Donnette I-J, Serror K, Chaouat M, Sinna R, Mimoun M
Service de chirurgie plastique, reconstructrice et esthétique, hôpital Saint-Louis, Paris, France.
Service de chirurgie plastique, reconstructrice et esthétique, hôpital Saint-Louis, Paris, France.
Ann Chir Plast Esthet. 2024 Sep;69(5):419-426. doi: 10.1016/j.anplas.2024.06.013. Epub 2024 Jul 31.
Breast reduction surgery often concern women of childbearing age. However, it can interfere with the ability to breastfeed, whereas the benefits of breastfeeding are well known. Current data in the literature do not provide precise information on the possibilities of breastfeeding after breast reduction surgery.
The aim of this study was to assess long-term breastfeeding ability of women after breast reduction performed in our centre.
This is a retrospective comparative study including patients treated with breast reduction at Saint-Louis Hospital between 2010 and 2017 and who have had children before or after surgery. Operative details were retrieved from medical records and ability to breastfeed was assessed during a phone interview. Breastfeeding before surgery was compared to breastfeeding after surgery.
We analysed 21 births before and 35 births after breast reduction. Breastfeeding initiation was similar in the two groups (90% vs. 83%, P=0.7), but the median duration was significantly shorter after breast reduction compared with before (3 weeks vs. 10 weeks; P<0.01), the rate of breastfed child at 3 months was lower after surgery (11% vs. 43%; P<0.01), the use of infant formula was higher after surgery (100% vs. 74%, P<0.01), and we found a higher rate of discontinuation caused by hypogalactia (69% vs. 11%; P<0.001).
Breastfeeding is possible but more difficult to sustain over time after breast reduction. Patients need to be made aware of that before surgery, and patients who still want to breastfeed should be encouraged at the maternity.
缩乳手术常常涉及育龄女性。然而，该手术可能会干扰母乳喂养的能力，而母乳喂养的益处是众所周知的。文献中的现有数据并未提供关于缩乳手术后母乳喂养可能性的精确信息。
本研究的目的是评估在我们中心接受缩乳手术的女性的长期母乳喂养能力。
这是一项回顾性比较研究，纳入了2010年至2017年在圣路易医院接受缩乳治疗且在手术前后生育过子女的患者。从病历中获取手术细节，并通过电话访谈评估母乳喂养能力。将手术前的母乳喂养情况与手术后的进行比较。
我们分析了缩乳手术前的21例分娩和手术后的35例分娩。两组的母乳喂养开始率相似（90%对83%，P = 0.7），但与术前相比，缩乳手术后的母乳喂养持续时间中位数显著缩短（3周对10周；P < 0.01），术后3个月时母乳喂养婴儿的比例较低（11%对43%；P < 0.01），术后婴儿配方奶粉的使用率较高（100%对74%，P < 0.01），并且我们发现因乳汁分泌不足导致的母乳喂养中断率较高（69%对11%；P < 0.001）。
缩乳手术后母乳喂养是有可能的，但随着时间推移更难维持。患者在手术前需要了解这一点，对于仍希望母乳喂养的患者，在产科应给予鼓励。
