Diaper dermatitis, one of the most common health problems in infants, can be treated with
various methods (Blume-Peytavi Kanti, 2018; Gozen et al., 2014; Seifi, Jalali, Heidari,
2017). One of these methods is breast milk. Breast milk has strong immunologic properties
that protect infants from respiratory diseases, middle ear infections and
gastrointestinal system diseases. It also has protective effects against diabetes
mellitus, obesity, hyperlipidemia, hypertension, cardiovascular diseases, autoimmunity
and asthma. Because of these positive properties, breast milk has lifelong positive
effects. In recent years, studies on the effect of breast milk in the treatment of
dermatitis have been increasing (Kasrae, Farahani, Yousefi, 2015, Blume-Peytavi Kanti,
2018; Gozen et al., 2014; Seifi, Jalali, Heidari, 2017, Bener et al., 2007). In a study
conducted by Gozen et al. using breast milk and barrier cream, barrier cream was found to
be more effective than breast milk, especially in the treatment of moderate and severe
dermatitis (Gozen et al., 2014). Farahani et al. applied 1% hydrocortisol and breast milk
for 7 days in a randomized controlled study on diaper dermatitis. In this study,
improvement was found to be similar on the 3rd and 7th days of treatment and it was
concluded that breast milk was safe and effective (Farahani, Ghobadzadeh, Yousefi, 2013)
Seifi et al. found a statistically significant difference between the groups in favor of
breast milk in terms of skin rash score on the first and third days of the application in
their study using breast milk in diaper rash care (p=0.013, p=0.005, respectively). This
difference was even more significant on the fifth day (p=0.004, p=0.001) (Seifi et al.,
2017). Studies show that breast milk is a non-harmful, free and effective product for the
healing of dermatitis.
This study was planned to be a randomized, controlled, and single-blinded study to
evaluate the effect of breast milk and diaper rash cream containing Hamamelis virginiana
(potency 12mg/100g) 5.35 g/100g on the healing process in 0-12-month-old infants with
diaper dermatitis. The population of the study consisted of 0-12 months old infants with
diaper dermatitis who applied to the Pediatrics Outpatient Clinic . Since not all infants
with diaper dermatitis complaints were examined, the number of the population cannot be
known. The sample size was calculated as 26 for each group and 52 in total with the "A
priori. 30 infants were planned to be included in each group. The licensed IBM SPSS 22.0
(Statistical Package for the Social Sciences) package program will be used for
statistical data analysis. Standard deviation, number and percentage will be used in data
analysis. Man Whitney U test and Fisher exact test (repeated measures) will be used to
evaluate whether there is a difference between independent groups. For the significance
level of the data, 0.05 will be used.
