Painful Breastfeeding and Bacterial or Yeast Infection

NCT ID: NCT01631461

Last Updated: 2016-11-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

136 participants

Study Classification

OBSERVATIONAL

Study Start Date

2006-12-31

Study Completion Date

2009-12-31

Brief Summary

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The aim of this study is to investigate the prevalence of yeast and bacteria in women with breastfeeding pain and to identify signs and symptoms.

Detailed Description

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Painful breastfeeding is one of the most common reasons for early weaning. Persistent pain associated with breastfeeding can sometimes be difficult to diagnose and is a source of frustration for the breastfeeding women as well as for healthcare providers.

The diagnosis of candida infection in breastfeeding women is generally based on signs and symptoms identified in case reports and without any culture. Breastfeeding pain has been described as superficial or deep in some studies. This deep pain syndrome as caused by candida or bacteria has been questioned. A few studies have cultured breast milk from women with deep breast pain and found Candida albicans infections or bacterial infections usually caused by Staphylococcus aureus. There still remains controversy and lack of evidence for candidiasis affecting the lactating breast as well as bacteria causing the pain. Ensured diagnostic methods are important due to the resistant problem with both antibiotics and antifungals. Only one study has described five key symptoms associated with candida. It was shiny, flaky nipple/areola, burning pain on the nipple/areola, non-stabbing pain or stabbing pain in the breast.

The objective of this study was to investigate the prevalence of candida and bacteria in women with superficial or deep breastfeeding pain and to identify signs and symptoms linked to candida or bacteria in breast milk and nipple/areola.

Conditions

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Breast Infection

Keywords

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pain breast feeding yeast candida albicance staphylococcus aureus Signs and symptoms

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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1. Deep pain group

1\. Deep pain group; Pain in the breast

No interventions assigned to this group

2. Superficial pain group

Pain on the nipple and/or aereola

No interventions assigned to this group

3. Control group

No pain or other breastfeeding problems

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* scored pain \> = VAS 4

Exclusion Criteria

* breastfeeding technique problems
* clinical signs of mastitis
* muscular pain
* breast surgery
* use of antibiotic or antifungal treatment during the last preceding week
* temperature \> = 37 degree Celsius
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Vastra Gotaland Region

OTHER_GOV

Sponsor Role collaborator

Göteborg University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Marie Berg, PhD,MPH,MNS

Role: STUDY_DIRECTOR

Sahlgrenska Academy at University of Gothenburg

Other Identifiers

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PainBreastfeed

Identifier Type: -

Identifier Source: org_study_id