Nipple Characteristics between Teenage and Adult in Postpartum Period and Success in Breastfeeding at day 3 Postpartum

Objectives: To compare nipple length and diameter between teenage and adult mothers during early postpartum period and their association with success in breastfeeding at day 3 postpartum.Materials and Methods: A total of 315 nulliparous women, who delivered at Siriraj Hospital between March and O...

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Main Authors: Varin Intarasirisawat, Pattama Chaopotong, Dittakarn Boriboonhirunsarn
Format: Article
Language:English
Published: The Royal Thai College of Obstetricians and Gynaecologists 2018-12-01
Series:Thai Journal of Obstetrics and Gynaecology
Subjects:
Online Access:https://tci-thaijo.org/index.php/tjog/article/download/103641/120766/
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author Varin Intarasirisawat
Pattama Chaopotong
Dittakarn Boriboonhirunsarn
author_facet Varin Intarasirisawat
Pattama Chaopotong
Dittakarn Boriboonhirunsarn
author_sort Varin Intarasirisawat
collection DOAJ
description Objectives: To compare nipple length and diameter between teenage and adult mothers during early postpartum period and their association with success in breastfeeding at day 3 postpartum.Materials and Methods: A total of 315 nulliparous women, who delivered at Siriraj Hospital between March and October 2016 were enrolled. Study group consisted of 105 teenage mothers and 210 adult mothers were served as a comparison group. Baseline characteristics, obstetric data, maternal and neonatal outcomes were extracted from medical records. Nipple length and diameter were measured. LATCH score was used to evaluate success in breastfeeding at day 3 postpartum, using score of ≥ 7 as a cut off. Comparisons of various characteristics were made between groups. Association between nipple characteristics and LATCH score were evaluated.Results: Teenage mothers were significantly more likely to be underweight, working as a housewife, and have lower income. While gestational age at delivery was comparable, teenage mothers were significantly more likely to deliver vaginally. Birth weight were significantly lower among teenage mother. Nipples of teenage mothers were significantly shorter and narrower than adult mothers (7.3 ± 2.8 mm vs. 9.6 ± 2.8 mm, p < 0.001 and 13.5 ± 1.4 mm vs. 14.2 ± 1.8 mm, p = 0.002, respectively). At day 3 postpartum LATCH scores ≥ 7 were comparable between groups (58.1% vs. 55.2%, p = 0.631). Nipple length of ≥ 7 mm was significantly associated with success in breastfeeding at day 3 postpartum (LATCH score of ≥ 7) in both teenage (71% vs. 39.5%, p = 0.002) and adult (60.4% vs. 13%, p < 0.001) mothers.Conclusion: Teenage nipples had significantly shorter and narrower than adult mothers. Pregnant women with nipple length of ≥ 7 mm on at least one side significantly increased the chance of success in breastfeeding at day 3 postpartum regardless of age group.
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spelling doaj.art-fee1747a58eb4ee6b753879bafa0822a2022-12-22T02:56:34ZengThe Royal Thai College of Obstetricians and GynaecologistsThai Journal of Obstetrics and Gynaecology0857-60840857-60842018-12-01264246254https://doi.org/10.14456/tjog.2018.29Nipple Characteristics between Teenage and Adult in Postpartum Period and Success in Breastfeeding at day 3 PostpartumVarin Intarasirisawat0Pattama Chaopotong1Dittakarn Boriboonhirunsarn2Department of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDepartment of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandDepartment of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, ThailandObjectives: To compare nipple length and diameter between teenage and adult mothers during early postpartum period and their association with success in breastfeeding at day 3 postpartum.Materials and Methods: A total of 315 nulliparous women, who delivered at Siriraj Hospital between March and October 2016 were enrolled. Study group consisted of 105 teenage mothers and 210 adult mothers were served as a comparison group. Baseline characteristics, obstetric data, maternal and neonatal outcomes were extracted from medical records. Nipple length and diameter were measured. LATCH score was used to evaluate success in breastfeeding at day 3 postpartum, using score of ≥ 7 as a cut off. Comparisons of various characteristics were made between groups. Association between nipple characteristics and LATCH score were evaluated.Results: Teenage mothers were significantly more likely to be underweight, working as a housewife, and have lower income. While gestational age at delivery was comparable, teenage mothers were significantly more likely to deliver vaginally. Birth weight were significantly lower among teenage mother. Nipples of teenage mothers were significantly shorter and narrower than adult mothers (7.3 ± 2.8 mm vs. 9.6 ± 2.8 mm, p < 0.001 and 13.5 ± 1.4 mm vs. 14.2 ± 1.8 mm, p = 0.002, respectively). At day 3 postpartum LATCH scores ≥ 7 were comparable between groups (58.1% vs. 55.2%, p = 0.631). Nipple length of ≥ 7 mm was significantly associated with success in breastfeeding at day 3 postpartum (LATCH score of ≥ 7) in both teenage (71% vs. 39.5%, p = 0.002) and adult (60.4% vs. 13%, p < 0.001) mothers.Conclusion: Teenage nipples had significantly shorter and narrower than adult mothers. Pregnant women with nipple length of ≥ 7 mm on at least one side significantly increased the chance of success in breastfeeding at day 3 postpartum regardless of age group.https://tci-thaijo.org/index.php/tjog/article/download/103641/120766/nipple lengthnipple widthteenage pregnancybreastfeeding
spellingShingle Varin Intarasirisawat
Pattama Chaopotong
Dittakarn Boriboonhirunsarn
Nipple Characteristics between Teenage and Adult in Postpartum Period and Success in Breastfeeding at day 3 Postpartum
Thai Journal of Obstetrics and Gynaecology
nipple length
nipple width
teenage pregnancy
breastfeeding
title Nipple Characteristics between Teenage and Adult in Postpartum Period and Success in Breastfeeding at day 3 Postpartum
title_full Nipple Characteristics between Teenage and Adult in Postpartum Period and Success in Breastfeeding at day 3 Postpartum
title_fullStr Nipple Characteristics between Teenage and Adult in Postpartum Period and Success in Breastfeeding at day 3 Postpartum
title_full_unstemmed Nipple Characteristics between Teenage and Adult in Postpartum Period and Success in Breastfeeding at day 3 Postpartum
title_short Nipple Characteristics between Teenage and Adult in Postpartum Period and Success in Breastfeeding at day 3 Postpartum
title_sort nipple characteristics between teenage and adult in postpartum period and success in breastfeeding at day 3 postpartum
topic nipple length
nipple width
teenage pregnancy
breastfeeding
url https://tci-thaijo.org/index.php/tjog/article/download/103641/120766/
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AT pattamachaopotong nipplecharacteristicsbetweenteenageandadultinpostpartumperiodandsuccessinbreastfeedingatday3postpartum
AT dittakarnboriboonhirunsarn nipplecharacteristicsbetweenteenageandadultinpostpartumperiodandsuccessinbreastfeedingatday3postpartum