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Which interventions are best for alleviating nipple pain in nursing mothers?
The Journal of Family Practice, 11/05/09

Lochner JE et al. – The best intervention is education on proper positioning and attachment of the infant (strength of recommendation [SOR]: A, a systematic review of randomized controlled trials [RCTs]). No single topical preparation has been consistently demonstrated to be superior to others for relieving nipple pain (SOR: B, inconsistent RCTs). Topical agents that show some evidence of benefit include expressed breast milk, lanolin, warm water compresses, tea bag compresses, hydrogel dressings, a chlorhexidinealcohol spray, and a polyethylene film dressing (SOR: B, inconsistent RCTs). Several studies found these interventions to be equivalent to basic breast care, including keeping the nipple clean and dry (SOR: B, RCTs). One type of glycerin–based hydrogel dressing was associated with an increased incidence of breast infections (SOR: B, inconsistent RCTs).

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Postoperative analgesia following caesarean deliveries in a rural health district of South Africa
Tropical Doctor, 10/01/09 Relevance Score: 79%

Guidelines for maternal codeine use during breastfeeding
Canadian Family Physician, 11/13/09 Relevance Score: 78%

Effects of Breastfeeding on Pain Relief in Full-term Newborns
The Clinical Journal of Pain, 10/20/09 Relevance Score: 78%

Breast-feeding the last born child and risk of ovarian cancer
Cancer Causes and Control, 11/16/09 Relevance Score: 72%

Prevalence of and factors associated with persistent pain following breast cancer surgery
JAMA, 11/11/09 Relevance Score: 71%