Breastfeeding technique and the incidence of nipple traumas in puerperal women attended in a city hospital: intervention study

Thaize Carvalho Estrela do Vale Morais, Tâmara Oliveira de Souza, Graciete Oliveira Vieira, José de Bessa Júnior, Gilmar Mercês de Jesus
2020 Revista Brasileira de Saúde Materno Infantil  
Objectives: to evaluate the effect of an intervention on the incidence of nipple trauma and the quality of breastfeeding technique in the first month of postpartum. Methods: this is a quasi-randomized intervention study with 180 puerperal women equally distributed between experimental and control groups. The intervention was performed at a maternity and consisted of an educational session on breastfeeding technique. A descrip-tive analysis of the groups' characteristics was performed, comparing
more » ... erformed, comparing the frequencies of unfa-vorable parameters related to breastfeeding technique between groups. Pearson's chi-square test and Fisher's test were used, and p≤0.05 was adopted as the critical level of significance. Results: at 30 days, 64% and 15% of the mothers used the technique correctly, respec-tively, in the experimental and control groups with RR=4.87 (CI95%=2.93-8.34); NNT=1.96 (CI95% =1.61-2.72); p<0.001. In the experimental group, a decrease was observed in the unfavorable parameters of the breastfeeding technique (p≤0.05). The incidence of nipple trauma was 30% in the experimental group and 38.9% in the control group (p=0.21). Conclusions: the intervention was insufficient to prevent nipple trauma in the experi-mental group, but significantly improved the quality in the breastfeeding technique.
doi:10.1590/1806-93042020000300003 fatcat:mwr6h37kozcxva6q5ys7ob3lia