• J Obstet Gynecol Neonatal Nurs · Jan 1994

    Randomized Controlled Trial Comparative Study Clinical Trial

    Comfort measures in breastfeeding, primiparous women.

    • B L Buchko, L C Pugh, B A Bishop, J F Cochran, L R Smith, and D J Lerew.
    • York Hospital, PA 17405.
    • J Obstet Gynecol Neonatal Nurs. 1994 Jan 1; 23 (1): 46-52.

    ObjectiveTo examine various comfort measures and evaluate their effects in alleviating nipple soreness.DesignProspectively randomized, experimental study.SettingPostpartum unit of a community teaching hospital.PatientsSeventy-three primiparous, postpartum, breastfeeding women.InterventionsSubjects were randomly assigned to four groups, with all women receiving instruction about breastfeeding and using one of the following treatments: warm moist tea bag compress, warm water compress, expressed milk massaged into the nipple and areola and air dried, instruction only (control group). The subjects completed a questionnaire each morning for 7 days regarding nipple soreness.Main Outcome MeasureEffect of treatments on postpartum nipple pain.ResultsSubjects in the warm water compress group demonstrated significantly less pain on Day 3 than did the tea or breast milk group.ConclusionsAnticipatory guidance by obstetric nurses may assist breastfeeding women in treating their pain nonpharmacologically.

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