An Evaluative Research Of Preventive Effect Of HPA Lanolin On Nipple Cracks In Chinese Breastfeeding Women

ObjectiveThe aim of this study was to evaluate the effects and effectiveness of HPA lanolin on prevention of sore and cracked nipples during breastfeeding in comparison with the application of expressed breast milk (EBM) in Chinese Breastfeeding Women.Methods210pregnant women were enrolled and randomized into a control group (70cases), a prenatal intervention group (70cases) and a postpartum intervention group (70cases). The health education of breastfeeding positioning was implemented in all groups. In addition, both intervention groups were treated with lanolin in different time points, and control group was treated with EBM. Then, nipple trauma and healing rates were rated by a nipple trauma score. Nipple pain intensity was assessed with visual analog scale (VAS). Each one was also assessed their posture of breastfeeding by maternal-infant nurses in hospital and followed for1-2telephone calls within14days.ResultsWomen who received prenatal intervention of lanolin were less likely to experience nipple cracks (8.57%) compared to women using EBM (21.43%;p<0.05). Women who used the HPA Lanolin in antenatal period on a daily basis were less likely to have a cracked nipple than women who used EBM (OR2.909,95%CI:1.056,8.011; p<0.05) and women who used HPA Lanolin after nipple cracked(OR2.207,95%CI:0.778,6.259;p=0.1).Nipple pain in the prenatal intervention group was lower than the expressed breast milk group (OR3.752,95%CI:1.852,7.592; p<0.05) and postpartum intervention group (OR2.361,95%CI:1.174,4.756;p<0.05).ConclusionsThe research indicated that HPA lanolin has the preventive effect on nipple cracks, and the effect of the application of HPA Lanolin seems more significant than other two groups. To some extent, HPA lanolin can relieve the nipple pain during breastfeeding process and be beneficial to promote the success of exclusive breastfeeding in the early period of breastfeeding.