Korean Journal of Pediatrics 2008;51(4):362-366.
Published online April 15, 2008.
Predisposing factors to nipple confusion
Ji Hyun Kim1, Og Ryeon Cha2, Yu Kyung Seo1, Sun Ju Lee1, Sung Min Cho1, Byung Chan Park3
1Department of Pediatrics, College of Medicine, Dongguk University, Gyeongju, Korea
2Department of nursing, Korea National Open University, Korea
3Department of Preventive Medicine, College of Medicine, Dongguk University, Gyeongju, Korea
모유 수유에서 유두 혼란에 영향을 주는 인자
김지현1, 차옥련2, 서유경1, 이선주1, 조성민1, 박병찬3
1동국대학교 의과대학 소아과학교실
2한국방송통신대학교 간호학과
3동국대학교 의과대학 예방의학교실
Correspondence: 
Sun Ju Lee, Email: yeonseung@dongguk.ac.kr
Abstract
Purpose
: The purpose of this study is to investigate the predisposing factors for nipple confusion by using questionnaires.
Methods
: From October, 2005 to October, 2006, we performed a survey on guardians of neonates who had been admitted to the nursery at Dongguk University Medical Center and were discharged 10 to 14 days before the survey. We reviewed their medical records retrospectively. The neonates were categorized into two groups; nipple-unconfused group and nipple- confused group.
Results
: There were 71 neonates in the nipple-unconfused group and 29 neonates in the nipple-confused group. In the nipple-confused group, 12 neonates (41.4%) had nipple-suckling experience before admission, whereas in the nipple-unconfused group, 54 neonates (76.1%) had nipple-suckling experience before admission; showing a difference that was statistically significant (P=0.001). Regarding to breast-feeding experience before admission, 11 neonates (37.9%) had experience in the nipple-confused group, whereas 49 neonates (69.0%) had in the nipple-unconfused group. This also showed a statistically significant difference (P=0.004). However, the relationship between the duration of breast-feeding prior to hospitalization was not different (P=0.151).
Conclusion
: In this study, we believe that the suckling experience and the breast-feeding of neonates before admission may be factors affecting the development of nipple confusion. This study particularly revealed that neonates who had only nipple suckling experience, regardless of breast-feeding, had less nipple confusion. Thus, allowing neonates enough time to make an attempt at nipple suckling may be helpful to prevent nipple confusion.
Key Words: Nipple, Confusion, Breast feeding


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