Fájdalmas emlőbimbó

Factors predicting early discontinuation of exclusive breastfeeding in the first month of life

Vieira GO, Martins CC, Vieira TO, de Oliveira NF, Silva LR.
J Pediatr (Rio J). 2010 Sep-Oct;86(5):441-4.

Abstract

OBJECTIVE: To investigate factors associated with discontinuation of exclusive breastfeeding in the first month of lactation, in the city of Feira de Santana, Brazil.

METHODS: Cohort study with follow-up of 1,309 mother-child pairs selected from all maternities in the municipality. Data were collected in hospital and in home visits during the first month of life. Logistic regression analysis was used to examine the relationship between outcome and variables of interest.

Ankyloglossia in Breastfeeding Infants: The Effect of Frenotomy on Maternal Nipple Pain and Latch

Anjana Srinivasan, Carole Dobrich, Howard Mitnick, Perle Feldman
Breastfeeding Medicine. 2006, 1(4): 216-224.

Abstract

Objective: The aim of this study was to measure the effectiveness of frenotomy in ankyloglossic infants, by quantifying the changes in latch and maternal nipple pain using standardized tools.

Vasospasm of the Nipple Presenting as Painful Lactation

Sarah M. Page, MD and David S. McKenna, MD

Obstetrics & Gynecology 2006;108:806-808

Case Report

Abstract

BACKGROUND: Breast pain is a common complaint among lactating women. Vasospasm of the nipple should be considered in the differential diagnosis of breast pain, particularly when no other signs of infection or trauma are encountered. This report demonstrates a case of vasospasm successfully treated with nifedipine.

Prevention of and Therapies for Nipple Pain: A Systematic Review

Kristine Morland-Schultz and Pamela D. Hill

JOGNN*, 34, 428-437; 2005

Objective: To review the literature on nipple pain and to delineate effective strategies for the prevention and treatment of nipple pain in breastfeeding mothers.

ABM Clinical Protocol # 11: Guidelines for the Evaluation and Management of Neonatal Ankyloglossia and its Complications...

Jeanne Ballard, MD
The Academy of Breastfeeding Medicine Protocol Committee, August 3, 2004

Background

The infant’s tongue at birth is normally able to extend over and past the mandibular gum pad. Significant ankyloglossia prevents an infant from anteriorly extending and elevating the tongue and many breastfeeding experts believe that these limitations alter the normal peristaltic motion of the tongue during feeding resulting in the potential for nipple trauma and problems with effective milk transfer and infant weight gain.

Raynaud’s Phenomenon of the Nipple: A Treatable Cause of Painful Breastfeeding

Jane E. Anderson, MD, Nancy Held, RN, MS and Kara Wright, MD

Pediatrics 2004;113:e360–e364.

Maurice Raynaud first described the vasospasm of arterioles in 1862, and Raynaud’s phenomenon is now felt to be common, affecting up to 20% of women of childbearing age. Raynaud’s phenomenon has been reported to affect the nipples of breastfeeding mothers and is recognized by many lactation experts as a treatable cause of painful breastfeeding...

Vasospasm of the nipple–a manifestation of Raynaud's phenomenon: case reports

Laureen Lawlor-Smith, Carolyn Lawlor-Smith

BMJ 1997;314:644

Raynaud's phenomenon was first described by Maurice Raynaud in 1862. It is defined as intermittent ischaemia affecting the acral parts of the body, most commonly the fingers or toes. It is much more prevalent in women, with a female to male ratio of 9:1. It is common in healthy women of childbearing age, affecting up to 22% of healthy women in the 21-50 year age group. Nipple pain is the most common symptom in breastfeeding women and is the second most common reason given for abandoning breastfeeding, exceeded only by perceived low milk supply. We report on five women with Raynaud's phenomenon affecting their nipples.

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