Literature review for - Flourish Paediatrics

Definition of
breastfeeding
Intervention/
comparator
Not Stated Not stated Not stated. Recruited mothers who
‘mainly breastfeeding’. Mainly
breastfed defined as >50 %
breastmilk
Nipple pain treatment methods
(Water compress, breast milk, lanolin,
collagenase, glycerin gel,
dexpanthenol, vitamin A, tea-bag
compress, glycerin gel therapy or
breast shells vs. no treatment and/or
another treatment listed above)
Nipple pain preventative methods
(Education, breast milk, colostrum, warm
water compress, clean and dry, lanolin,
gentle massage, ointment,
chlorhexidine/alcohol spray, tea-bag
compress, hydrogel dressing or
polyethylene film dressing vs. no method
and/or another method listed above)
Mothers with persistent nipple pain
from breastfeeding compared to
successfully breastfeeding mothers.
N 60 Mothers (30 experiencing
persistent pain during breastfeeding,
30 successfully breastfeeding)
Population/study
information
7 studies published between 1983-
2004 (3 of studies overlap with Page et
al. SLR)
only 1/7 had sample sizes greater than
100
11 studies published between 1983-2004.
only 6/11 had sample sizes greater than
100
Quality P P 0 (7 was a no)
Mothers in control group recruited
from WA branch of ABA and child
health nurses during routine
examinations. Mean age 32.3 ± 4.5
years. Infants mean age 55.0 ± 22.7
days.
Pain group were recruited via
International Board-Certified
Lactation Consultants
(IBCLC). Mean age 31.8 ±
5.1 years Infants mean age
49.4 ± 35.5 days
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