Summary of best evidence for prevention and management of nipple pain or injury in breastfeeding puerperae
Yu Peng, Song Xiuhong, Zhang Meng, Wang Jing, Ma Jian, Wang Yan, Xu Ru, Wang Juan, Kuang Guofang
Published 2023-10-16
Cite as Chin J Mod Nurs, 2023, 29(29): 4032-4037. DOI: 10.3760/cma.j.cn115682-20230219-00583
Abstract
ObjectiveTo retrieve, evaluate, and summarize the best evidence for the prevention and management of nipple pain or injury in breastfeeding puerperae, providing evidence-based basis for clinical practice of breastfeeding.
MethodsAccording to the "6S" evidence pyramid model, clinical decisions, guidelines, expert consensus, evidence summaries, and systematic reviews on the prevention and management of nipple pain or injury in breastfeeding puerperae were systematically searched. The search period was from database establishment to March 10, 2023. The research team members independently evaluated the quality of the included article based on the corresponding quality evaluation standards, and combined professional judgment to extract and summarize evidence for the final included article.
ResultsA total of 15 articles were included, including two clinical decisions, 7 guidelines, and 6 systematic reviews. Finally, 19 best pieces of evidence were summarized, including four themes, namely, assessment of nipple pain or injury, prevention of nipple pain or injury, management of nipple pain or injury, and health education.
ConclusionsObstetrical nurses and midwives should provide standardized nursing for breastfeeding puerperae based on specific clinical scenarios, reduce the incidence of nipple pain or injury in breastfeeding puerperae, and promote puerperae to adhere to breastfeeding.
Key words:
Breast feeding; Nipple pain; Nipple injury; Evidence summary
Contributor Information
Yu Peng
Obstetrical Department, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Song Xiuhong
Patient Service Center, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Zhang Meng
Obstetrical Department, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Wang Jing
Obstetrical Department, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Ma Jian
Obstetrical Department, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Wang Yan
Obstetrical Department, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Xu Ru
Obstetrical Department, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Wang Juan
Obstetrical Department, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
Kuang Guofang
Obstetrical Department, the Affiliated Hospital of Qingdao University, Qingdao 266000, China
