Manejos não farmacológicos para alívio da dor e tratamento de traumas mamilares causados pelo processo de amamentação

Abstract

The present study aimed to characterize national and international publications addressing non-pharmacological management used for pain relief and treatment of nipple trauma resulting from breastfeeding. This is a bibliometric study with descriptive qualitative analysis, conducted in the LILACS, PubMed, Medline, and Google Scholar databases from 2019 to 2025, using descriptors related to breastfeeding, nipple fissures, and non-pharmacological therapies. Nineteen scientific articles that met the inclusion criteria were selected. The results showed a predominance of Brazilian publications, with a higher concentration in 2023 and a prevalence of integrative reviews and case studies. Among the main treatments identified, low-intensity laser therapy, lanolin, breast milk, cocoa butter, and beeswax stood out, showing positive results in reducing pain and accelerating the healing of nipple fissures. The evidence indicates that non- pharmacological practices are effective, accessible, and safe, reinforcing their potential as humanized care strategies in breastfeeding. It is concluded that there has been progress in scientific production on the subject, although there is still a need for controlled clinical trials to consolidate the applicability of these interventions in clinical nursing practice. [resumo fornecido pelo autor]