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Painful Breastfeeding and Bacterial or Yeast Infection

The Prevalence of Yeast and Bacteria in Women With Painful Breastfeeding and the Diagnostic Value of Signs and Symptoms

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT01631461
Enrollment
136
Registered
2012-06-29
Start date
2006-12-31
Completion date
2009-12-31
Last updated
2016-11-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Breast Infection

Keywords

pain, breast feeding, yeast, candida albicance, staphylococcus aureus, Signs and symptoms

Brief summary

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

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.

Interventions

None listed

Sponsors

Vastra Gotaland Region
CollaboratorOTHER_GOV
Göteborg University
Lead SponsorOTHER

Study design

Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes

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

Design outcomes

Primary

MeasureTime frameDescription
BacteriaBaseline (at admission)Occurrence of bacteria: yes/no
YeastBaseline (at admission)Occurence of yeast: yes/no

Secondary

MeasureTime frameDescription
PainBaseline (at admission)VAS
SignsBaseline (at admission)Nipple areola: cracks, red/pink, flaky, shiny, blurred, swollen, itching, smarting
Bacteria at follow-up2 weeks after baselineOccurence of bacteria: yes/no
Yeast at follow-up2 weeks after baselineOccurence of yeast: yes/no

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026