Fatores associados ao trauma mamilar na maternidade

• Autor(a) principal: Coca, Kelly Pereira [UNIFESP]
• Data de Publicação: 2009
• Outros Autores: Gamba, Mônica Antar [UNIFESP], Silva, Rebeca de Souza e [UNIFESP], Abrão, Ana Cristina Freitas de Vilhena [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/00130000048sm
• DOI: 10.2223/JPED.1916
• Texto Completo: http://dx.doi.org/10.2223/JPED.1916; http://repositorio.unifesp.br/handle/11600/5147
• topic: Nipple injury; breastfeeding; case-control studies; risk factors; women's health; Lesão mamilar; aleitamento materno; estudos de casos e controles; fatores de risco; saúde da mulher

OBJECTIVE: To identify factors associated with nipple trauma in women breastfeeding exclusively in a maternity unit. METHODS: This was a case-control study that recruited 146 recently-delivered mothers in rooming-in wards: 73 cases, defined as women with nipple trauma, and 73 controls, defined as women free from this pathology. Women breastfeeding exclusively were tested daily for a diagnosis of nipple injury, identified using a magnifying glass. Sociodemographic, obstetric and neonatal variables were studied. A logistic regression model was used for statistical analysis. RESULTS: Cases and controls proved to be comparable in terms of their sociodemographic variables, although the women with nipple trauma were more likely not to be living with a partner. The following variables were found to be factors associated with nipple trauma: primiparity (OR 3.16; 95%CI 1.19-8.42), not living with a partner (OR 3.25; 95%CI 1.18-8.93), turgid and/or engorged breasts (OR 12.31; 95%CI 4.48-33.78), semi-protruding and/or malformed nipples (OR 4.69; 95%CI 1.50-14.62), and depigmentation of nipples (OR 13.98; 95%CI 4.43-44.06). CONCLUSION: Primiparity, not living with a partner, turgid and/or engorged breasts, semi-protruding and/or malformed nipples, and depigmentated nipples are associated with nipple trauma.