The influence of breastfeeding technique on the frequencies of exclusive breastfeeding and nipple trauma in the first month…

J Pediatr (Rio J). 2005;81(4):310-6

Enilda M. L. Weigert, Elsa R. J. Giugliani, Maristela C. T. França, Luciana D. de Oliveira, Ana Bonilha, Lílian C. do Espírito Santo, Celina Valderez F. Köhler

Introduction

Rates of exclusive breastfeeding in Brazil are rising, but still remain much too low, being just 23 days in the state capitals (1). A number of different factors could be contributing to this situation, one of which is an inadequate breastfeeding technique (2).

It is relatively recent the knowledge that correct positioning of the mother/baby pair and effective latch on and suction encourage exclusive breastfeeding. If the mother and/or baby are in positions that make it difficult for the baby’s mouth to be adequately positioned in relation to the nipple can result in what is called poor latch on. This, in turn, interferes in the dynamics of suction and extraction of the breastmilk, and can make it less likely that the breast is properly emptied and lead to reduced milk production. As a result, the mother may introduce other foods early, thus contributing to early weaning (2-4). One study has shown that guidance on correct breastfeeding technique in the maternity ward can reduce the incidence of women reporting low milk production (5). Furthermore, incorrect attachment of the baby to the breast can cause nipple injuries, causing the mother pain and discomfort, which can compromise breastfeeding continuation if not duly corrected (5-7).

A cikk teljes szövege a Jornal de Pediatria oldalán olvasható.