Treatments for cracked nipples while breastfeeding: a synthesis of evidence.
DOI:
https://doi.org/10.22370/revmat.1.2023.3722Keywords:
Breastfeeding, Lactation disorder, Nipple, Mammary gland, LactationAbstract
Objective: To describe the current management recommended to health professionals for the treatment of nipple cracks associated with breastfeeding based on scientific evidence.
Material and methods: Literature review in different databases such as Pubmed, Embase, Lilacs, among others. Applying filters and selection criteria, 15 articles were obtained in this evidence synthesis.
Results: Nipple cracks are generally observed between the third and seventh day after delivery and can continue up to six weeks later, ranking it as the second leading factor in the abandonment of breastfeeding. Regarding the origin, it has been shown that the position and incorrect coupling are considered the most common causes that generate nipple cracks. There is no single method for the prevention or treatment of cracked nipples.
Conclusion: A standard treatment for nipple cracks is not recommended, but it will depend on the type of injury. According to the present review and evaluation of the articles, breast milk can be considered effective only if the nipple is red and there is and there is no continuous loss of skin. If this is the case, it is recommended to keep the area clean avoiding moisture to promote tissue healing.
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