<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1139-7632</journal-id>
<journal-title><![CDATA[Pediatría Atención Primaria]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pediatr Aten Primaria]]></abbrev-journal-title>
<issn>1139-7632</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Pediatría de Atención Primaria]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1139-76322021000200009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia y características de la lactancia dolorosa. Estudio prospectivo multicéntrico en Atención Primaria]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence and characteristics of breastfeeding pain. Prospective multicentric study in Primary Care]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrera Polanco]]></surname>
<given-names><![CDATA[Marta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lorente García-Mauriño]]></surname>
<given-names><![CDATA[Ana Mª]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Aurrecoechea]]></surname>
<given-names><![CDATA[Begoña]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro de Salud Silvano  ]]></institution>
<addr-line><![CDATA[Madrid ]]></addr-line>
<country>España</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro de Salud Juan de la Cierva  ]]></institution>
<addr-line><![CDATA[Getafe Madrid]]></addr-line>
<country>España</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto de Investigación Sanitaria del Principado de Asturias (ISPA)  ]]></institution>
<addr-line><![CDATA[Asturias ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>23</volume>
<numero>90</numero>
<fpage>163</fpage>
<lpage>173</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1139-76322021000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1139-76322021000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1139-76322021000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  el dolor al amamantar influye muy negativamente en el desarrollo de la lactancia y es una de las principales causas de su abandono, por lo que constituye un relevante y prioritario problema de Salud Pública. No obstante, es un aspecto infravalorado por la comunidad sanitaria y se han realizado muy pocos estudios sobre su prevalencia, sus características y la actitud de las madres que lo padecen.  Pacientes y métodos:  el presente trabajo forma parte del estudio Lactancia Materna y Desarrollo Infantil (LAyDI) y se centra en la investigación del dolor al amamantar durante los primeros cuatro meses en una cohorte de 203 madres lactantes adscritas a centros de salud de la Comunidad de Madrid.  Resultados:  se observó una alta incidencia de dolor (68,5%) entre las mujeres lactantes, que suelen padecerlo durante los primeros días, si bien en un 13% de los casos se presentó tras varias semanas. En un 44% de casos se resolvió en menos de 15 días, pero se mantuvo de forma prolongada en un 46% (incluso más de dos meses, en el 17,3%). El 30,9% de los casos se planteó en algún momento el abandono de la lactancia por dolor intenso o mantenido. Sin embargo, a pesar de la accesibilidad al apoyo profesional, mayoritariamente a cargo de las matronas, casi la mitad de las mujeres que sopesaron el destete decidió no solicitar ayuda.  Conclusiones:  es urgente unir esfuerzos desde diferentes campos de estudio para investigar sobre la etiopatogenia del dolor y explorar sin prejuicios alternativas seguras y efectivas para su abordaje.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ Introduction:  painful breastfeeding (BF) has a very negative impact on the establishment of BF and is one of the main causes of BF cessation, and is therefore considered an important public health problem. Unfortunately, this problem is underestimated by the health care community and few studies have been devoted to its prevalence, characteristics and the attitude of the mothers that experience it.  Sample and methods:  the study was conducted in the framework of the Breastfeeding and Child Development study (LAyDI) and focused on BF pain in the first 4 months post birth in a cohort of 203 lactating women managed in primary care centres of the Community of Madrid (Spain).  Results:  we found a high incidence of pain in BF women (68.5%), most frequently with onset in the first days post birth, although in 13% of cases it developed after several weeks. In 44% of cases, the pain resolved within 15 days, but in 46% it lasted longer (in 17%, longer than 2 months). We found that 30.9% of mothers contemplated BF cessation at some point due to severe or sustained pain. However, despite having access to professional support, mostly provided by midwives, nearly half of the women who considered weaning did not seek help.  Conclusions:  current efforts in different fields of study need to converge urgently to explore the aetiology and pathogenesis of pain and safe and effective approaches to its management in a nonjudgmental and unbiased environment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Atención Primaria]]></kwd>
<kwd lng="es"><![CDATA[Cultivo de leche]]></kwd>
<kwd lng="es"><![CDATA[Disbiosis]]></kwd>
<kwd lng="es"><![CDATA[Dolor al amamantar]]></kwd>
<kwd lng="es"><![CDATA[Salud pública]]></kwd>
<kwd lng="en"><![CDATA[Breastfeeding pain]]></kwd>
<kwd lng="en"><![CDATA[Dysbiosis]]></kwd>
<kwd lng="en"><![CDATA[Milk culture]]></kwd>
<kwd lng="en"><![CDATA[Primary Care]]></kwd>
<kwd lng="en"><![CDATA[Public Health]]></kwd>
</kwd-group>
</article-meta>
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