背景:隆胸手术通常涉及育龄妇女。然而,它会干扰母乳喂养的能力,而母乳喂养的好处是众所周知的。文献中的当前数据没有提供关于乳房缩小手术后母乳喂养可能性的准确信息。
目的:本研究的目的是评估在我们中心进行乳房缩小术后妇女的长期母乳喂养能力。
方法:这是一项回顾性比较研究,包括2010年至2017年在圣路易斯医院接受乳房缩小治疗的患者,以及手术前后有孩子的患者。从医疗记录中检索手术细节,并在电话采访中评估母乳喂养的能力。将手术前母乳喂养与手术后母乳喂养进行比较。
结果:我们分析了21例之前的分娩和35例乳房缩小后的分娩。两组的母乳喂养开始相似(90%vs.83%,P=0.7),但与之前相比,乳房缩小后的中位持续时间明显缩短(3周vs.10周;P<0.01),术后3个月母乳喂养的儿童比例较低(11%vs.43%;P<0.01),手术后婴儿配方奶粉的使用率更高(100%vs.74%,P<0.01),我们发现由无乳引起的停药率更高(69%vs.11%;P<0.001)。
结论:母乳喂养是可能的,但随着时间的推移,乳房缩小后更难维持。手术前需要让病人意识到这一点,和患者谁仍然希望母乳喂养应鼓励在产妇。
BACKGROUND: 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.
OBJECTIVE: The aim of this study was to assess long-term breastfeeding ability of women after breast reduction performed in our centre.
METHODS: 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.
RESULTS: 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).
CONCLUSIONS: 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.