Cruz Norma I, Korchin Leo
Division of Plastic Surgery, Department of Surgery, School of Medicine, University of Puerto Rico, San Juan, Puerto Rico.
Ann Plast Surg. 2010 May;64(5):530-3. doi: 10.1097/SAP.0b013e3181c925e4.
It has been reported that breastfeeding problems occur in women who have breast implants. The breastfeeding success of women who had augmentation with saline implants and subsequently had a live birth (n = 107) was compared with that of women of similar age who had hypoplastic breasts and had children before their consultation (n = 105). A self-administered 11-item questionnaire was used to collect data on demographics and breastfeeding success. The information requested included age, weight, height, whether breastfeeding was attempted, if it was successful, and the need to supplement. Additional information requested from the study group included position of breast scar, implant volume, and whether loss of nipple sensation had occurred after the surgery (as judged by the patient). The groups were not significantly different in age (22 +/- 7 vs. 23 +/- 5). There was, however, a significant difference (P < 0.05) in the breastfeeding success and need to supplement feedings. Successful breastfeeding occurred in 88% of the control and 63% of the study group. A need to supplement breastfeeding occurred in 27% of the control group but increased to 46% in the study group. No significant difference (P > 0.05) was found in the breastfeeding experience between periareolar and inframammary approaches. Loss of nipple sensation after augmentation mammaplasty was reported by 2% of both the periareolar and inframammary subgroups. The success rate of breastfeeding decreases approximately 25% and the need to supplement breastfeeding increases 19% in young women with hypoplastic breasts after augmentation mammaplasty, irrespective of whether a periareolar or inframammary approach is used.
据报道，植入乳房假体的女性会出现母乳喂养问题。将接受盐水假体隆胸并随后顺产的女性（n = 107）的母乳喂养成功率，与年龄相仿、乳房发育不全且在咨询前已育有子女的女性（n = 105）的母乳喂养成功率进行了比较。使用一份11项的自填问卷收集人口统计学数据和母乳喂养成功率数据。所要求的信息包括年龄、体重、身高、是否尝试母乳喂养、是否成功以及是否需要补充喂养。研究组还被要求提供乳房疤痕位置、假体体积以及手术后是否出现乳头感觉丧失（由患者判断）等额外信息。两组在年龄上无显著差异（22±7岁对23±5岁）。然而，在母乳喂养成功率和补充喂养需求方面存在显著差异（P < 0.05）。对照组母乳喂养成功率为88%，研究组为63%。对照组27%的女性需要补充母乳喂养，而研究组这一比例增至46%。乳晕周围切口和乳房下皱襞切口的母乳喂养经历无显著差异（P > 0.05）。乳晕周围和乳房下皱襞亚组均有2%的女性报告隆胸手术后出现乳头感觉丧失。隆胸手术后，乳房发育不全的年轻女性母乳喂养成功率降低约25%，补充母乳喂养的需求增加19%，无论采用乳晕周围切口还是乳房下皱襞切口。
