Tang Li, Lee Andy H, Qiu Liqian, Binns Colin W
1 School of Public Health, Curtin University , Perth, Western Australia, Australia .
Breastfeed Med. 2014 Jan-Feb;9(1):35-8. doi: 10.1089/bfm.2013.0032. Epub 2013 Jun 20.
Mastitis is a common problem encountered by breastfeeding mothers. This study investigated the incidence and risk factors of lactation mastitis among Chinese women.
A prospective cohort study on infant feeding practices was conducted during 2010 and 2011 in Jiangyou, Sichuan Province, China. Poisson regression analysis was performed to determine factors influencing the incidence of mastitis within 6 months postpartum.
Of the 670 Chinese mothers who were breastfeeding at discharge, 42 women (6.3%) experienced at least one episode of mastitis during the first 6 months after delivery. The cumulative incidence of mastitis was 10.3%. Mothers with a cracked and sore nipple (incidence rate ratio 2.24; 95% confidence interval 1.38, 3.63) and those who felt stressed (incidence rate ratio 3.15; 95% confidence interval 1.56, 6.37) appeared to sustain more episodes of mastitis.
The incidence of lactation mastitis was low among Chinese mothers. To further reduce the risk of mastitis, instructions on the correct positioning of the baby during breastfeeding should be emphasized. Providing new mothers with guidance on how to cope with stress may also prevent the recurrence of the condition.
乳腺炎是母乳喂养母亲常见的问题。本研究调查了中国女性哺乳期乳腺炎的发病率及危险因素。
2010年至2011年在中国四川省江油市进行了一项关于婴儿喂养方式的前瞻性队列研究。采用泊松回归分析确定影响产后6个月内乳腺炎发病率的因素。
670名出院时正在母乳喂养的中国母亲中，42名女性（6.3%）在产后前6个月至少经历过一次乳腺炎发作。乳腺炎的累积发病率为10.3%。乳头皲裂疼痛的母亲（发病率比2.24；95%置信区间1.38，3.63）以及感到压力大的母亲（发病率比3.15；95%置信区间1.56，6.37）似乎经历更多次乳腺炎发作。
中国母亲中哺乳期乳腺炎的发病率较低。为进一步降低乳腺炎风险，应强调母乳喂养时正确抱婴儿姿势的指导。为新妈妈提供应对压力的指导也可能预防该病复发。
