PDF(Pubmed)
Abstract：
BACKGROUND: Surgery is the primary treatment for benign breast disease and causes some disruption to the normal physiology of the breast, even when this disruption is localised, it remains unclear whether it affects women\'s ability to breastfeed. There are only a few studies describing the experience of breastfeeding in women who have undergone benign breast disease (BBD) surgery.
METHODS: We retrospectively analysed data from patients aged 20-40 years in Guangdong, China, who underwent breast lumpectomy for BBD in our department between 01 January 2013 and 30 June 2019, with a follow-up date of 01 February 2022. Patients were included who had a history of childbirth between the time of surgery and the follow-up date. By collecting general information about this group of patients and information about breastfeeding after surgery, we described the breastfeeding outcomes of women of a fertile age who had previously undergone surgery for benign breast disease.
RESULTS: With a median follow-up of 5.9 years, a total of 333 patients met the inclusion criteria. From the breastfeeding data of the first child born postoperatively, the mean duration of \'exclusive breastfeeding\' was 5.1 months, and the mean duration of \'any breastfeeding\' was 8.8 months. The rate of \'ever breastfeeding\' is 91.0%, which is lower than the national average of 93.7%, while the exclusive breastfeeding rate at six months was 40.8%, was higher than the 29.2% national average. The any breastfeeding rate at 12 months was 30.0%, which was well below the 66.5% national average. The common reason for early breastfeeding cessation was insufficient breast milk. A total of 29.0% of patients who had ever breastfed after surgery voluntarily reduced the frequency and duration of breastfeeding on the operated breast because of the surgery.
CONCLUSIONS: There are some impacts of BBD surgery on breastfeeding and some may be psychological. Institutions should provide more facilities for mothers who have undergone breast surgery to help them breastfeed, such as conducting community education on breastfeeding after breast surgery, training professional postoperative lactation consultants in hospitals, and extending maternity leave. Families should encourage mothers to breastfeed with both breasts instead of only the non-operated breast.
METHODS: We retrospectively analysed data from patients aged 20-40 years in Guangdong, China, who underwent breast lumpectomy for BBD in our department between 01 January 2013 and 30 June 2019, with a follow-up date of 01 February 2022. Patients were included who had a history of childbirth between the time of surgery and the follow-up date. By collecting general information about this group of patients and information about breastfeeding after surgery, we described the breastfeeding outcomes of women of a fertile age who had previously undergone surgery for benign breast disease.
RESULTS: With a median follow-up of 5.9 years, a total of 333 patients met the inclusion criteria. From the breastfeeding data of the first child born postoperatively, the mean duration of \'exclusive breastfeeding\' was 5.1 months, and the mean duration of \'any breastfeeding\' was 8.8 months. The rate of \'ever breastfeeding\' is 91.0%, which is lower than the national average of 93.7%, while the exclusive breastfeeding rate at six months was 40.8%, was higher than the 29.2% national average. The any breastfeeding rate at 12 months was 30.0%, which was well below the 66.5% national average. The common reason for early breastfeeding cessation was insufficient breast milk. A total of 29.0% of patients who had ever breastfed after surgery voluntarily reduced the frequency and duration of breastfeeding on the operated breast because of the surgery.
CONCLUSIONS: There are some impacts of BBD surgery on breastfeeding and some may be psychological. Institutions should provide more facilities for mothers who have undergone breast surgery to help them breastfeed, such as conducting community education on breastfeeding after breast surgery, training professional postoperative lactation consultants in hospitals, and extending maternity leave. Families should encourage mothers to breastfeed with both breasts instead of only the non-operated breast.
摘要：
背景：手术是良性乳腺疾病的主要治疗方法，会对乳腺的正常生理造成一些破坏，即使这种中断是局部的，目前尚不清楚它是否会影响女性的母乳喂养能力。只有少数研究描述了接受良性乳腺疾病（BBD）手术的女性的母乳喂养经验。
方法：我们回顾性分析了广东省20-40岁患者的数据，中国,患者于2013年1月1日至2019年6月30日期间在我科接受了BBD乳腺肿块切除术,随访日期为2022年2月1日.包括在手术时间和随访日期之间有分娩史的患者。通过收集有关这组患者的一般信息和有关手术后母乳喂养的信息，我们描述了先前接受过良性乳腺疾病手术的育龄妇女的母乳喂养结局.
结果：中位随访时间为5.9年，共有333例患者符合纳入标准.从术后出生的第一个孩子的母乳喂养数据，“纯母乳喂养”的平均持续时间为5.1个月，任何母乳喂养的平均持续时间为8.8个月。“不断母乳喂养”的比例为91.0%，低于全国平均水平的93.7%，而六个月的纯母乳喂养率为40.8%，高于全国平均水平29.2%。12个月的母乳喂养率为30.0％，远低于全国平均水平66.5%。早期停止母乳喂养的常见原因是母乳不足。手术后曾进行过母乳喂养的患者中，有29.0％自愿减少了因手术而对手术乳房进行母乳喂养的频率和持续时间。
结论：BBD手术对母乳喂养有一些影响，有些可能是心理上的。机构应为接受乳房手术的母亲提供更多的设施，以帮助她们进行母乳喂养，例如在乳房手术后进行母乳喂养的社区教育，在医院培训专业的术后哺乳顾问，延长产假。家庭应鼓励母亲用双乳母乳喂养，而不仅仅是非手术的乳房。
方法：我们回顾性分析了广东省20-40岁患者的数据，中国,患者于2013年1月1日至2019年6月30日期间在我科接受了BBD乳腺肿块切除术,随访日期为2022年2月1日.包括在手术时间和随访日期之间有分娩史的患者。通过收集有关这组患者的一般信息和有关手术后母乳喂养的信息，我们描述了先前接受过良性乳腺疾病手术的育龄妇女的母乳喂养结局.
结果：中位随访时间为5.9年，共有333例患者符合纳入标准.从术后出生的第一个孩子的母乳喂养数据，“纯母乳喂养”的平均持续时间为5.1个月，任何母乳喂养的平均持续时间为8.8个月。“不断母乳喂养”的比例为91.0%，低于全国平均水平的93.7%，而六个月的纯母乳喂养率为40.8%，高于全国平均水平29.2%。12个月的母乳喂养率为30.0％，远低于全国平均水平66.5%。早期停止母乳喂养的常见原因是母乳不足。手术后曾进行过母乳喂养的患者中，有29.0％自愿减少了因手术而对手术乳房进行母乳喂养的频率和持续时间。
结论：BBD手术对母乳喂养有一些影响，有些可能是心理上的。机构应为接受乳房手术的母亲提供更多的设施，以帮助她们进行母乳喂养，例如在乳房手术后进行母乳喂养的社区教育，在医院培训专业的术后哺乳顾问，延长产假。家庭应鼓励母亲用双乳母乳喂养，而不仅仅是非手术的乳房。
