Network of Australian Lactation Colleges
International Board of Lactation Consultant Examiners
use of nipple shields by breastfeeding women.
Author: Nicholson W L , J Aust Coll Midwives, 1993 Jun, 6:2, 18-24
Abstract : The use of nipple shields when breastfeeding has given rise to concerns about possible harmful effects. A study was carried out to examine this issue. A lactation consultant's (LC) patients using nipple shields were compared with her other patients who were not using nipple shields, and an incidental sample of all postnatal breastfeeding women. The three groups were compared on discharge from hospital and at 3 months. Breastfeeding rates and problems (nipple trauma and mastitis) were studied: on discharge from hospital the LC patients who were not using nipple shields were significantly less likely to be breastfeeding than either of the other two groups. At 3 months, both LC groups were less likely to be breastfeeding than the postnatal group; there was no significant differences between the women using nipple shields and those who were not. There were no significant difference in reported problems in the 3 groups. It is concluded that women with breastfeeding problems are more likely to give up breastfeeding than those women who do not have major problems, and that the use of nipple shields is not a contributing factor and does not appear to compromise lactation.
Authors: Marshall DR; Callan PP; Nicholson W , Br J Plast Surg, 1994 Apr, 47:3, 167-9
Abstract: A retrospective study was performed of 30 women who had undergone breast reduction and subsequently wished to breastfeed. Breastfeeding capabilities were assessed by a trained lactation consultant. Findings indicate that in women who have a physiological type of operation then breastfeeding is usually possible ( 18 patients out of 19), although complementary feeds may be required. We strongly suggest that all functioning breast tissue that remains after reduction mammaplasty be left attached to the nipple in a physiological manner to allow subsequent breastfeeding.
Breast feeding after reduction mammoplasty.
Authors: Marshall DR, Callan P, Nicholson W. Med J Aust 1993 Sep 20;159(6):428-429[LETTER]
Key words: Breast Feeding*Female Human Infant Mammaplasty*/methods
Breastfeeding after breastreduction: guidelines for mothers.
Nicholson W. BreastfeedingReview 1991; 2(4): 174-177.
Summary: Most women have breast reduction operations (reduction mammaplasty) because of the physical problems caused by abnormally large breasts. The relief experienced after the operation is universal, and most women are very satisfied with the outcome - they can exercise, buy `normal' clothes, and they no longer have backache and other problems. In these Guidelines, we hope to answer most of the questions that you may have thought of, and provide you with information that will assist you and your baby.
Author: Nicholson, WL.J Hum Lact 1991 Jun;7(2):82-84
Summary: This discussion reports the experiences of one midwife who breastfed two children who had ankyloglossia. It compares her breastfeeding problems with each baby, and describes her difficulties in getting appropriate treatment, and the effects on and outcomes of her breastfeeding experiences.
Terms: Breast Feeding*Case Report Human Infant, Newborn Lingual Frenum/surgery Lingual Frenum/abnormalities*Male
Aust N Z J Obstet Gynaecol1995Nov;35(4):393-397
Authors: Nicholson W, Yuen HP.
Aust NZ J Obstet Gynaecol1995;35(4):393-397.
Abstract: A prospective breast feeding survey in a large obstetric hospital was carried out from 1988to 1991. For each year, a sample of women were interviewed following delivery and data was collected which included the method of feeding, patient status (public or private patients), age, parity, (including previous breastfeeding experience), marital status, country of birth and the number of babies. The mother's feeding method after delivery and on discharge from hospital were recorded. Women who were breast feeding on discharge were interviewed at 3 months. When putting the figures for the 4 years together, the breastfeeding commencement rate was 88%, the breast feeding rate on discharge was 80% and the breast feeding rate at 3 months was between 51% and 57%. Factors found to be affecting the breast feeding rate at 3 months included patient status, age and parity. Problems experienced by the mothers after discharge from hospital included nipple pain, nipple trauma and mastitis. Private patients reported a significantly higher rate of mastitis than public patients.
Terms: Adult Breast Feeding / statistics & numerical data Female Hospitals, Maternity Human Mastitis / etiology Prospective Studies Socioeconomic Factors Victoria
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