Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Obstetrics and Gynaecology, Meir Medical Centre, Kfar Saba, Israel.
BJOG. 2022 Jan;129(2):267-272. doi: 10.1111/1471-0528.16902. Epub 2021 Sep 21.
To examine the putative associations between breast implants and postpartum lactational mastitis.
Observational retrospective study.
Digital database of Maccabi Healthcare Services, integrated health maintenance organisation in Israel.
Breastfeeding mothers from 2003 to 2016 based on an initial health maintenance organisation data set of 28 383 singleton live births in Israel.
Multivariate analysis and propensity score matching were used to test the extent to which breast implants were associated with lactational mastitis during the 6-month postpartum period in breastfeeding mothers. Analyses for potential confounders were adjusted for socio-economic status, smoking and parity.
Lactational mastitis among breastfeeding women with breast implants compared with women without breast implants.
Mothers with breast implants (n = 6099) were significantly (P < 0.001) more likely to be diagnosed with postpartum mastitis (8.3%) than mothers with no breast implants(n = 22 284) (6.6%) at an odds ratio of 1.22 (95% CI 1.09-1.35) after adjusting for confounders.
Breast augmentation is associated with an increased risk of postpartum lactational mastitis in the 6-month postpartum period. In light of these findings, it is important for health professionals to instruct women who have undergone breast augmentation on correct breastfeeding techniques, ways to avoid risk factors, and to be alert to signs permitting the early detection of lactational mastitis.
A study of over 28,000 breastfeeding women has shown that breast augmentation is associated with an increased risk of postpartum lactational mastitis in the six-month postpartum period.
研究乳房植入物与产后哺乳期乳腺炎之间可能存在的关联。
观察性回顾性研究。
以色列马卡比医疗保健服务的数字数据库，是一家综合性健康维护组织。
2003 年至 2016 年基于以色列 28383 例单胎活产的初始健康维护组织数据集母乳喂养的母亲。
使用多变量分析和倾向评分匹配来检验在母乳喂养的母亲产后 6 个月期间，乳房植入物与哺乳期乳腺炎的关联程度。对潜在混杂因素的分析调整了社会经济地位、吸烟和产次。
与未植入乳房假体的妇女相比，植入乳房假体的母乳喂养妇女的哺乳期乳腺炎发病率。
患有乳房植入物的母亲（n=6099）比未植入乳房假体的母亲（n=22284）更有可能被诊断为产后乳腺炎（8.3%对 6.6%），调整混杂因素后比值比为 1.22（95%置信区间为 1.09-1.35）。
乳房增大与产后 6 个月哺乳期乳腺炎的风险增加有关。鉴于这些发现，健康专业人员有必要指导接受过乳房增大的妇女正确的母乳喂养技术、避免危险因素的方法，并警惕允许早期发现哺乳期乳腺炎的迹象。
一项对超过 28000 名母乳喂养妇女的研究表明，乳房增大与产后 6 个月哺乳期乳腺炎的风险增加有关。
