Outcome of Nipple Puller Use during Antenatal Care in Short Nipple Pregnant Women: A randomized controlled trial

Objectives: The aim of this study was to compare the nipple length of the short nipple pregnant women who used nipple puller or not during antenatal care. Materials and Methods: A randomized controlled trial was conducted. The pregnant women who were classified as low risk preg...

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Main Authors: Nongyao Baiya, Sukwadee Ketsuwan, Suchasinee Thana, Pawin Puapornpong
Format: Article
Language:English
Published: The Royal Thai College of Obstetricians and Gynaecologists 2018-03-01
Series:Thai Journal of Obstetrics and Gynaecology
Subjects:
Online Access:https://tci-thaijo.org/index.php/tjog/article/download/93998/100326/
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author Nongyao Baiya
Sukwadee Ketsuwan
Suchasinee Thana
Pawin Puapornpong
author_facet Nongyao Baiya
Sukwadee Ketsuwan
Suchasinee Thana
Pawin Puapornpong
author_sort Nongyao Baiya
collection DOAJ
description Objectives: The aim of this study was to compare the nipple length of the short nipple pregnant women who used nipple puller or not during antenatal care. Materials and Methods: A randomized controlled trial was conducted. The pregnant women who were classified as low risk pregnancy and the nipple length less than 7 millimeters at the first antenatal visit were randomized into two groups; 125 cases of nipple puller use group and 125 cases of routine follow-up group. The first group, the mothers were taught by nurse and practiced nipple puller use twice a day until delivery. The second group or comparison group, the mothers had routine follow-up during antenatal care. When the mothers delivered, the nipple length was measured again at the first day postpartum and compared with the previous measurement. The demographic data and nipple length between both groups were compared using chi-square test and student t-test.Results: The mean nipple length of the nipple puller use and routine follow-up group was not significantly different at first antenatal visit. In routine follow-up group, the mean right nipple length was 5.3 ± 1.4 millimeters at antenatal care clinic and 5.6 ± 1.4 millimeters at postpartum. The mean left nipple length was 5.0 ± 1.2 millimeters at antenatal care clinic and 5.4 ± 1.2 millimeters at postpartum. In nipple puller use group, the mean right nipple length was 4.7 ± 1.5 millimeters at antenatal care clinic and 9.5 ± 1.7 millimeters at postpartum. The mean left nipple length was 5.1 ± 1.6 millimeters at antenatal care clinic and 9.4 ± 1.7 millimeters at postpartum. The nipple length differences between routine follow-up and nipple puller use groups were statistically significant at postpartum (p<0.001).Conclusion: The nipple puller use during antenatal period could increase nipple length.
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spelling doaj.art-31f22825329149b9ada60992bee4ff4a2022-12-21T17:30:52ZengThe Royal Thai College of Obstetricians and GynaecologistsThai Journal of Obstetrics and Gynaecology0857-60840857-60842018-03-0126296102https://doi.org/10.14456/tjog.2018.12Outcome of Nipple Puller Use during Antenatal Care in Short Nipple Pregnant Women: A randomized controlled trialNongyao Baiya0Sukwadee Ketsuwan1Suchasinee Thana2Pawin Puapornpong3Obstetric and Gynecology Nursing Department, HRH Princess Maha Chakri Sirindhorn Medical Center, Ongkharak, Nakhon Nayok 26120, ThailandObstetric and Gynecology Nursing Department, HRH Princess Maha Chakri Sirindhorn Medical Center, Ongkharak, Nakhon Nayok 26120, ThailandObstetric and Gynecology Nursing Department, HRH Princess Maha Chakri Sirindhorn Medical Center, Ongkharak, Nakhon Nayok 26120, ThailandDepartment of Obstetrics and Gynecology, Faculty of Medicine, Srinakharinwirot University, Ongkharak, Nakhon Nayok 26120, ThailandObjectives: The aim of this study was to compare the nipple length of the short nipple pregnant women who used nipple puller or not during antenatal care. Materials and Methods: A randomized controlled trial was conducted. The pregnant women who were classified as low risk pregnancy and the nipple length less than 7 millimeters at the first antenatal visit were randomized into two groups; 125 cases of nipple puller use group and 125 cases of routine follow-up group. The first group, the mothers were taught by nurse and practiced nipple puller use twice a day until delivery. The second group or comparison group, the mothers had routine follow-up during antenatal care. When the mothers delivered, the nipple length was measured again at the first day postpartum and compared with the previous measurement. The demographic data and nipple length between both groups were compared using chi-square test and student t-test.Results: The mean nipple length of the nipple puller use and routine follow-up group was not significantly different at first antenatal visit. In routine follow-up group, the mean right nipple length was 5.3 ± 1.4 millimeters at antenatal care clinic and 5.6 ± 1.4 millimeters at postpartum. The mean left nipple length was 5.0 ± 1.2 millimeters at antenatal care clinic and 5.4 ± 1.2 millimeters at postpartum. In nipple puller use group, the mean right nipple length was 4.7 ± 1.5 millimeters at antenatal care clinic and 9.5 ± 1.7 millimeters at postpartum. The mean left nipple length was 5.1 ± 1.6 millimeters at antenatal care clinic and 9.4 ± 1.7 millimeters at postpartum. The nipple length differences between routine follow-up and nipple puller use groups were statistically significant at postpartum (p<0.001).Conclusion: The nipple puller use during antenatal period could increase nipple length.https://tci-thaijo.org/index.php/tjog/article/download/93998/100326/nipple pullernipple lengthshort nippleantenatal care
spellingShingle Nongyao Baiya
Sukwadee Ketsuwan
Suchasinee Thana
Pawin Puapornpong
Outcome of Nipple Puller Use during Antenatal Care in Short Nipple Pregnant Women: A randomized controlled trial
Thai Journal of Obstetrics and Gynaecology
nipple puller
nipple length
short nipple
antenatal care
title Outcome of Nipple Puller Use during Antenatal Care in Short Nipple Pregnant Women: A randomized controlled trial
title_full Outcome of Nipple Puller Use during Antenatal Care in Short Nipple Pregnant Women: A randomized controlled trial
title_fullStr Outcome of Nipple Puller Use during Antenatal Care in Short Nipple Pregnant Women: A randomized controlled trial
title_full_unstemmed Outcome of Nipple Puller Use during Antenatal Care in Short Nipple Pregnant Women: A randomized controlled trial
title_short Outcome of Nipple Puller Use during Antenatal Care in Short Nipple Pregnant Women: A randomized controlled trial
title_sort outcome of nipple puller use during antenatal care in short nipple pregnant women a randomized controlled trial
topic nipple puller
nipple length
short nipple
antenatal care
url https://tci-thaijo.org/index.php/tjog/article/download/93998/100326/
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AT suchasineethana outcomeofnipplepulleruseduringantenatalcareinshortnipplepregnantwomenarandomizedcontrolledtrial
AT pawinpuapornpong outcomeofnipplepulleruseduringantenatalcareinshortnipplepregnantwomenarandomizedcontrolledtrial