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Lanolin and prenatal health education for prevention of nipple pain and trauma: Randomized clinical trial.

Title: Lanolin and prenatal health education for prevention of nipple pain and trauma: Randomized clinical trial.
Transliterated Title: Lanolina y educación para la salud en la prevención de dolor y lesiones en los pezones: ensayo clínico aleatorizado.
Authors: Oliveira FS; Faculty of Nursing, Federal University of Goias, Goiania, Goias, Brasil.; Vieira F; Faculty of Nursing, Federal University of Goias, Goiania, Goias, Brasil. Electronic address: flavianavieira@ufg.br.; Guimarães JV; Faculty of Nursing, Federal University of Goias, Goiania, Goias, Brasil.; Aredes ND; Faculty of Nursing, Federal University of Goias, Goiania, Goias, Brasil.; Campbell SH; School of Nursing, University of British Columbia, Vancouver Campus, Canadá.
Source: Enfermeria clinica [Enferm Clin (Engl Ed)] 2021 Mar-Apr; Vol. 31 (2), pp. 82-90. Date of Electronic Publication: 2020 Dec 01.
Publication Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't
Language: English; Spanish; Castilian
Journal Info: Publisher: Elsevier España, S.L.U Country of Publication: Spain NLM ID: 101777540 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2445-1479 (Electronic) Linking ISSN: 24451479 NLM ISO Abbreviation: Enferm Clin (Engl Ed) Subsets: MEDLINE
Imprint Name(s): Original Publication: Barcelona : Elsevier España, S.L.U., 2017-
MeSH Terms: Lanolin* ; Nipples*; Brazil ; Breast Feeding ; Female ; Health Education ; Humans ; Pregnancy
Abstract: Objective: To investigate the effect of lanolin on nipple pain and trauma in breastfeeding after application of a health education.; Method: Randomized controlled clinical trial, with two arms, open, with 66 participants during prenatal care in the primary health care network in Goiania - Goias, Brazil. Participants were randomized (1:1) using computer generated numbers in both experimental group (EG) and control group (CG). The EG received lanolin and health education on breastfeeding at two different times with clinical demonstration using cloth didactic breast and illustrative album as the intervention, while the CG received standard health education. Health education was carried out by the same researchers in both groups. Measurement of pain, nipple trauma, and breastfeeding technique occurred on postpartum day eight. The analysis included descriptive statistics and inferential analysis by means chi-square or Fisher test, and Student's t-test, significance level set at 0.05.; Results: A majority of the participants experienced no nipple trauma (59.1%) in both groups, and 60.6% of women experienced pain. In both groups, women showed favorable breastfeeding behaviors, except in the condition of the breasts. There were no significant differences between groups in pain prevention (p=0.61), nipple lesions (p=0.21), and breastfeeding technique (p>0.05).; Conclusion: It is not clear whether the intervention, lanolin combined with health education, has a positive effect on the prevention of nipple pain and trauma. Further research is needed to elucidate this question. Registration number: RBR-7tvhq8. Registry website: http://www.ensaiosclinicos.gov.br/.; (Copyright © 2020 Elsevier España, S.L.U. All rights reserved.)
Contributed Indexing: Keywords: Atención prenatal; Breast feeding; Educación en salud; Health education; Lactancia materna; Nipples; Pezones; Prenatal care
Molecular Sequence: ReBec RBR-7tvhq8
Substance Nomenclature: 8006-54-0 (Lanolin)
Entry Date(s): Date Created: 20201205 Date Completed: 20210630 Latest Revision: 20210630
Update Code: 20260130
DOI: 10.1016/j.enfcli.2020.10.030
PMID: 33277168
Database: MEDLINE

Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't