Efficacy of Low-Level Laser Therapy in Relieving Nipple Pain in Breastfeeding Women: A Triple-Blind, Randomized, Controlled Trial

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dc.contributor.authorCoca, Kelly Pereira [UNIFESP]
dc.contributor.authorMarcacine, Karla Oliveira [UNIFESP]
dc.contributor.authorGamba, Monica Antar [UNIFESP]
dc.contributor.authorCorrea, Luciana
dc.contributor.authorCorrea Aranha, Ana Cecilia
dc.contributor.authorFreitas de Vilhena Abrao, Ana Cristina [UNIFESP]
dc.date.accessioned2019-07-22T15:46:57Z
dc.date.available2019-07-22T15:46:57Z
dc.date.issued2016
dc.description.abstractPain 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 Sao 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. (C) 2016 by the American Society for Pain Management Nursingen
dc.description.affiliationUniv Fed Sao Paulo, Escola Paulista Enfermagem, Sao Paulo, Brazil
dc.description.affiliationUniv Sao Paulo, Fac Odontol, Sao Paulo, Brazil
dc.description.affiliationUnifespUniv Fed Sao Paulo, Escola Paulista Enfermagem, Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent281-289
dc.identifierhttp://dx.doi.org/10.1016/j.pmn.2016.05.003
dc.identifier.citationPain Management Nursing. New York, v. 17, n. 4, p. 281-289, 2016.
dc.identifier.doi10.1016/j.pmn.2016.05.003
dc.identifier.issn1524-9042
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/51212
dc.identifier.wosWOS:000381711300006
dc.language.isoeng
dc.publisherElsevier Science Inc
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.titleEfficacy of Low-Level Laser Therapy in Relieving Nipple Pain in Breastfeeding Women: A Triple-Blind, Randomized, Controlled Trialen
dc.typeinfo:eu-repo/semantics/article
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