The Effect of consulting correct techniques of breastfeeding on treatment of fissure on the nipple in primiparous mothers referred to Hamadan healthcare centers: A randomized controlled trial study

Abstract

Nipple fissure are frequent complaints of breastfeeding mothers. And many treatments have been used to treat this problem. But the use of low-risk methods is more useful for treatment. This study aimed to investigate the Effect of consulting correct techniques of breastfeeding on treatment of fissure on the nipple in primiparous mothers referred to Hamadan healthcare centers during 2017. This is a clinical trial study which was conducted on two groups comprised of 74 primiparous mothers who were admitted in Hamadan health centers in 2017. They were randomly assigned to two groups of treatment and control. After completing the demographic questionnaire, the intervention group received breastfeeding consultation on days 3-5, 10 and 15 days after birth, and control group received routine trainings like applying a little expressed milk on nipples. Storr and Bristol Scales were completed by the researcher in before and one week after the last consultation session. Data were analyzed using SPSS software version 20 and the significance level was considered 0.05. The results showed that the mean score of the Bristol checklist in the intervention group after counseling was significantly increased (p<0.05) and there were also more people in the intervention group with improvement in their nipple fissures (66.7% vs 37.9% at the score of zero). Multi-session and face-to-face correct techniques of breastfeeding counselling can help nipple fissure healing in nursing mothers. The study was approved by Research Ethics Review Board Hamadan University of Medical Sciences, School of nursing and midwifery, approved the study procedures 3 (UMSHA.REC.1396.314) and was registered at the Iranian Registration Clinical Trials (201709059014N183).