Nipple trauma in nursing mothers: scope review
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Keywords

Aleitamento Materno
Ferimentos e Lesões
Mamilos Breastfeeding
Wounds and Injuries
Nipples

PlumX Metrics

Abstract

Objective: to investigate the definition of nipple trauma related to breastfeeding and the types of trauma and their treatments in the literature. Method: scope review. The following were consulted: PubMed; Latin American and Caribbean Literature in Health Sciences (LILACS); Cumulative Index to Nursing and Allied Health Literature (CINAHL); SCOPUS; Web of Science; Nursing database (BDENF), EMBASE and Cochrane Library. Studies published from 2015 to 2020 were included. Results: the final sample consisted of 23 articles, 14 of them addressed the definition of nipple trauma. This event includes pain, being one of the most common problems during breastfeeding and a relevant factor for early weaning. The best way to prevent and treat it is through proper positioning and latch on. Conclusion: there is no standardization regarding the definition of nipple trauma and the different types. There is a need for refinement of the nomenclature, in order to assist in the diagnosis and adequate treatment.

https://doi.org/10.17665/1676-4285.20236667
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References

Ministry of Health (BR). Food guide for Brazilian children under 2 years old [Internet]. Brasilia: Ministry of Health; 2019 [cited 2020 Feb 24]. Available in: http://189.28.128.100/dab/docs/portaldab/publicacoes/guia_da_crianca_2019.pdf

Montenegro CAB, Esteves APVS, Resende Filho J. Lactation. In: Montenegro CAB, Son JR. Obstetrics. 13. ed. Rio de Janeiro: Guanabara Koogan; 2017. pp. 466-76.

Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475-90. http://10.1016/S0140-6736(15)01024-7

France GVA, Brunken GS, Silva SM, Escuder MM, Venancio SI. Determinants of breastfeeding in the first year of life in Cuiabá, Mato Grosso. Rev Public Health. 2007;41(5):711-8. https://doi.org/10.1590/S0034-89102007000500004

Oak MR, Gomes CF, organizators. Breastfeeding: scientific bases. 4. ed. Rio de Janeiro: Guanabara Koogan; 2016. 572p.

Cirico MOV, Shimoda GT, Oliveira, RNG. Quality of care in breastfeeding: implementation of the nipple trauma indicator. Rev Gaucho Enferm. 2016;37(4):605-46. https://doi.org/10.1590/1983-1447.2016.04.60546

Cervellini MP, Gamba MA, Coca KP, Abram ACFV. Nipple injurys resulting from breastfeeding: a new look at a known problem. Rev Esc Enferm USP. 2014; 48(2):346-56. https://doi.org/10.1590/S0080-6234201400002000021

Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil, H. Chapter 11: Scoping Reviews (2020 version). In: Aromataris E, Editors, Munn Z. Joanna Briggs Institute reviewer's manual [Internet]. Adelaide: JBI, 2020 [citado 2023 jul 26]. Disponível em: https://jbi-global-wiki.refined.site/space/MANUAL/4687342/Chapter+11%3A+Scoping+reviews

Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMAScR): checklist and explanation. Ann Intern Med [Internet]. 2018 [citado 2020 out 05];169:467-73. Disponível em: https://www.equator-network.org/reporting-guidelines/prisma-scr/

Munn Z, Peters MDJ, Stern C, Tufanaru C, McArthur A, Aromataris E. Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Med Res Methodol. 2018; 18:143. https://doi.org/10.1186/s12874-018-0611-x

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev. 2016; 5(1):1-10. https://doi.org/10.1186/s13643-016-0384-4

Marrazzu A, Sanna MG, Dessole F, Capobianco G, Piga MD, Dessole S. Evaluation of the Effectiveness of a Silver-Impregnated Medical Cap for Topical Treatment of Nipple Fissure of Breastfeeding Mothers. Breastfeeding Med. 2015; 10(5):232-8. https://doi.org/10.1089/bfm.2014.0177

Shanazi M, Khalili AF, Kamalifard M, Jafarabadi MA, Masoudin K, Esmaeli F. Comparison of the effects of lanolin, peppermint, and dexpanthenol creams on treatment of traumatic nipples in breastfeeding mothers. J Caring Sci. 2015; 4(4):297-307. https://doi.org/10.15171/jcs.2015.030

Berens PD. Breast pain: engorgement, nipple pain, and mastitis. Clin Obstet Gynecol. 2015; 58(4):902-914. https://doi.org/10.1097/GRF.0000000000000153

Prates LA, Schmalfuss JM, Lipinski JM. Problems and conducts adopted by puerperal women during lactation. Rev Enferm UFPE online [Internet]. 2015 [cited 2021 May 25];9(2):500-8. Available at: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/10365/11096

Thompson R, Kruske S, Barclay L, Linden K, Gao Y, Kildea S. Potential predictors of nipple trauma from an in-home breastfeeding programme: a cross-sectional study. Women Birth. 2016;29(4):336-44. https://doi.org/10.1016/j.wombi.2016.01.002

Santos KJS, Santana GS, Vieira TO, Santos CAST, Giugliani ERJ, Vieira GO. Prevalence and factors associated with cracked nipples in the first month postpartum. BMC Pregnancy Childbirth. 2016;16(209):1-8. https://doi.org/10.1186/s12884-016-0999-4

Berens P, Eglash A, Malloy M, Steube AM. ABM clinical protocol #26: persistent pain with breastfeeding. Breastfeed Med. 2016;11(2):46-53. https://doi.org/10.1089/bfm.2016.29002.pjb

Naimer S, Silverman WF. ‘‘Seeing is believing’’: dermatoscope facilitated breast examination of the breastfeeding woman with nipple pain. Breastfeed Med. 2016;11(7):356-60. https://doi.org/10.1089/bfm.2016.0051

As’adi N, Kariman N, Mojab F, Pourhoseingholi MA. The effect of Saqez (pistacia atlantica) ointment on nipple fissure improvement in breastfeeding women during one-month follow-up. Avicenna J Phytomed [Internet]. 2017 [citado 2021 mai 25];7(6):477-85. Disponível em:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5745531/pdf/AJP-7-477.pdf

Days JS, Vieira TO, Vieira GO. Factors associated with nipple trauma in the lactational period: a systematic review. Rev Bras Health Matern. Infant. 2017;17(1):43-58. https://doi.org/10.1590/1806-93042017000100003

Urasaki MBM, Teixeira CI, Cervellini MP. Nipple trauma: care adopted by women in the postpartum period. Esteem. 2017;15(1):26-36. https://doi.org/10.1590/2177-9465-EAN-2019-0024

Vieira F, Mota DDCF, Castral TC, Guimarães JV, Salge KMM, Bachion MM. Effects of anhydrous lanolin versus breast milk combined with a breast shell for the treatment of nipple trauma and pain during breastfeeding: a randomized clinical trial. Afr J Midwifery Womens Health. 2017;62(5):572–9. https://doi.org/10.1111/jmwh.12644

Shahrahmani N, Akbari SAA, Mojab F, Mirzai M, Shahrahmani H. The effect of zizyphus jujube fruit lotion on breast fissure in breastfeeding women. Iran J Pharm Res [Internet]. 2018 [citado 2021 mai 25];17(Suppl):101-9. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5958329/pdf/ijpr-17-101.pdf

Mariani Neto C, Albuquerque RS, Souza SC, Giesta RO, Fernandes APS, Mondin B. Comparative study of the use of HPA lanolin and breast milk for treating pain associated with nipple Trauma. Rev Bras Ginecol Obstet [Internet]. 2018 [citado 2021 mai 25];40(11):664-72. Disponível em: https://www.scielo.br/j/rbgo/a/gxqxrcfbVsVrfKdR9hXYg9B/?lang=en&format=pdf

As’adi N, Kariman N. Herbal prevention and treatment of nipple trauma and/or pain in Iranian studies: a systematic review. J Herbmed Pharmacol [Internet]. 2018 [citado 2021 mai 25];7(3):168-75. Disponível em: http://herbmedpharmacol.com/Article/jhp-1225

Bahar TG, Oshvandi K, Masoumi SZ, Mohammadi Y, Moradkhani S, Firozian F. A comparative study of the effects of mint tea bag, mint cream, and breast milk on the treatment of cracked nipple in the lactation period: a randomized clinical trial study. Iran J Neonatol [Internet]. 2018 [citado 2021 mai 25];9(4):72-9. Disponível em: https://ijn.mums.ac.ir/article_11906.html

Campos TM, Traverzim MAS, Sobral APT, Bussadori SK, Fernandes KSP, Motta LJ, et al. Effect of LED therapy for the treatment of nipple fissures: study protocol for a randomized controlled trial. Medicine. 2018;97(41):1-6. http://dx.doi.org/10.1097/MD.0000000000012322

Niazi A, Rahimi VB, Soheili-Far S, Askari N, Rahmanian-Devin P, Sanei-Far Z, et al. A systematic review on prevention and treatment of nipple pain and fissure: are they curable? J Pharmacopunct. 2018;21(3):139-50. https://doi.org/10.3831/KPI.2018.21.017

Nakamura M, Asaka Y, Ogawara T, Yorozu Y. Nipple skin trauma in breastfeeding women during postpartum week one. Breastfeed Med. 2018;13(7):479-84. https://doi.org/10.1089/bfm.2017.0217

Feitosa DPRA, Moreira LC, Possobon RF, Lodi JC. Treatment for nipple pain and trauma that breastfed: an integrative literature review. Rev Nursing [Internet]. 2019 [cited 2021 May 25];22(256):33160-4. Available at: http://www.revistanursing.com.br/revistas/256/pg30.pdf

Cáceres DDH, García JFJ, Arroyo SR, Munive MV, Miño LA. Systematic review of the causes and treatments for nipple cracks during breastfeeding. Network. 2019;15(2):218-28. https://doi.org/10.18041/1900-3803/entramado.2.5739

Cunha AMS, Martins VE, Lourdes ML, Paschoini MC, Parreira BDM, Ruiz MT. Prevalence of nipple trauma and related factors in postpartum women assisted in a teaching hospital. Rev Esc Anna Nery. 2019 [cited 2021 May 25];23(4):1-8. https://doi.org/10.1590/2177-9465-EAN-2019-0024

Costa AA, Souza EB, Guimarães JV, Vieira F. Evidence of interventions in the prevention of nipple trauma in breastfeeding: an integrative review. Rev Eletr Enf [Internet]. 2013 [cited 2020 Jun 20];15(3):790-801. Available in: https://revistas.ufg.br/fen/article/view/22832/15506

Cervellini MP, Coca KP, Gamba MA, Marcacine KO, Abrão ACFV. Construction and validation of an instrument for classifying nipple and areola complex injurys resulting from breastfeeding. Rev Bras Enferm. 2022;75(1):e20210051. https://doi.org/10.1590/0034-7167-2021-0051

Herdman TH, Kamitsuru S, Lopes CT. NANDA-I nursing diagnoses: definitions and classification 2021-2023. 12. ed. Porto Alegre: Artmed; 2021. 568p.

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