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Subject:
From:
Charlotte Lilla <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Wed, 14 Apr 2004 23:52:21 -0400
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I am Charlotte, a student nurse at the University of North Dakota.  In our
classes we are taught of the benefits of breastfeeding in both neonates
and older infants.  The American Academy of Pediatrics recommends women
breastfeed for six to twelve months (Albright, 2003).  However, I have
known many women to quit after only a few weeks; most of the time it is
because they have experienced nipple tenderness.  The most commonly
reported problem with breastfeeding is sore nipples.  The discomfort or
pain associated with sore nipples is frequently associated with
discontinuance.  Treating sore nipples, in breastfeeding mothers, quickly
and effectively is important in improving the duration of breastfeeding
beyond a few weeks (Albright, 2003).  If nipple tenderness should occur,
effective wound healing and the teachings of proper techniques are very
important.  These must happen before painless breastfeeding can take place
(Brent, 1998).
There is a lack of confidence felt by women with breastfeeding
difficulties.  They must have knowledge about the situation and how to
correct it, in order for difficulties to be resolved.  Women must know
about the physiology of breastfeeding and how to apply this knowledge to
their breastfeeding experience (Shaw-Flach, 2002).
I am wondering about some of the best ways to educate women and their
partners about these issues.  If nipple tenderness should occur, what are
some of the most effective treatments?  Thank you for your time and
interest.

References

Albright, L.M. (2003).  Sore nipples in breastfeeding mothers:  Causes and
     treatments.  International Journal of Pharmaceutical Compounding, 7
     (6), 426-434.

Brent, N., et al (1998).  Sore nipples in breast-feeding women:  A
     clinical trial of wound dressings vs. conventional care.  Archives of
     Pediatrics and Adolescent Medicine, 152(11), 1077-1082.

Shaw-Flach, A. (2002).  Management of common breastfeeding problems.
     Community practitioner, 75(11), 432-435.

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