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Comfort measures in breastfeeding, primiparous women
B L Buchko1, L C Pugh, B A Bishop
1York Hospital, PA 17405.
Objective:
To examine various comfort measures and evaluate their effects in alleviating nipple soreness.
Design:
Prospectively randomized, experimental study.
Setting:
Postpartum unit of a community teaching hospital.
Patients:
Seventy-three primiparous, postpartum, breastfeeding women.
Interventions:
Subjects 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 Measure:
Effect of treatments on postpartum nipple pain.
Results:
Subjects in the warm water compress group demonstrated significantly less pain on Day 3 than did the tea or breast milk group.
Conclusions:
Anticipatory guidance by obstetric nurses may assist breastfeeding women in treating their pain nonpharmacologically.