Effect of using pharmacological versus alternative therapy on traumatic nipples for lactating mothers
Abstract
Nipple pain and trauma as complications associated with breastfeeding , are considered amongst the most significant factors impacting on the uptake and continuance of breastfeeding in the first weeks of mother- hood .Remedies for traumatic nipples have been written about since the 17th century when plasters, poultices, and ointments were applied topically to provide comfort for the mother. The aim of this study was to evaluate the effect of using pharmacological versus alternative therapy on traumatic nipple for lactating mothers. Quasi-experimental study was carried out at MCH and Hospital inMaghagha city, and Benha university Hospital and MCH center at Benha city . Purposive sample technique was used to recruit two hundred lactating mothers complaining with nipple trauma. They were divided into three groups; one hundred mothers for conduct pharmacological therapy (lanolin cream) , and one hundred of lactating mothers for conduct alternative therapy (peppermint and tea).according to determined criteria lactating mothers with nipple pain diagnosed by doctors ,and lactating mothers who free from any medical disorder. Four tools were used for data collections. Tool 1: A Structured interview sheet was developed to collect the information from the mother. Tool 2: Visual Analogue Scale was conducted to assess nipple pain.Tool 3: Nipple Soreness Rating Scale was conducted to assess soreness healed nipple . Tool 4: The Nipple Trauma Score (NTS) was conducted to assess healed traumatic nipple. results of the study illustrated that no pain was (68%) in peppermint group,(52%)in tea, and (66%)in lanolin , no moderate or severe pain or areola crack were observed in the lanolin or peppermint groups in the present study .However, the present cases, that uses tea bag, have moderate pain. The study concludedthat peppermint water is effective in the prevention of nipple trauma, and less nipple pain compared to the application of tea bag or lanolin cream after feeding. So, alternative therapy is nearly as pharmacological therapy. Depending on the result of this study. The recommendations Teaching mothers for positioning and attachment of the baby to the breast for breastfeeding can prevent the incidence of traumatic nipples. Increasing the awareness regarding usage of alternative therapy as peppermint , tea to reduce traumatic nipple.
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