUNNYBROOK RESEARCH INSTITUTE   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; ANTIFUNGAL AGENT; GLYCEROL; HOT WATER; LANOLIN; PEPPERMINT OIL; PETROLATUM; POLYETHYLENE; SILICONE; GEL; OINTMENT;

BREAST DISEASE; BREAST FEEDING; BREAST FEEDING EDUCATION; BREAST MILK; COMPARATIVE STUDY; FEMALE; HUMAN; MASTALGIA; MASTITIS; OINTMENT; OUTCOME ASSESSMENT; PATIENT SATISFACTION; PHOTOTHERAPY; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); REVIEW; SYSTEMATIC REVIEW; WOMEN'S HEALTH; ANALGESIA; BANDAGE; BREAST DISEASES; GEL; META ANALYSIS; NIPPLE; PROCEDURES; PROTECTIVE EQUIPMENT; THERAPEUTIC USE;

BANDAGES; BREAST DISEASES; BREAST FEEDING; FEMALE; GELS; GLYCEROL; HUMANS; LANOLIN; MILK, HUMAN; NIPPLES; OINTMENTS; PAIN MANAGEMENT; PROTECTIVE DEVICES; RANDOMIZED CONTROLLED TRIALS AS TOPIC;

EID: 84925224975     PISSN: None     EISSN: 1469493X     Source Type: Journal    
DOI: 10.1002/14651858.CD007366.pub2     Document Type: Review

References (94)

1. Cadwell K, Turner-Maffei C, Blair A, Brimdyr K, Maja MZ. Pain reduction and treatment of sore nipples in nursing mothers. Journal of Perinatal Education 2004; Vol. 13, issue 1:29-35.
2. Dennis C-L, Schottle N, Hodnett E, McQueen K. An all-purpose nipple ointment versus lanolin in treating painful damaged nipples in breastfeeding women: a randomized controlled trial. Breastfeeding Medicine 2012;7(6):473-9.
3. Jackson K, Dennis CL, Hodnett E, McGillion M. A randomized controlled trial evaluating lanolin for the treatment of nipple pain among breastfeeding women [Doctoral dissertation]. Toronto: University of Toronto, 2013.
4. Mohammadzadeh A, Farhat A, Esmaeily H. The effect of breast milk and lanolin on sore nipples. Saudi Medical Journal 2005;26(8):1231-4.
5. Abou-Dakn M, Fluhr JW, Gensch M, Wockel A. Positive effect of HPA lanolin versus expressed breastmilk on painful and damaged nipples during lactation. Skin Pharmacology and Physiology 2011;24(1):27-35.
6. Afshariani R. The effect of baking soda on healing the nipple crack. Breastfeeding Medicine 2006;1(3):186.
7. Amir LH, Lumley J, Garland S. A failed RCT to determine if antibiotics prevent mastitis: cracked nipples colonized with Staphylococcus aureus: a randomized treatment trial [ISRCTN65289389]. BMC Pregnancy and Childbirth 2004;4:19.
8. Benbow M, Vardy-White C. Study into the effectiveness of Mothermates. British Journal of Midwifery 2004;12(4):244-8.
9. Berry J, Griffiths M, Westcott C. A double-blind, randomized, controlled trial of tongue-tie division and its immediate effect on breastfeeding. Breastfeeding Medicine 2012;7:189-93.
10. Brent N, Rudy S, Redd B, Rudy TE, Roth LA. Sore nipples in breast-feeding women: a clinical trial of wound dressings vs conventional care. Archives of Pediatrics and Adolescent Medicine 1998;152:1077-82.
11. Buchko BL, Pugh LC, Bishop BA, Cochran JF, Smith LR, Lerew DJ. Comfort measures in breastfeeding, primiparous women. Journal of Obstetric, Gynecologic and Neonatal Nursing 1994;23(1):46-52.
12. Buryk M, Bloom D, Shope T. Efficacy of neonatal release of ankyloglossia: a randomized trial. Pediatrics 2011;128(2):280-8.
13. Centuori S, Burmaz T, Ronfani L, Fragiacomo M, Quintero S, Pavan C, et al. Nipple care, sore nipples, and breastfeeding: a randomized trial. Journal of Human Lactation 1999;15:125-30.
14. Chaves ME, Araújo AR, Santos SF, Pinotti M, Oliveira LS. LED phototherapy improves healing of nipple trauma: a pilot study. Photomedicine and Laser Surgery 2012;30(3):172-8.
15. Coca KP, Abrao ACF. An evaluation of the effect ov [sic] lanolin in healing nipple injuries. Acta Paulista De Enfermagem 2008;21(1):11-6.
16. Dodd V, Chalmers C. Comparing the use of hydrogel dressings to lanolin ointment with lactating mothers. JOGNN - Journal of Obstetric, Gynecologic, & Neonatal Nursing 2003;32(4):486-94.
17. Dollberg S, Botzer E, Grunis E, Mimouni FB. Immediate nipple pain relief after frenotomy in breast-fed infants with ankyloglossia: a randomized, prospective study. Journal of Pediatric Surgery 2006;41(9):1598-600.
18. Emond A, Ingram J, Johnson D, Blair P, Whitelaw A, Copeland M, et al. Randomised controlled trial of early frenotomy in breastfed infants with mild-moderate tongue-tie. Archives of Disease in Childhood. Fetal and Neonatal Edition 2014;99(3):F189-F195.
19. Eryilmaz R, Sahin M, Tekelioglu MH, Daldal E. Management of lactational breast abscesses. Breast 2005;14(5):375-9.
20. Gensch M, Wockel A, Abou-Dakn M. Effects of lanolin on nipple pain of breastfeeding mothers. Geburtshilfe und Frauenheilkunde 2006;66 Suppl:S43.
21. Gosha JL, Tichy AM. Effect of a breast shell on postpartum nipple pain: an exploratory study. Journal of Nurse Midwifery 1988;33(2):74-7.
22. Gunther M. Sore nipples, causes and prevention. Lancet 1945;2:590-3.
23. Herd B, Feeney JG. Two aerosol sprays in nipple trauma. Practitioner 1986;230:31-8.
24. Hewat RJ, Ellis DJ. A comparison of the effectiveness of two methods of nipple care. Birth 1987;14:41-5.
25. Hogan M, Westcott C, Griffiths M. Randomized, controlled trial of division of tongue-tie in infants with feeding problems. Journal of Paediatrics and Child Health 2005;41(5-6):246-50.
26. Kuscu NK, Koyuncu F, Lacin S. Collagenase treatment of sore nipples. International Journal of Gynecology & Obstetrics 2002;76:81-2.
27. Lavergne NA. Does application of tea bags to sore nipples while breastfeeding provide effective relief?. Journal of Obstetric, Gynecologic and Neonatal Nursing 1997;26(1):53-8.
28. Livingstone V, Stringer LJ. The treatment of Staphylococcus aureus infected sore nipples: a randomized comparative study. Journal of Human Lactation 1999;15:241-6.
29. Melli MS, Rashidi MR, Delazar A, Madarek E, Maher MHK, Ghasemzadeh A, et al. Effect of peppermint water on prevention of nipple cracks in lactating primiparous women: a randomized controlled trial. International Breastfeeding Journal 2007;2:7.
30. Melli MS, Rashidi MR, Nokhoodchi A, Tagavi S, Farzadi L, Sadaghat K, et al. A randomized trial of peppermint gel, lanolin ointment, and placebo gel to prevent nipple crack in primiparous breastfeeding women. Medical Science Monitor 2007;13:CR406-CR411.
31. Newton N. Nipple pain and nipple damage. Journal of Pediatrics 1952;41:411-23.
32. Nicholson W. Cracked nipples in breastfeeding mothers - a randomised trial of three methods of management. Nursing Mothers Association of Australia Newsletter 1985;21:7-10.
33. Posso IP, Goncalves SA, Posso MB, Filipini R. Control of nipple pain during breastfeeding using low level laser therapy. Regional Anesthesia and Pain Medicine 2007;32(5 Suppl):185.
34. Pugh LC, Buchko BL, Bishop BA, Cochran JF, Smith LR, Lerew DJ. A comparison of topical agents to relieve nipple pain and enhance breastfeeding. Birth 1996;23:88-93.
35. Riordan J. The effectiveness of topical agents in reducing nipple soreness of breastfeeding mothers. Journal of Human Lactation 1985; Vol. 1:36-41.
36. Spangler A, Hildebrandt E. The effect of modified lanolin on nipple pain/damage during the first ten days of breastfeeding. International Journal of Childbirth Education 1993;8(3):15-9.
37. Thussanasupap B. The effects of systematic instructional program on breastfeeding self-efficacy, nipple pain, nipple skin changes and incision pain of cesarean mothers. Care, Concern and Cure in Perinatal Health. 14th Congress of the Federation of Asia-Oceania Perinatal Societies; 2006 Oct 1-5; Bangkok, Thailand. 2006:138.
38. Woolridge MW, Baum JD, Drewett RF. Effect of a traditional and of a new nipple shield on sucking patterns and milk flow. Early Human Development 1980;4:357-64.
39. Ziemer MM, Cooper DM, Pigeon JG. Evaluation of a dressing to reduce nipple pain and improve nipple skin condition in breast-feeding women. Nursing Research 1995;44:347-51.
40. Tafazoli M, Saeedi R, Gholami M, Mazloom R. Aloe vera gel vs. lanolin ointment in the treatment of nipple sore: a randomized clinical trial. Tehran University Medical Journal 2010;67(10):699-704.
41. American Academy of Pediatrics, Work Group in Breastfeeding. Breastfeeding and the use of human milk, 2012. pediatrics.aappublications.org/content/early/2012/02/22/peds.2011-3552 (accessed 9 December 2014).
42. Amir LH. Candida and the lactating breast: predisposing factors. Journal of Human Lactation 1991;7:177-82.
43. Amir LH, Dennerstein L, Garland SM, Fisher J, Farish SJ. Psychological aspects of nipple pain in lactating women. Journal of Psychosomatic Obstetrics and Gynaecology 1996;17:53-8.
44. Amir LH, Garland SM, Dennerstein L, Farish TJ. Candida albicans: is it associated with nipple pain in lactating women?. Gynecologic and Obstetric Investigation 1996;41:30-4.
45. Bartick M, Reinhold A. The burden of suboptimal breastfeeding in the United States: a pediatric cost analysis. Pediatrics 2010;125(5):e1048-e1056.
46. Braund D, Amir LH. Topics in Breastfeeding Set XIII. Review of the Management of Nipple Pain and Damage. Melbourne, Australia: Lactation Resource Centre, 2001.
47. Canadian Pediatric Society Nutrition and Gastroenterology Committee. Nutrition for healthy term infants, birth to six months: an overview. Pediatrics and Child Health 2013;18(4):206-7.
48. Centers for Disease Control and Prevention. Breastfeeding report card - United States, 2011. www.cdc.gov/breastfeeding/data/(accessed 9 December 2014).
49. Cooke M, Sheehan A, Schmied V. A description of the relationship between breastfeeding experiences, breastfeeding satisfaction, and weaning in the first 3 months after birth. Journal of Human Lactation 2003;19(2):145-56.
50. Dennis CL. Theoretical underpinnings of breastfeeding confidence: a self-efficacy framework. Journal of Human Lactation 1999;15:195-201.
51. Dennis C-L. Breastfeeding initiation and duration: a 1990-2000 literature review. Journal of Obstetric, Gynecologic, and Neonatal Nursing 2002;31(1):12-32.
52. Dennis C-L, Hodnett E, Gallop R, Chalmers B. The effect of peer support on breast-feeding duration among primiparous women: a randomized controlled trial. Canadian Medical Association Journal 2002;166:21-8.
53. Dennis CL, Allen K, McCormick FM, Renfrew MJ. Interventions for treating painful nipples among breastfeeding women. Cochrane Database of Systematic Reviews 2008, Issue 4. [DOI: 10.1002/14651858.CD007366]
54. Duffy EP, Percival P, Kershaw F. Positive effects of an antenatal group teaching session on post natal nipple pain, nipple trauma and breastfeeding rates. Midwifery 1997;13:189-96.
55. Dyson L, McCormick FM, Renfrew MJ. Interventions for promoting the initiation of breastfeeding. Cochrane Database of Systematic Reviews 2005, Issue 2. [DOI: 10.1002/14651858.CD001688.pub2]
56. Enkin MW, Keirse MJNC, Neilson J, Crowther C, Duley L, Hodnett E, et al. A Guide to Effective Care in Pregnancy and Childbirth. 3rd Edition. Oxford, UK: Oxford University Press, 2000.
57. Evans K, Evans R, Simmer K. Effect of the method of breast feeding on breast engorgement, mastitis and infantile colic. Acta Pediatrica 1995;84:849-52.
58. Fetherston C. Risk factors for lactation mastitis. Journal of Human Lactation 1998;14(2):101-9.
59. Goodine LA, Fried PA. Infant feeding practices: pre- and postnatal factors affecting choice of method and the duration of breastfeeding. Canadian Journal of Public Health 1984;75:439-43.
60. GRADE [Computer program]. Brozek J, Oxman A, Schünemann H. Version 3.6 for Windows 2008.
61. Gulick EE. Informational correlates of successful breast-feeding. Maternal-Child Nursing Journal 1982;7:370-5.
62. Haimowitz JE, Margolis DJ. Moist wound healing. In: Krasner D, Kane D editor(s). Chronic Wound Care: A Clinical Source Book for Healthcare Professionals. Wayne, PA: Health Management Publications, 1997.
63. Head J, Higgins LD. Perceptions and correlates of nipple pain. Breastfeeding Review 1995;3(2):59-64.
64. Henderson A, Stamp G, Pincombe J. Postpartum positioning and attachment education for increasing breastfeeding: a randomized trial. Birth 2001;28(4):236-42.
65. Higgins JPT, Green S, editors. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration, 2011. Available from www.cochrane-handbook.org.
66. Humenick SS, VanSteenkiste S. Early indicators of breast-feeding progress. Issues in Comprehensive Pediatric Nursing 1983;6:205-15.
67. Kearney MH, Cronenwett LR, Barrett JA. Breast-feeding problems in the first week postpartum. Nursing Research 1990;39(2):90-5.
68. Keast D, Orsted H. The basic principles of wound healing. Ostomy/Wound Management 1998;44(8):24-31.
69. Knighton DR, Silver JA, Hunt TK. Regulation of wound-healing angiogenesis: effect of oxygen gradients and inspired oxygen concentration. Surgery 1981;90:262-70.
70. Labbok M, Krasovec K. Toward consistency in breastfeeding definitions. Studies in Family Planning 1990;21:226-30.
71. Livingstone VH, Willis CE, Berkowitz J. Staphylococcus aureus and sore nipples. Canadian Family Physician 1996;42:654-9.
72. McClellan HL, Hepworth AR, Garbin CP, Rowan MK, Deacon J, Hartmann PE, et al. Nipple pain during breastfeeding with or without visible trauma. Journal of Human Lactation 2012;28:511-21.
73. McLeod D, Pullon S, Cookson T. Factors influencing continuation of breastfeeding in a cohort of women. Journal of Human Lactation 2002;18(4):335-43.
74. Morland-Schultz K, Hill P. Prevention of and therapies for nipple pain: a systematic review. Journal of Obstetric, Gynecologic, and Neonatal Nursing 2004;34(4):428-37.
75. NHS Information Centre, IFF Research. Infant feeding survey 2010: early results, 2011. www.hscic.gov.uk/catalogue/PUB00648 (accessed 9 December 2014).
76. Page T, Lockwood C, Guest K. Management of nipple pain and/or trauma associated with breast-feeding. JBI Reports 2003;1:127-47.
77. Public Health Agency of Canada. What Mothers Say: The Canadian Maternity Experiences Survey. Ottawa, Canada: Public Health Agency of Canada, 2009.
78. Renfrew MJ, McCormick FM, Wade A, Quinn B, Dowswell T. Support for healthy breastfeeding mothers with healthy term babies. Cochrane Database of Systematic Reviews 2012, Issue 5. [DOI: 10.1002/14651858.CD001141.pub4]
79. Rentschler DD. Correlates of successful breastfeeding. IMAGE: Journal of Nursing Scholarship 1991;23(3):151-4.
80. The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). 5.3. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2014.
81. Schunemann HJ. GRADE: from grading the evidence to developing recommendations. A description of the system and a proposal regarding the transferability of the results of clinical research to clinical practice [GRADE: Von der Evidenz zur Empfehlung. Beschreibung des Systems und Losungsbeitrag zur Übertragbarkeit von Studienergebnissen]. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen 2009;103(6):391-400.
82. Schwartz K, Darcy HJS, Fillespie B, Bobo J, Longeway M, Foxman B. Factors associated with weaning in the first 3 months postpartum. Journal of Family Practice 2002;51(5):439-44.
83. Statistics Canada. Breastfeeding trends in Canada, 2013. www.statcan.gc.ca/pub/82-624-x/2013001/article/11879-eng.htm (accessed 9 December 2014).
84. Tait P. Nipple pain in breastfeeding women: causes, treatment, and prevention strategies. Journal of Midwifery and Women's Health 2000;45:197-201.
85. Tanguay KE, McBean MR, Jain E. Nipple candidiasis among breastfeeding mothers. Canadian Family Physician 1994;40:1407-13.
86. Thomsen AC, Hansen KG, Moller BR. Leukocyte counts and microbiologic cultivation in the diagnosis of puerperal mastitis. American Journal of Obstetrics and Gynecology 1983;146(8):938-41.
87. Thomsen AC, Espersen T, Maigaard S. Course and treatment of milk stasis, noninfectious inflammation of the breast, and infectious mastitis in nursing women. American Journal of Obstetrics and Gynecology 1984;149(5):492-5.
88. Tomassen P, Johansson B, Wassberg C, Petrini B. Breast-feeding, pain and infection. Gynecologic and Obstetric Investigation 1998;46:73-4.
89. Walker M, Driscoll J. Sore nipples: the new mother's nemesis. MCN. The American Journal of Maternal Child Nursing 1989;14:260-5.
90. Walker M. Management guidelines for breastfeeding mothers with LBW infants. Journal of Perinatal Education 1997;1:25-30.
91. World Health Organization. Infant and Young Child Feeding. Geneva: World Health Organization, 2009.
92. Winter G. Formation of the scab and the rate of epithelization of superficial wounds in the skin of the young domestic pig. Nature 1962;4812(193):293-4.
93. Ziemer MM, Paone JP, Schupay J, Cole E. Methods to prevent and manage nipple pain in breastfeeding women. Western Journal of Nursing Research 1990;12(6):732-44.
94. Ziemer MM, Pigeon JG. Skin changes and pain in the nipple during the 1st week of lactation. Journal of Obstetric, Gynecologic and Neonatal Nursing 1992;22(3):247-56.