Efficacy of Low-Level Laser Therapy in Relieving Nipple Pain in Breastfeeding Women: A Triple-Blind, Randomized, Controlled Trial
Coca KP, Marcacine KO, Gamba MA, Corrêa L, Aranha AC, Abrão AC
Pain management nursing : official journal of the American Society of Pain Management Nurses · 22 citas
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Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2016-06-28 · Pain Manag Nurs · vol. 17 · número 4 · págs. 281–289
- Editorial
- Elsevier BV
- Citado
- 86 citas · más que el 86% de estudios similares · 2.1× el promedio de su campo
- Referencias
- 37 trabajos
- Acceso
- De pago
- Áreas de investigación
- Laser Applications in Dentistry and Medicine · Breastfeeding Practices and Influences · Biofield Effects and Biophysics
- Palabras clave
- low-level laser therapy, nipple pain, breastfeeding, nipple lesions, infant latching, analgesia, exclusive breastfeeding, laser dosimetry
- MeSH
- nipples, humans, breast diseases, pain measurement, treatment outcome, pain threshold, breast feeding, adult, female, young adult, pain management, low-level light therapy
6 autores
- Kelly Pereira Coca🇧🇷 · autor de correspondenciaUniversidade Federal de São Paulo
- Karla Oliveira Marcacine🇧🇷Universidade Federal de São Paulo
- Mônica Antar Gamba🇧🇷Universidade Federal de São Paulo
- Luciana Côrrea🇧🇷Universidade de São Paulo
- Ana Cecília Corrêa Aranha🇧🇷Universidade de São Paulo
- Ana Cristina Freitas de Vilhena Abrão🇧🇷Universidade Federal de São Paulo
Resumen
El texto original del estudio, en el idioma en que se publicó.
Pain accruing from nipple lesions caused by inadequate latching by the baby is a common complaint among breastfeeding women and an important obstacle to successful breastfeeding. Nipple pain occurs during the first days after delivery and is considered one of the main causes for early weaning. To investigate the efficacy of low-level laser therapy as a treatment for nipple pain due to breastfeeding. A triple-blind, randomized, clinical study. A university-affiliated hospital in São Paulo, Brazil. Fifty-nine women with nipple lesions at the time of their admission. Thirty women (intervention group) received three sessions of laser therapy (InGaAIP laser, 660 nanometer, 40 milliwatts of power, 5 Joules per square centimeter of energy density for 5 seconds each, total energy = 0.6 Joules) in the region of the nipples at three different points in time (0 hour, 24 hours, and 48 hours after diagnosis of nipple lesion). Twenty-nine women with similar clinical conditions were randomly assigned to the control group. Self-reported pain was recorded before and after laser therapy using a visual analogue scale. The intervention group experienced a decrease of 2.0 centimeters in intensity of pain (p = .016) 24 hours after the first intervention and also presented lower levels of pain compared with the control group. Low-level laser therapy was considered effective for treating nipple lesions in breastfeeding women with pain, providing relief and prolonging exclusive breastfeeding. More clinical trials with different laser dosimetry and parameters are necessary to optimize laser therapy protocols for breastfeeding women.
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