Factors Associated with Nipple Lesions in Puerperae.

Autor: Sousa TM; Universidade Federal de Minas Gerais, Minas Gerais, Brazil tata.msousa@gmail.com., Santos LC; Departamento de Nutrição, Universidade Federal de Minas Gerais, Minas Gerais, Brazil., Peixoto ÉF; Universidade Federal de Minas Gerais, Minas Gerais, Brazil., Lopes LM; Universidade Federal de Minas Gerais, Minas Gerais, Brazil., Andrade LB; Universidade Federal de Minas Gerais, Minas Gerais, Brazil., Frois MC; Universidade Federal de Minas Gerais, Minas Gerais, Brazil., Santiago MA; Universidade Federal de Minas Gerais, Minas Gerais, Brazil., Bouzada MC; Departamento de Pediatria, Universidade Federal de Minas Gerais, Minas Gerais, Brazil.
Jazyk: angličtina
Zdroj: Journal of tropical pediatrics [J Trop Pediatr] 2016 Feb; Vol. 62 (1), pp. 63-8. Date of Electronic Publication: 2015 Sep 01.
DOI: 10.1093/tropej/fmv056
Abstrakt: This retrospective cross-sectional study aimed to evaluate the factors associated with nipple lesion development in puerperae. Analyses were performed using the Poisson regression with robust variance. The level of significance was set at 5% (p < 0.05). We evaluated 1270 puerperae, among whom 193 (15.4%) presented with nipple lesions. The condition was more prevalent among the mothers who did not receive information about breastfeeding [PR, 1.69; 95% confidence interval (CI), 1.19-2.42], those who underwent cesarean delivery (PR, 1.48; 95% CI, 1.02-2.16), those who used a pacifier (prevalence ratios (PR), 2.04; 95% CI, 1.05-3.95), those who used baby formula only (PR, 1.61; 95% CI, 4.82-5.36) and those who used baby formula combined with breastfeeding (PR, 1.61; 95% CI, 1.06-2.45). A lower incidence of nipple lesions was observed among those who did not receive information on hand expression of breast milk (PR, 0.65; 95% CI, 0.46-0.93) and those who did not breastfeed in the first hour of life (PR, 0.61; 95% CI, 0.38-0.97).
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Databáze: MEDLINE