RESPONSE TO THE EDITOR WITH REGARD TO CRITICISM ON THE PAPER ENTITLED

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KAZEMIRAD M.; KAZEMI M.

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Journal: Modern Care Journal Year:2015 | Volume:11 | Issue:4 Page(s): 243-246

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Title

RESPONSE TO THE EDITOR WITH REGARD TO CRITICISM ON THE PAPER ENTITLED "COMPARISON OF THE EFFECTS OF CANDELIT-E CREAM AND BREAST MILK ON THE TREATMENT OF NIPPLE PAIN"

Author(s)

KAZEMIRAD M. | KAZEMI M. | Issue Writer Certificate

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Abstract

Appreciations go to Mr. Salehinia and his colleague for their criticism on the paper. This clinical trial included 82 breast-feeding women with nipple pain who were randomly allocated to two groups. Both groups were instructed the correct way to feed and use cream or milk. Nipple pain was measured and compared before the intervention and three and seven days after the intervention.In studies of this type, lack of education of the correct way of breastfeeding is considered as unethical; thus, there should not be a control group with instructions for incorrect way of breastfeeding. Instruction for the correct way of breastfeeding is not considered as an intervening factor because both groups were instructed at the beginning of the study, and almost all were aware on the third day of the research project. Nipple pain reduced from the third day which was a result of cream or milk application.Frequency of correct breastfeeding prior to the study was 34.1% in the milk group and 48.8% in the cream group. On the third day, these figures increased to 100% and 90.2% in the groups respectively and remained constant until the end of the study (the 7th day). Since 9.8% of the mothers (n=4) did not follow the instructions for correct breastfeeding, 2.4% were still complaining of severe pain on the seventh day. As Cadwell’s (1) and Morland-Schultz and Hill’s (2) studies indicate, instruction of correct breastfeeding is very effective in reducing nipple pain. Comparison of the correctness of breastfeeding showed that there was not a significant difference between the two groups (P=0.17), suggesting the similarity of the two groups. In the current study, the mothers in both groups reported different degrees of pain, and no one reported zero pain. In the milk group, there was 2.4% complete pain removal on the third day, and the percentage of mothers who had severe pain on the first day reduced from 39% to 2.4%. On the seventh day, the overall recovery rate reached 46.4% (and 44% increase in recovery from the third day), and heavy pain was reported to decrease from 2.4% to zero. It can be said that this increase in recovery can be exclusively because of the application of mother's milk.In the cream group, complete recovery from pain was 4.9%. The number of women with severe pain reduced from 41.5% to 4.9%, and on the seventh day, complete recovery rate reached 58.5% (53.6% increase in recovery from the third day), and heavy pain was reported to decrease from 4.9% to 2.4%. It can be concluded that this increase in recovery in the seventh day can be exclusively related to the application of mother's milk.There was not a significant difference as for nipple pain severity between the cream group (5.67±1.86) and the milk group (5.09±2.15) (P=0.22). On the seventh day, the mean score in the cream group (0.74±1.15) was less than the milk group (1.19±1.78) although the difference was not significant (P=0.22).Although breastfeeding was not corrected in 9.8% of mothers in the cream group, the effect of cream was more than milk though not significantly. There was no bias in this study, and it should be emphasized that Calendit-E cream and breast milk seem both to affect nipple pain removal equally. Firm conclusions in this regard, however, require more extensive study.

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APA: Copy

KAZEMI, M., & KAZEMIRAD, M.. (2015). RESPONSE TO THE EDITOR WITH REGARD TO CRITICISM ON THE PAPER ENTITLED "COMPARISON OF THE EFFECTS OF CANDELIT-E CREAM AND BREAST MILK ON THE TREATMENT OF NIPPLE PAIN". MODERN CARE JOURNAL, 11(4), 243-246. SID. https://sid.ir/paper/206023/en

Vancouver: Copy

KAZEMI M., KAZEMIRAD M.. RESPONSE TO THE EDITOR WITH REGARD TO CRITICISM ON THE PAPER ENTITLED "COMPARISON OF THE EFFECTS OF CANDELIT-E CREAM AND BREAST MILK ON THE TREATMENT OF NIPPLE PAIN". MODERN CARE JOURNAL[Internet]. 2015;11(4):243-246. Available from: https://sid.ir/paper/206023/en

IEEE: Copy

M. KAZEMI, and M. KAZEMIRAD, “RESPONSE TO THE EDITOR WITH REGARD TO CRITICISM ON THE PAPER ENTITLED "COMPARISON OF THE EFFECTS OF CANDELIT-E CREAM AND BREAST MILK ON THE TREATMENT OF NIPPLE PAIN",” MODERN CARE JOURNAL, vol. 11, no. 4, pp. 243–246, 2015, [Online]. Available: https://sid.ir/paper/206023/en

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