Journal article
Nipple shield use does not impact sucking dynamics in breastfeeding infants of mothers with nipple pain
European Journal of Pediatrics
2021
Abstract
Nipple shields (shield) may reduce pain during breastfeeding, but the impact on infant sucking dynamics is not known. We examined the effects of shield use on sucking dynamics, milk removal and nipple pain in two groups of breastfeeding dyads: pain group (PG): shield used for nipple pain; comparison group (CG): no breastfeeding difficulties. Twenty PG (6 ± 4 weeks postnatal) and 28 CG dyads (8 ± 6 weeks postnatal) attended 2 monitored breastfeeding sessions with shield use randomised. Within-subject outcomes were compared. PG: shield use did not affect intra-oral vacuum (peak p = 0.17, baseline p = 0.59), sucking frequency (p = 0.20) or milk transfer (40 mL vs 48 mL, p = 0.80; percentage of available milk removed (PAMR) 55% vs 57%, p = 0.88), and reduced McGill pain scores (p = 0.012). CG: shield use increased non-nutritive sucking (10% more, p = 0.049), and reduced nutritive sucking (18% less, p = 0.017) and milk transfer (63 mL vs 31 mL p < 0.001, PAMR 65% vs 36% p < 0.001). For both groups, feeding duration increased by 2 min (p < 0.0001) and non-nutritive portions of the feed increased with shield use.
Conclusion: Nipple shield use improved maternal comfort and did not impact milk removal or sucking strength in PG, but significantly reduced milk transfer and nutritive sucking in CG.
Details
- Title
- Nipple shield use does not impact sucking dynamics in breastfeeding infants of mothers with nipple pain
- Authors/Creators
- V.S. Coentro (Author/Creator)S.L. Perrella (Author/Creator)C.T. Lai (Author/Creator)A. Rea (Author/Creator)M. Dymock (Author/Creator)D.T. Geddes (Author/Creator)
- Publication Details
- European Journal of Pediatrics
- Publisher
- Springer Science and Business Media Deutschland GmbH
- Identifiers
- 991005543743507891
- Copyright
- © 2021 Springer Nature Switzerland AG
- Murdoch Affiliation
- Information Technology, Mathematics and Statistics
- Language
- English
- Resource Type
- Journal article
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Source: InCites
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- Collaboration types
- Domestic collaboration
- Citation topics
- 1 Clinical & Life Sciences
- 1.72 Obstetrics & Gynecology
- 1.72.891 Breastfeeding
- Web Of Science research areas
- Pediatrics
- ESI research areas
- Clinical Medicine