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Udgivet

Why do mothers use nipple shields and how does this influence duration of exclusive breastfeeding?

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

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Vis graf over relationer

The present study addressed the contentious discussions about the benefits and risks of nipple shield use. The objective was to explore self-reported reasons for using a nipple shield and examine associations pertaining to the mother, the infant and duration of breastfeeding. Data were collected from 4815 Danish mothers (68%) who filled out a self-administered questionnaire with open and closed question. Data were analyzed by content and statistical descriptive and multivariable analysis. Results showed that 22% of the mothers used nipple shields in the beginning and 7% used it the entire breastfeeding period. Primiparae used nipple shields more often than multiparae, and early breastfeeding problems as well as background factors like lower age, education and higher body mass index were associated with a higher likelihood of using nipple shields. Characteristics of infants associated with introducing nipple shields were lower- gestational age and birthweight. The use of nipple shields was furthermore found to be associated with a threefold increased risk of earlier cessation of exclusive breastfeeding: among primiparae odds ratio = 3.80 (confidence interval 2.61-5.53); among multiparae odds ratio = 3.33 (confidence interval 1.88-5.93). Mothers' own descriptions underlined how various early breastfeeding problems led to the use of nipple shields. Some mothers were helped through a difficult period; others described the use creating a kind of dependence. The results highlight how nipple shields may help breastfeeding mothers in the early period but is not necessarily a supportive solution to the inexperienced mother who needs extra support in the early process of learning to breastfeed. Key messages The use of nipple shields helped mothers to overcome early breastfeeding problems, but for some mothers, it also influenced the act of breastfeeding in the longer run by developing a dependence. The use of nipple shields is associated with a shorter breastfeeding period, among primipara independent on the time used and among multipara only for mothers using it during the entire breastfeeding period. Health professionals should be aware that the use of nipple shields may be an easy but not necessarily supportive solution to the inexperienced mother who needs extra support in the early process of breastfeeding.

OriginalsprogEngelsk
TidsskriftMaternal and Child Nutrition (Online)
Vol/bind13
Udgave nummer1
Sider (fra-til)e12251
ISSN1740-8709
DOI
StatusUdgivet - 21 jan. 2017

ID: 46413924