Effect of a breast shell on postpartum nipple pain *1An exploratory study

Gosha, Janet; Tichy, Anna M.

doi:10.1016/0091-2182(88)90163-2

Cited by 16 publications

(11 citation statements)

References 12 publications

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“…Eighty percent of the 20 participants indicated they would use the breast shell again. Breast shells appear to have little effect on pain reduction during breastfeeding; however, breast shells aid in the reduction of frictional contact and increased general comfort of the nipples and breast between feedings (Gosha & Tichy, 1988).…”

Section: Breast Shells and Lanolin Versus Glycerin Gel Therapymentioning

confidence: 99%

Prevention of and Therapies for Nipple Pain: A Systematic Review

Morland-Schultz

Hill

2005

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Section: Breast Shells and Lanolin Versus Glycerin Gel Therapymentioning

confidence: 99%

Prevention of and Therapies for Nipple Pain: A Systematic Review

Morland-Schultz

Hill

2005

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…Various interventions have been evaluated in the treatment of painful, damaged nipples including breastfeeding education (Clark 1985;Livingstone & Stringer 1999;Darmangeat, 2011;Cadwell, Turner-Maffei, Blair, Brimdyr & McInerney, 2004), breast shells (Gosha & Tichy 1988), compresses (Lavergne 1997), ointments (including lanolin) (Clark 1985;Livingstone & Stringer 1999;Kuscu et al 2001;Riordan 1985;Abou-Dakn et al 2011;Dennis et al 2012), LED phototherapy (Chavez et al 2012) and tea bags (Lavergne 1997;Riordan 1995). Among all of the published intervention studies, no single treatment for nipple pain/damage has been demonstrated to be effective.…”

Section: Introductionmentioning

confidence: 99%

Lanolin for the treatment of nipple pain in breastfeeding women: a randomized controlled trial

Jackson

Dennis

2016

Maternal & Child Nutrition

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Nipple pain and damage are commonly experienced by breastfeeding women and are associated with negative breastfeeding outcomes. Health care providers often recommend the application of lanolin to treat painful/damaged nipples, yet no randomized controlled trial has evaluated the effectiveness of lanolin on nipple pain and breastfeeding outcomes. The purpose of this study was to evaluate the effect of lanolin on nipple pain among breastfeeding women with damaged nipples. A randomized, single-blind, controlled trial was conducted at a tertiary care hospital in Hamilton, Ontario, Canada. Breastfeeding women (N = 186) identified as having nipple pain/damage were randomized to apply lanolin (intervention group; n = 93) or to receive usual postpartum care (control group; n = 93). The primary outcome was nipple pain at 4 days post-randomization measured by the Numeric Rating Scale. Additional outcomes included nipple pain measured by the Short Form McGill Pain Questionnaire, breastfeeding duration/exclusivity, breastfeeding self-efficacy, and maternal satisfaction with lanolin treatment versus usual care. The results revealed no significant group differences in mean pain scores at 4 days post-randomization. Women in both groups experienced clinically relevant decreases in nipple pain by 7 days post-randomization. Significantly, more women in the lanolin group reported that they were satisfied with treatment compared with those receiving usual care. No significant group differences were found for other secondary outcomes. While more women were satisfied using lanolin, its application to sore/damaged nipples was ineffective for reducing nipple pain or improving breastfeeding outcomes.

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“…A total of 12 studies were identified that met the inclusion criteria () 1,2,4,9–12,14,15,18–20 . A further 26 studies were excluded ().…”

Section: Resultsmentioning

confidence: 99%

“…In a quasi‐experimental study at a large Midwestern medical centre, a convenience sample of 20 women with self‐reports of early postpartum nipple pain associated with breast‐feeding were recruited 19 . The treatment was insertion of a breast shell over one nipple continuously for 4 days and no treatment to the other nipple.…”

Section: Resultsmentioning

confidence: 99%

Management of nipple pain and/or trauma associated with breast‐feeding

Page¹,

Lockwood²,

Guest³

2003

JBI Reports

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Executive summary Objective The objective of this systematic review was to present the best available evidence related to the management of nipple pain, post childbirth in breast‐feeding women. The specific objective of the review was to determine the effectiveness of interventions used by and for breast‐feeding women to prevent and/or reduce nipple pain and trauma. Selection criteria The review considered all studies that included women who breast‐fed with or without painful or traumatised nipples of any aetiology post childbirth. Interventions of interest were: (i) interventions aimed to prevent or reduce pain and/or trauma to nipples post commencement of breast‐feeding; and (ii) treatments for painful or traumatised nipples post commencement of breast‐feeding. The primary outcomes of interest were those related to the prevention and treatment of nipple pain and/or trauma in women post childbirth, in terms of: •Incidence and prevalence of nipple pain •Pain intensity •Incidence and prevalence of nipple trauma •Healing rates of traumatised nipples •Breast‐feeding duration. This review considered randomised‐controlled trials (RCT) that evaluated the effectiveness of interventions and treatments associated with breast‐feeding practices. In the absence of RCTs other research designs such as non‐randomised controlled trials and before and after studies were considered for inclusion in a narrative summary to enable the identification of current practices and possible future strategies. Search strategy The search sought to find both published and unpublished studies in the English language. Databases were searched up to and including August 2002 and included MEDLINE, CINAHL, Current Contents, Cochrane Library, Expanded Academic Index, Electronic Collections Online, Turning Research Into Practice (TRIP), The Australian Breast‐feeding Association Lactation Resource Centre, Dissertation Abstracts and Proceedings First. The reference lists of all identified studies were searched for additional studies. Assessment of methodological quality All studies were checked for methodological quality using two reviewers, and data were extracted using a data extraction tool. Results There is a plethora of research that evaluates the effectiveness of the many interventions used to prevent or treat nipple pain and or trauma for breast‐feeding women. Most of the studies were heterogeneous with regard to sample demographics, interventions evaluated and outcomes assessed. For this reason the majority of the review is in narrative form, with graphical presentation via meta‐view graphs of the more statistically significant outcomes. Consistent information given in education sessions to breast‐feeding women would assist in identifying which type of instruction is the most effective; however, different education information was given in the studies or no details were supplied as to what education was actually given. Many of the RCTs in this review were based on small sample sizes and specific sociocultural settings. Small sample sizes...

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Effect of a breast shell on postpartum nipple pain *1An exploratory study

Cited by 16 publications

References 12 publications

Prevention of and Therapies for Nipple Pain: A Systematic Review

Prevention of and Therapies for Nipple Pain: A Systematic Review

Lanolin for the treatment of nipple pain in breastfeeding women: a randomized controlled trial

Management of nipple pain and/or trauma associated with breast‐feeding

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