medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2020-18-128-133medsovet-5905Research ArticleКЛИНИЧЕСКИЙ СЛУЧАЙ/ПРАКТИКАCLINICAL CASE/PRACTICEБезопасность и эффективность крема на основе ланолина для профилактики трещин соска молочной железы в раннем послеродовом периодеSafety and effectiveness of lanolin-based cream to prevent cracked nipples in the early postpartum periodhttps://orcid.org/0000-0003-4956-0466РадзинскийВ. Е.RadzinskiyV. E.

чл.-корр. РАН, д.м.н., профессор, заведующий кафедрой акушерства и гинекологии с курсом перинатологии Медицинского института

117198, Россия, Москва, ул. Миклухо-Маклая, д. 6

Corresponding Member RAS, Dr. of Sci. (Med.), Professor, Head of the Department of Obstetrics and Gynecology with the course of perinatology of the Medical Institute

6, Miklukho-Maklai St., Moscow, 117198, Russia

radzinsky@mail.ruhttps://orcid.org/0000-0001-5882-9995ОрдиянцИ. М.OrdiyantsI. M.

д.м.н., профессор, кафедра акушерства и гинекологии с курсом перинатологии Медицинского института

117198, Россия, Москва, ул. Миклухо-Маклая, д. 6

Dr. of Sci. (Med.), Professor, Department of Obstetrics and Gynecology with the course of perinatology of the Medical Institute

6, Miklukho-Maklai St., Moscow, 117198, Russia

radzinsky@mail.ruФедеральное государственное автономное образовательное учреждение высшего образования «Российский университет дружбы народов»РоссияFederal State Autonomous Educational Institution of Higher Education “Peoples’ Friendship University of Russia”Russian Federation202027112020018128133Copyright © Радзинский В.Е., Ордиянц И.М., 20202020Радзинский В.Е., Ордиянц И.М.Radzinskiy V.E., Ordiyants I.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/5905Введение

Введение. По данным ВОЗ, 98% женщин мира способны к полноценной лактации, вместе с тем только 35% младенцев в мире получают эксклюзивное грудное вскармливание первые 6 мес. после рождения. Раны и язва сосков являются  распространенными причинами, которые у 95% женщин приводят к отказу от грудного вскармливания.

Цель исследования

Цель исследования. Оценить эффективность и безопасность крема на основе ланолина с целью профилактики трещин соска молочной железы у женщин в первые 30 дней после родов.

Материалы и методы

Материалы и методы. Популяция состояла из 128 пациенток в раннем послеродовом периоде, рандомизированных на 2 группы в зависимости от особенностей грудного вскармливания и метода профилактики трещин соска: I группа – 99 пациенток,  получавших крем на основе ланолина при индивидуальном консультировании по  грудному вскармливанию; II группа – 29 пациенток, не получавших крем. Исследуемое средство – крем для сосков, состав: 100%-ный ланолин; фармакотерапевтическая группа: антисептическое средство. Крем обладает кератолитическим, антисептическим, ранозаживляющим действием.

Способ применения и дозы

Способ применения и дозы: наружно, после каждого кормления (или по мере необходимости) крем наносили на сосок и ареолу, перед прикладыванием к груди ребенка крем не требует удаления.

Результаты исследования и их обсуждение. Оценка эффективности и безопасности проводилась на основании клинических данных, жалоб, объективных данных и по результатам цитологических исследований в сравнительном аспекте – до применения крема и через месяц после его применения.

Выводы

Выводы. Коррекция нарушений грудного вскармливания в сочетании с кремом на основе 100%-ного ланолина позволила снизить до нуля частоту клинических проявлений, а главное, сохранить эксклюзивное грудное вскармливание пациенткам, находившимся под наблюдением. Исследованный крем является безвредным для ребенка и эффективным средством для профилактики трещин сосков.

Introduction

Introduction. According to WHO, 98% of women in the world are capable of full lactation, however, only 35% of infants in the world get exclusive breastfeeding for the first 6 months after birth. Wounds and ulcers of nipples are common causes that lead to 95% of women refusing to breastfeed.

Aim of the study

Aim of the study. To evaluate the efficacy and safety of the lanolin-based cream to prevent cracked nipples in women in the first 30 days after delivery.

Materials and methods

Materials and methods. The population consisted of 128 patients in the early postpartum period, randomized into 2 groups depending on the features of breastfeeding and the method of prevention of cracked nipples: Group I – 99 patients who received lanolin-based cream with individual consultation on breastfeeding; Group II – 29 patients who did not receive the cream.

Examined substance – nipple cream, composition: 100% lanolin; pharmacotherapeutic group: antiseptic. The cream has keratolytic, antiseptic, wound healing effect. Method of application and dosage: externally, after each feeding (or as needed), the cream was applied to the nipple and areola, the cream does not require removal before applying to the child’s chest.

Results of the study and discussion. Evaluation of efficacy and safety was carried out on the basis of clinical data, complaints, objective data and the results of cytological studies in a comparative aspect - before the cream was applied and one month after its application.

Conclusions

Conclusions. Correction of breastfeeding disorders in combination with a cream based on 100% lanolin has reduced the frequency of clinical manifestations to zero, and most importantly, to preserve exclusive breastfeeding for patients under observation. The studied cream is harmless for the child and effective in preventing cracked nipples.

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The authors declare that there are no conflicts of interest present.