> > it was rejected by both because it was considered unethical to withhold
> > treatment
> > that could alleviate nipple pain, thereby putting breastfeeding at risk.
> >
> >
> Dear Friends:
>      Please help me to understand this correctly. Teaching and helping
> mothers to achieve correct latch was rejected for this study because it was
> perceived as not alleviating nipple pain??? Whereas giving mothers products was the
> ethical choice??
>      Am I reading this correctly??

Dear Nicki,

Just to clarify, no, you are not reading it correctly.  *All three groups* in the originally conceived Dodd and Chalmers JOGNN study were to
receive teaching and help to achieve correct latch-on.  The hospitals' Internal Review Boards (IRBs) rejected the original study design because
they did not believe it was ethical to deprive a group of treatments that could alleviate pain and potentially put breastfeeding at risk.  The
researchers had to eliminate the group that received *only* help with latch on in order to satisfy the IRBs' ethical concerns so the study
could proceed.  The two groups that were left were taught and helped to achieve correct latch-on *and* received either Lansinoh or
Maternimates, depending upon the group.

I'm sorry if this was unclear.

Nancy Mohrbacher, IBCLC
LC at Hollister, manufacturer of the Ameda breast pumps
and distributor of Lansinoh and Ameda ComfortGels
Chicago suburbs, Illinois USA

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