Thermography study of nipple-areola complex in immediate puerperas
Migueli, Maria Ferreira di; Luz, Soraia Cristina Tonon da; Santos, Keyla Mara dos; Honório, Gesilani Julia da Silva; Roza, Thuane da
Abstract
Introduction: In the puerperium period, one of the main causes for discontinuation of breastfeeding is breast changes. The fissure is characterized by a skin lesion in the nipple-areolar complex, a consequence of an error in the breastfeeding. Objective: The present study aimed to identify the surface temperature of the nipple-areola complex of the lactating breast, with and without fissure, establishing a comparison with a group of nulliparous women. Method: The sample consisted of thirty women, forming three groups: G1- puerperae with breast fissure; G2- puerperae without breast fissure; and G3- nulliparous. The evaluations were carried out at public Carmela Dutra Maternity of Florianopolis (SC), consisting of: interview, inspection and thermographic examination of the anterior view of the breasts. Nulliparous were evaluated at the Santa Catarina State University. Results: Increased vascularization was observed in G1 and G2, including the nipple-areola complex, mainly in G2. Seven women of G1 and eight of G2 presented warmer and vascularized areolar region when compared to the nipple. The nulliparas presented different thermal image, with smaller number of areas with delineations of blood vessels. Statistical differences were observed between groups at the minimum temperature in the areola (p=0.007) and in the nipple (p=0.037). When comparing the mean temperatures between the groups, there was a statistical difference between G1 and G3 in both regions (p=0.005; p=0.047). The G1 presented lower temperature in the nipple region. Conclusion: The group with fissure had lower values of superficial temperature compared to the others, which could be associated with a vascular alteration process, and the thermographic evaluation made it possible to identify physiological and structural modifications of the breast. As a non-invasive technique, thermography can be a tool in the monitoring of physiological anatomical changes of the breast, as well as in the identification of problems related to lactation difficulty, opening doors to new studies about the subject.
Keywords
References
1. Albino MAS, Moccellin AS, Firmento BS, Driusso P. Gait force propulsion modifications during pregnancy: effects of changes in feet’s dimensions. Rev Bras Ginecol Obstet. 2011;7(33):164-9.
2. Vieira SM, Bock LF, Zocche DA, Pessota CU. Perceptions among pregnant women on pre-natal care provided by the health team. Texto Contexto Enferm. 2011;esp(20):255-62.
3. Liz AN, Magalhães GM, Beuttenmüller L, Bastos VPD. Fisioterapia no Período Puerperal: Revisão Sistemática. CORPVS/Rev dos Cursos de Saúde da Faculdade Integrada do Ceará. 2013;1(27):09-20.
4. Verret-Chalifour J, Giguère Y, Forest JC, Croteau J, Zhang P, Marc I. Breastfeeding initiation: impact of obesity in a large Canadian perinatal cohort study. PLoS One. 2015;10(2):1-13.
5. Hassiotou FHP. At the dawn of a new discovery: the potential of breast milk stem cells. Adv Nutr. 2014;5(6):770-8.
6. Ito S. Chronic illness and the breastfeeding mother. J Popul Ther Clin Pharmacol. 2014;21(3):565-8.
7. Saúde MD. Pesquisa Nacional de Demografia e Saúde da Criança e da Mulher – PNDS 2006: dimensões do processo reprodutivo e da saúde da criança. . Brasília. 2009.
8. Assis EA. Difficulties faced by primiparous puerperal regarding the exclusive breastfeeding. Revista Eletrônica Gestão & Saúde. 2014;5(3):808-19.
9. Almeida JSG. Dificuldades das puérperas adolescentes para amamentar: Revisão sistemática. Universidade Estadual da Paraíba. 2014:18.
10. Souza GAGR. Reference breast temperature: proposal of an equation. Einstein (São Paulo). 2015;13(4):518-24.
11. Chaves RG, Lamounier JA, César CC. Factors associated with duration of breastfeeding. Jornal de Pediatria. 2007 jun;83(3):241-6.
12. Viana LC. Ginecologia. 2o ed. Rio de Janeiro: Medsi; 2002.
13. Palter SF, Olive DL. Fisiologia Reprodutiva. 13o ed. Rio de Janeiro: Guanabara Koogan; 2005.
14. Polden M, Mantle J. Fisioterapia em Obstetrícia e Ginecologia. São Paulo: Santos; 2000.
15. Almeida NAM, Fernandes AG, Araújo CG. Aleitamento materno: uma abordagem sobre o papel do enfermeiro no pós-parto. Rev. Elet. de Enfermagem. 2004;6(3).
16. Sanches MTC. Clinical management of oral disorders in breastfeeding. Jornal de Pediatria. 2004 nov;80(5):s155-s162.
17. Freitas F, Martins-Costa SH, Ramos JGL, Magalhães JA. Rotinas em Obstretícia. 5o ed. Porto Alegre: Artmed; 2006.
18. Giugliani ERJ. Lack of scientific evidence for the treatment of nipple traumas. Jornal de Pediatria. 2003 jun;79(3):197-8.
19. Giugliani ERJ. Common problems during lactation and their management. Jornal de Pediatria. 2004 nov;80(5):s147-s154.
20. Guyton, Arthur C. Fisiologia Humana. 12o ed. Rio: G; 2008.
21. Brioschi ML, Teixeira MJ, Silva FM, Colman D. Principios e indicações da termografia médica. 1o ed. São Paulo: Anreoli; 2010.
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