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Evaluation of the Efficacy of 99.9% Pure silver Trilaminate Cups in the Prevention and Treatment of Nipple Pain and Fissures

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Open Journal of Nursing 2023年第10期13卷 686-698页

作者： Monica Pilloni Pierina Zedda Carla Orrù Elena Fassina Maria Carmela Forte Rossana Mazzulla Brunella Celestino Maria Francesca Marotto Manuela Neri Gian Benedetto Melis Anna Maria Paoletti University Hospital of Cagliari (UHC) Cagliari Italy Department of Surgical Sciences University of Cagliari Cagliari Italy Maternal and Child Family Counselling Quartu Sant’Elena Cagliari Italy Caruso’s Medical Office Cusago Italy Hospital of Castrovillari Cosenza Italy Hospital of Cosenza Cosenza Italy Maternal and Child Family Counselling Argentano Cosenza Italy Company of National Importance and High Specialization (CNIHS) Giovanni Brotzu Cagliari Italy Women’s Wellness Foundation Cagliari Italy

Breastfeeding is drastically decreasing over time and nipple trauma constitutes one of the most significant reasons for its discontinuation. In this context, this study aimed at evaluating the effectiveness and tolerability of a topical treatment device, namely silver cap® (Depofarma S.P.A.), when used to prevent pain and nipple fissure formation. The medical device consists in a silver trilaminate cup to be placed on the nipple, providing physical protection and creating a moist environment. The study involved 187 women: 38 started to apply the device prior to lactation (PL group) and 149 during lactation (DL group). Aiming to collect safety and performance data, both groups were provided with questionnaires during 6 consecutive visits (120 days of follow-up). At last visit, absence of painful symptoms was reported by the 98.8% and the 100% of women in DL and PL groups, respectively. Moreover, no nipple fissures were observed and no adverse events directly correlated to use of the device were reported. According to these findings, it can be concluded that silver cap® is a safe and effective device for nipple pain and fissure prevention. .

关键词： silver cap Breastfeeding Breast Pain Nipple Fissures

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