Benefits and safety of the use of devices accessories to milk extraction: literature review
Main Article Content
Abstract
Introduction: Good breastfeeding practices in attention to the mother-baby binomial refer to the exclusive breastfeeding for the first six months and appropriate up to two years of age according to the World Health Organization. Due to multiple clinical complications
breast milking is needed, so we will have available for the benefit of the practice auxiliary devices to lactation and breast protectors, essential to avoid early weaning. Purpose: Narrative review based on the methods used for the extraction of human milk and the use of devices used in the period of exclusive breastfeeding. Methods: Literature review on “evidence of benefits and safety for the use of devices which are accessory to the milk extraction” with data collection in the VHL virtual databases, Medline, Scopus, Science Direct and Cochrane with the keywords “breastfeeding”, “breast milk extraction”, “ human milk” and time record of the last 20 years of publication. Results: The use of the accessory devices for breastfeeding is popular and of good acceptability, relatively safe but does not determine unequivocal benefits in relation to prolonging the breastfeeding period. Final considerations: The description of different auxiliary methods for human milk extraction and breast protectors consist of accessible devices in their handling and of varying cost. Educational, managerial and assistance technologies aimed at breastfeeding should enhance these auxiliary devices, when necessary, avoiding early weaning.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
1. Silva NVN, et al. Tecnologias em saúde e suas contribuições para a promoção do aleitamento materno: revisão integrativa da literatura. Ciência & Saúde Coletiva.2019;24(2):589-602.
2. Dennis CL, Jackson K, Watson J. Interventions for treating painful nipples among breastfeeding women. Cochrane Database of Systematic Reviews.2014;12:CD007366.
3. Eglash A, Malloy ML. Breastmilk Expression and Breast Pump Technology. Clinical Obstetrics and Gynecology.2015;58(4):855-67.
4. Flaherman VJ, Lee HC. "Breastfeeding" by feeding expressed mother's milk. Pediatric Clinics of North America.2013;60:227-246.
5. Silva DA, et al. Procedimentos técnicos para ordenha, manipulação e administração do leite humano cru exclusivo da mãe para o próprio filho em ambiente neonatal. Rede Global de Bancos de Leite Materno. 2020. Disponível em: https://rblh.fiocruz.br/sites/rblh.fiocruz.br/files/usuario/8/ nt_procedimentos_ordenha_manipulacao_leite_cru.pdf. Acesso em: 28 nov. 2020.
6. Schwartz K, et al. Factors associated with weaning in the first 3 months postpartum. Journal of Family Practice.2002;51:439-444.
7. Win NN, et al. Breastfeeding duration in mothers who express breast milk: a cohort study. International Breastfeeding Journal.2006;1:28.
8. Gerachty S, et al. Predictors of breastmilk expression by 1 month postpartum and influence on breastmilk feeding duration. Breastfeed Medicine.2012;7:112-117.
9. Fewtrell M, et al. Short‐term efficacy of two breast pumps and impact on breastfeeding outcomes at 6 months in exclusively breastfeeding mothers: A randomised trial. Maternal & Child Nutrition.2019;15:e12779.
10. Becker GE, Smith HA, Cooney F. Methods of milk expression for lactating women. Cochrane Database of Systematic Reviews.2016;9:CD006170.
11. Qi Y, et al. Maternal and Breast Pump Factors Associated with Breast Pump Problems and Injuries. Journal of Human Lactation.2014;30(1):62-72.
12. Brown S, et al. Breast Pump Adverse Events: Reports to the Food and Drug Administration. Journal of Human Lactation.2005;21(2):169-174.
13. Berens PD. Breast Pain: Engorgement, Nipple Pain, and Mastitis. Clinical Obstetrics and Gynecology.2015;58(4):902-914.
14. Francis J, Dickton D. Physical Analysis of the Breast After Direct Breastfeeding Compared with Hand or Pump Expression: A Randomized Clinical Trial. Breastfeeding Medicine.2019;14(10):705-711.
15. Cadwell K, et al. Pain Reduction and Treatment of Sore Nipples in Nursing Mothers. The Journal of Perinatal Education.2004;13(1):29-35.
16. Mangesi L, Zakarija-Grkovic I. Treatments for breast engorgement during lactation. Cochrane Database of Systematic Reviews.2016;6:CD006946.
17. Chertok I. Reexamination of ultra-thin nipple shield use, infant growth and maternal satisfaction. Journal of Clinical Nursing.2009;18(21):2949-2955.
18. Powers D, Tapia VB. Women's Experiences Using a Nipple Shield. Journal of Human Lactaction.2004;20(3):327-334.
19. Coentro VS, et al. Effect of nipple shield use on milk removal: a mechanistic study. BMC Pregnancy and Childbirth.2020;20:516.
20. Hanna S, Wilson M, Nordwood S. A description of breast-feeding outcomes among U.S. mothers using nipple shields. Midwifery.2013;29:616-621.
21. Nardi AL, et al. Impacto dos aspectos institucionais no aleitamento materno em mulheres trabalhadoras: uma revisão sistemática. Ciência & Saúde Coletiva.2020:25(4):1445-1462