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IRCT201512078170N9 IRCT 2016-03-13 Vice Chancellor for Research, Tabriz University of Medical Sciences Successful breastfeeding with inverted nipples Effectiveness of two methods of ring band & nipple massage on successes of breastfeeding among mothers with nipple problems 2016-02-22 anticipated 99 Complete https://irct.ir/trial/8613 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. 2 Breast-feeding problems. Intervention 1: The first group of intervention will receive ring bond at the base of nipple which cut from condom brim for successful breast-feeding. Intervention 2: The second group of intervention will receive massage of nipple or Hoffman massage for successful breast-feeding. Intervention 3: The control group will receive nipple's shield as the routine method of maternity ward for successful breast-feeding.
public Jamileh Malakouti
Faculty of Nursing and Midwifery, South Shariati St
Tabriz Iran (Islamic Republic of) +98 41 3477 2699 malakoutij@tbzmed.ac.ir Faculty of Nursing and Midwifery, Tabriz Medical Science University scientific Jamileh Malakouti
School of Nursing and Midwifery, South Shariati St
Tabriz Iran (Islamic Republic of) +98 41 3477 2699 malakoutij@tbzmed.ac.ir School of Nursing and Midwifery, Tabriz Medical Science University Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Inclusion criteria: Aged between 18-40; willingness of women to participate at study; ability to read and write Persian; infant birth weight between 2000 and 4000 gr; mothers with flat or inverted nipple problem; phone number for follow-up Exclusion criteria:Using pumps; caps or any other devices to facilitate breastfeeding; mothers' infants with physiological; anatomical and other abnormalities no able to feed orally; history of physical and mental illness of the mother (epilepsy; gastrointestinal disorders; cardiovascular; kidney); having stressful accidents 1 month ago such as divorce; death of family members; using effective drugs during breastfeeding (to increase and decrease milk and hormones); presence of a disease or disorder affecting the attachment of the baby on mother 18 years 40 years Female 92.5 Neonatal difficulty in feeding at breast Prevention Prevention Prevention The first group of intervention will receive ring bond at the base of nipple which cut from condom brim for successful breast-feeding The second group of intervention will receive massage of nipple or Hoffman massage for successful breast-feeding The control group will receive nipple's shield as the routine method of maternity ward for successful breast-feeding The number of infants’ breast-feeding. Timepoint: 1, 7, 15. Method of measurement: Device for weight gain. Comparing the number of infants’ breast-feeding during 1, 7 and 15 days at massage group. Timepoint: 1 , 7 and 15. Method of measurement: Calculating the number of infants’ breast-feeding and device for weight gain. Comparing the number of infants breast-feeding during 1, 7 and 15 days at 3 groups. Timepoint: 1, 7 , 15. Method of measurement: Calculating the number of infants’ breast-feeding and device for weight gain. Mother-infant bounding. Timepoint: Day 1 and 15 after intervention. Method of measurement: Maternal-fetal bounding scale. Determining the frequency of adverse events in mother and infant at groups of study. Timepoint: 1-14 after intervention. Method of measurement: Self- designed check List. Vice Chancellor for Research, Tabriz University of Medical Sciences Approved 2015-11-26 Ethics Committee of Tabriz University of Medical Sciences Azadi st; Golgasht Street ; Tabriz University of Medical Sciences Research & Technology Tabriz Iran (Islamic Republic of)