کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2636548 1403586 2016 9 صفحه PDF سفارش دهید دانلود رایگان
عنوان انگلیسی مقاله ISI
Potential predictors of nipple trauma from an in-home breastfeeding programme: A cross-sectional study
ترجمه فارسی عنوان
عوامل پیش بینی کننده بالقوه از ترومای نوک پستان از یک برنامه تغذیه با شیر مادر در خانه: یک مطالعه مقطعی
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کلمات کلیدی
شیر دادن؛ ترومای نوک پستان. تورم؛ ورم پستان؛ مامایی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

BackgroundAustralian breastfeeding rates fall significantly in the months following birth, often as a result of breastfeeding complications.AimTo explore the potential risk factors for nipple trauma and breast engorgement in a group of women who were referred to the in home breastfeeding service in Melbourne, Australia.MethodA retrospective, cross-sectional analyses of the maternal–infant records (n = 653) from 2003 to 2007 including demographic characteristics; pregnancy, labour and birth data; the presenting complications and observational and diagnostic results. Bivariate and logistic regression analyses were conducted to explore the predictors of nipple trauma and engorgement.ResultsNipple trauma was the most common presenting complication (62.9%). Logistic regression analyses identified four statistically significant predictors: facio-mandibular asymmetry (AOR 4.21, 95% CI [1.25–14.20]), inflammatory mastitis (AOR 2.99, 95% CI [1.57–5.68], nipple malignment (AOR 2.51, 95% CI [1.13–5.55]) and the cross-cradle technique (AOR 1.90, 95% CI [1.03–3.50]). Engorgement was associated with the first postpartum breastfeed being less than one-hour duration (AOR 2.01, 95% CI [1.07–3.79]).ConclusionNipple trauma was associated with commonly taught techniques that involved the cross-cradle hold and manoeuvres of the breast, nipple and baby that resulted in nipple malalignment and facio-mandibular asymmetry. This practice, appeared to interfere with the baby's intra-oral function by restricting movement of the cranio-cervical spine and nuchal ligament. The combination appeared to limit the baby's instinctive ability to activate neuro-sensory mammalian behaviours to freely locate and effectively draw the nipple and breast tissue without causing trauma. Changes to the first and early breastfeeding techniques are recommended.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Women and Birth - Volume 29, Issue 4, August 2016, Pages 336–344
نویسندگان
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