Nursing researchers need to examine causes of breastfeeding cessation.  Factors often cited include decreased maternal satisfaction, mothers’ concern over adequate milk supply, and nipple soreness   Many theories have been proposed regarding causes of nipple soreness.  Numerous nipple care products have been used although there is little evidence that any product has an effect.  The purpose of this study was to examine the effects of five topical nipple care products on nipple soreness of breastfeeding mothers during the first week of lactation.  The products included were aloe vera, olive oil, warm water compresses, lanolin, and breast milk.            This study was an experimental analysis utilizing data obtained through a demographic questionnaire and The Nipple Care Assessment Tool designed for this study.  All English-speaking breastfeeding mothers, at least 18 years of age, were invited to participate through a personal interview.  Participants received instruction concerning the study and the protocol for one topical nipple care product.  Participants were randomly placed in one of five groups and used a specified topical nipple care product for seven days following delivery.  A sample of thirty women successfully completed the study protocol.  Statistical measures indicated that while no statistically significant difference existed among groups regarding nipple soreness, a statistically significant difference was discovered among the groups concerning nipple tissue damage.            Research suggests early breastfeeding initiation and supportive hospital practices have a significant impact on successful breastfeeding.  While topical nipple care products used in this study relieved nipple soreness, warm water compresses and mother’s milk were found to prevent nipple tissue damage.  This study was used to develop lactation practices in two local hospitals.

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See more of The 17th International Nursing Research Congress Focusing on Evidence-Based Practice (19-22 July 2006)