Despite 90% of women experiencing breast and nipple pain during breastfeeding, mothers rarely receive adequate knowledge and skills for breastfeeding pain self-management and cease breastfeeding. Our randomized control trial (RCT) pilot study tested the feasibility, acceptability, and efficacy of a breastfeeding self-management intervention (BSM) on breast and nipple pain and breastfeeding outcomes. Sixty women were recruited after delivery and completed survey measures of pain and breastfeeding outcomes, pain sensitivity testing and a biological sample to assess genetic risk for pain at baseline. Both groups completed pain and breastfeeding outcomes surveys via texting links using REDCap 7.4. Women in the intervention group received biweekly nurse-lead texting and cloud-based educational modules addressing breast and nipple pain and breastfeeding challenges. The BSM intervention was acceptable and sustainable for 94% of the women who continued to breastfed to 6 weeks. Acute breast and nipple pain at 1 and 2 weeks were significantly reduced and was associated with pain sensitivity polymorphisms, suggesting a genetic risk profile of pain-associated breastfeeding cessation.
Learning Objectives:
Objective 1: Describe the occurrence of breast and nipple pain women experience during breastfeeding
Objective 2: Describe the mechanism of pain and how breast and nipple pain occur during breastfeeding
Objective 3: Verbalize strategies to promote self-management for women experiencing breast and nipple pain during breastfeeding
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