Laser Therapy in Nipples Injured During Breastfeeding
Laser Therapy in Nipples Injured During Breastfeeding
This study aims to evaluate the effect of low-level laser in pain relief and tissue repair in
 mothers with nipple trauma during breastfeeding, compared to a control group.
The selection was made through the search of women hospitalized in Accommodation beds with
 nipple trauma, lifting of stipulated criteria, and inclusion of women in the study upon
 acceptance and signing of the consent form. To collect the data, a group was formed with
 people trained as evaluators, responsible for election, randomization, filling of First
 Assessment and Subsequent Assessment forms, recording of photo images and pain evaluation
 before and after treatment with laser; and applicators, responsible for laser handling and
 irradiation. Data collection followed the following order: filling of the first instrument,
 breast image capture, suckling observation, identification of pain during the child's breast
 sucking, laser irradiation and re-identification of pain during the child's breast sucking
 after laser treatment. The collection of data of this form occurred continuously every twelve
 hours until repair of the nipple trauma or patient discharge. A minimum of two and a maximum
 of six assessments were carried out, from the inclusion of the patient in the study (taken as
 zero hour) to 60 hours postpartum. Irradiation, in turn, was performed every 24 hours during
 the same period, including one to three irradiations per patient in each of the breasts.
Inclusion Criteria:

 Women hospitalized in the Accommodation System with their children, feeding exclusively
 directly from the breast and presenting unilateral or bilateral nipple trauma.

 Exclusion Criteria:

 Women who were using any other form of treatment for nipple trauma; use of any topical
 substance in the nipple-areola region; presence of inverted and pseudo-inverted nipple;
 presence of mastitis; previous history or presence of malignancies; presence of
 photosensitivity or any adverse reactions to exposure to sunlight; discharge planned for
 the first day of data collection; women under unfavorable psycho-affective and cognitive
 situations which prevented assessment of the analog pain scale, photo image record. and
 observation of breastfeeding; women who had twins, children with gestational age less than
 37 weeks, or birth weight less than 2500 grams.