Literature review for - Flourish Paediatrics

Results
Routine Care Versus Heat Versus
Vitamin A Versus
Anhydrous Lanolin. Combination of
heat, positioning, & anhydrous,
lanolin provided greatest relief of
nipple pain in shortest time period. (1
Quasi-experimental trial)
Water Versus Tea Bags. Were equally
effective and more effective compared
to no treatment. (1 RCT)
USP Lanolin or Lipton Tea Bags
Versus Nothing. No significant
difference (1 Quasi-experimental
trial)
Hydrogel Dressing & Mother’s Milk
Versus Lanolin
Cream, Breast Shells, & Mother’s
Milk. No significant difference
between groups. Higher rate of
infection in dressing vs control group.
(1 RCT)
Collagenase Versus Dexpanthenol
Versus Warm Water & Soap
In first days of trial group using water
& soap had significantly more pain.
By week 1 of trial, pain had subsided
in all groups. (1 RCT)
Expressed Mother’s Milk/Colostrum
Versus Hydrous Lanolin. No significant
difference in nipple pain (1 RCT)
Expressed Mother’s Milk Versus Warm
Wet Compresses
Versus Clean & Dry. Pain scores similar
over time for 3 groups; wet compresses
or EMM less effective in preventing
cracked nipples (1 RCT)
Ointment Versus Clean & Dry-
No significant difference (1 RCT see
Centuori et al. 1999 adjacent)
Water Versus Tea Bags. No difference in
effect. (1 RCT)
Hydrogel Dressing Versus Modified
Lanolin Ointment. Mean pain scores
significantly declined for mothers who
used the hydrogel dressing compared to
mothers using lanolin ointment. (1 RCT)
Modified Lanolin Versus Gentle
Massage. Difference not statistically
significant (1 experimental trial)
Modified Lanolin Versus Mother’s Milk
Versus Warm
Water Compresses Versus Education. No
difference (1RCT)
Infants of breastfeeding mothers
experiencing persistent nipple pain
applied significantly higher
vacuum to the breast during
breastfeeding despite assistance with
positioning and attachment from a
lactation consultant.
Infants in the pain group mean
vacuum: −152.2 ± 43.8 mmHg
Infants in the control group mean
vacuum: −97.2 ± 37.0 mmHg (p =
0.001)
Milk intake from one breastfeed for
the Pain group was 42% lower than
that of the Control group despite
similar sucking duration.
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