Infants of mothers with persistent nipple pain exert strong sucking vacuums

McClellan, Holly L.; Geddes, Donna T.; Kent, Jacqueline C.; Garbin, Cathy; Mitoulas, Leon R.; Hartmann, Peter

doi:10.1111/j.1651-2227.2008.00882.x

Cited by 51 publications

(49 citation statements)

References 16 publications

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“…The degree of pain reported was from 4.2 to 7.1 centimeters, similar to the scores obtained in most of the studies analyzed. This intensity of pain affected women's moods, sleep, and daily activities, negatively affecting quality of life (McClellan et al, 2008).…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Low-Level Laser Therapy in Relieving Nipple Pain in Breastfeeding Women: A Triple-Blind, Randomized, Controlled Trial

Coca

Marcacine

Gamba

et al. 2016

Pain Management Nursing

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Section: Discussionmentioning

confidence: 99%

Efficacy of Low-Level Laser Therapy in Relieving Nipple Pain in Breastfeeding Women: A Triple-Blind, Randomized, Controlled Trial

Coca

Marcacine

Gamba

et al. 2016

Pain Management Nursing

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“…This method enables both a clear view of the nipple, tongue, hard palate, soft palate, and milk flow into the intra-oral cavity [9, 14, 15]. Intra-oral vacuum was measured using a small silicone tube (Supplemental Nursing System, Medela AG, Baar, Switzerland) filled with sterile water [9, 14, 16]. One end was placed alongside either the mother's nipple or the teat and extended 1-2 mm beyond the tip, and the other end was attached via a silicone tube (650 mm × 4 mm) and a three-way tap to a pressure transducer (SP854, Memscap, Bernin, France) with disposable clip-on dome (MLA844, AD Instruments, Castle Hill, Australia) [9, 14, 16].…”

Section: Methodsmentioning

confidence: 99%

Oxygen Saturation and Suck-Swallow-Breathe Coordination of Term Infants during Breastfeeding and Feeding from a Teat Releasing Milk Only with Vacuum

Sakalidis

McClellan²,

Hepworth³

et al. 2012

International Journal of Pediatrics

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Background. Vacuum is an important factor in milk removal from the breast, yet compression is the predominant component of milk removal from bottle teats. Since bottle-feeding infants have lower oxygen saturation, vacuum levels, and different suck-swallow-breathe (SSwB) coordination to breastfeeding infants, we hypothesised that when infants fed from a teat that required a vacuum threshold of −29 mmHg for milk removal, that oxygen saturation, heart rate, and suck-swallow-breathe (SSwB) patterns would be similar to those of breastfeeding. Study Design. Infants (n = 16) were monitored during one breastfeed and one feed from the experimental teat. Simultaneous recordings were made of oxygen saturation, heart rate, vacuum, tongue movement, respiration, and swallowing. Results. There were no differences in oxygen saturation and heart rate between the breast and the teat. Infants displayed fewer sucks and breaths per swallow during nutritive sucking (NS) compared to non-nutritive sucking (NNS). The number of sucks per breath was similar for NS and NNS although respiratory rates were slower during NS. These patterns did not differ between the breast and the teat. Conclusion. These results suggest that vacuum may be conducive to safe and coordinated milk removal by the infant during both breast and bottle-feeding.

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“…Rather, negative pressure is applied to the oral cavity which closes to the airway when the soft palate seals against the tongue. By comparison, the magnitude of negative intraoral pressure produced by the system is less than the negative pressure associated with breastfeeding [McClellan et al 2008;Geddes et al 2008Geddes et al , 2012, pediatric training cups [Scarborough et al 2010], and denture seals [Grossman and Forbes, 1990].…”

Section: Discussionmentioning

confidence: 99%

A feasibility evaluation of oral pressure therapy for the treatment of obstructive sleep apnea

Farid-Moayer¹,

Siegel

Black

2012

Ther Adv Respir Dis

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Abstract:Objective: This feasibility study examined the initial-use safety and potential utility of a novel noninvasive oral pressure therapy (OPT) system designed to reduce airway obstruction during sleep. Methods: This was a single-center, proof-of-concept, single-treatment-night study in which subjects with obstructive sleep apnea (OSA) underwent a baseline polysomnography (PSG) study followed by PSG during use of an OPT system. The OPT system is composed of a bedside console, a polymer mouthpiece, and a flexible tube connecting the mouthpiece to the console. The console contains a pump that creates vacuum intended to pull the soft palate anteriorly and stabilize the tongue to reduce obstruction during sleep. Results: Fifty-four men and 17 women, aged 53.2 ± 11.5 years (mean ± SD) had a baseline apnea-hypopnea index (AHI) greater than 5 events per hour. OPT was generally well tolerated with no serious adverse events. OPT significantly decreased AHI from 34.4 ± 28.9 events per hour (mean ± SD) at baseline to 20.7 ± 23.3 (p < 0.001). Treatment produced an AHI less than 10 in 48% of the subjects. OPT significantly improved oxygen desaturation index (p < 0.001) and increased the percentage of the night with oxygen saturation of 90% or greater (p = 0.028). Stage-N1 sleep shifts, total sleep-stage shifts, awakenings and the percentage of sleep time spent in N1 sleep were significantly reduced with treatment. Conclusion: This proof-of-concept study suggests that OPT can produce clinically relevant relief of OSA in certain subjects who are readily identified by PSG during trial use of the noninvasive system. OPT shows promise as a new treatment option for OSA in appropriate patients.

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Infants of mothers with persistent nipple pain exert strong sucking vacuums

Cited by 51 publications

References 16 publications

Efficacy of Low-Level Laser Therapy in Relieving Nipple Pain in Breastfeeding Women: A Triple-Blind, Randomized, Controlled Trial

Efficacy of Low-Level Laser Therapy in Relieving Nipple Pain in Breastfeeding Women: A Triple-Blind, Randomized, Controlled Trial

Oxygen Saturation and Suck-Swallow-Breathe Coordination of Term Infants during Breastfeeding and Feeding from a Teat Releasing Milk Only with Vacuum

A feasibility evaluation of oral pressure therapy for the treatment of obstructive sleep apnea

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