Persistent Nipple Pain in Breastfeeding Mothers Associated with Abnormal Infant Tongue Movement
| Autor: | Anna R. Hepworth, Donna T. Geddes, Peter E. Hartmann, Holly L. McClellan, Jacqueline C. Kent |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors breastfeeding Health Toxicology and Mutagenesis Breastfeeding Mothers Pain lcsh:Medicine lactation Article sucking behaviour Eating Tongue Humans Medicine Complement Measurement nipple pain Tongue movement business.industry Obstetrics lcsh:R Public Health Environmental and Occupational Health infant Breast Feeding medicine.anatomical_structure Nipples Sucking Behavior Treatment strategy Female business Breast feeding |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 12 Issue 9 Pages 10833-10845 International Journal of Environmental Research and Public Health, Vol 12, Iss 9, Pp 10833-10845 (2015) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph120910833 |
| Popis: | Background: Infants of breastfeeding mothers with persistent nipple pain have been shown to apply stronger vacuums to the breast and transfer less milk during one monitored feed. This may be associated with differences in the movement of the tongue. The aim was to analyse the intra-oral nipple shape and movement of the tongue of infants of mothers with and without nipple pain. Methods: Breastfeeding infants of mothers with or without nipple pain were monitored using ultrasound and intra-oral vacuum during one breastfeed. From cine clips of the ultrasound scans measurements were made of the depth of the intra-oral space between the hard-soft palate junction (HSPJ) and the mid-tongue the distance of the tip of the nipple to the HSPJ and nipple diameters from the tip to the base. Results: During nutritive sucking, tongue movements of infants of mothers with nipple pain resulted in a smaller intra-oral space (p = 0.040) and restricted nipple expansion compared to controls (p < 0.012). Stronger baseline and peak vacuums compared to controls were confirmed (p = 0.002). Conclusion: In these mothers, nipple pain was associated with restricted infant tongue movement. Ultrasound may complement measurement of intra-oral vacuum in monitoring treatment strategies in breastfeeding women experiencing nipple pain. |
| Databáze: | OpenAIRE |
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