Study protocol
nipple damages
Data collection was carried out during the rooming-in unit period, with photographic images obtained in the first two postpartum days, between 2011 and 2017, in São Paulo, BrazilA developed instrument constructed specifically for this study was used, in which evaluators recorded the assessment parameters of nipple damages when evaluating the images.Photographic images were analyzed by two independent evaluators, International Board Certified Lactation Consultant (IBCLC) nurse-midwives, English speakers and minimum experience of 10 years in BF clinical management. Then, the photographic images assessments were compared, and divergences were discussed among evaluators, and in case of disagreement a third evaluator was called (
