Management of mastitis and breast engorgement in breastfeeding women

Пустотина, О. А.

doi:10.3109/14767058.2015.1114092

Cited by 23 publications

(19 citation statements)

References 10 publications

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“…The sample size of the case-control study was estimated with PASS 11 software. According to previous literature, the average proportion of multiple exposures in control group was approximately 20% [14,15]. Meanwhile, we formulated the expected odds ratio (OR) = 2.0, the test level α = 0.05, β = 0.10, and the test performance 1 -β = 0.90.…”

Section: Estimate Of Sample Size Neededmentioning

confidence: 99%

Comprehensive evaluation of the risk of lactational mastitis in Chinese women: combined logistic regression analysis with receiver operating characteristic curve

Yin

Zhao

et al. 2020

Bioscience Reports

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Objective: To identify the potential risk factors for acute mastitis during lactation comprehensively. Subsequently, to evaluate logistic regression model in predicting the risk of lactational mastitis in Chinese women by applying receiver operating characteristic (ROC) curve. Methods: A case–control study among Chinese women enrolled 652 patients with mastitis and 581 healthy women with breastfeeding experience as control. The retrospective information was obtained by questionnaires that included medical history of pregnancy, delivery, puerperium and breastfeeding behaviors. Univariate analysis and multivariate logistic regression model were performed to investigate the relationship between these factors and the occurrence of lactational mastitis. Using ROC curve to evaluate the prognostic value of these selected indicators in the risk of acute mastitis. Results: The multivariate logistic regression analysis showed that the primiparity (P < 0.001), mastitis in previous breastfeeding (P < 0.001), nipple’s heteroplasia (P < 0.001), cracked nipple (P < 0.001), breast trauma by external force (P = 0.002), lateral position (P = 0.007), breast pump (P = 0.039), nipple sucking (P = 0.007), sleep with sucking (P = 0.007), and tongue-tie (P = 0.013) were risk variables independently and significantly related with mastitis. While vaginal delivery (P = 0.015), clean nipple before breastfeeding (P = 0.015), first contact with child within 1 h (P = 0.027) were protective factors. The ROC analysis demonstrated that the area under the curve of model 2 was 0.8122 (95%CI = 0.7885–0.8360), which stated that the model presented a high sensitivity and specificity. Conclusion: By means of collecting and summarizing the risk factors associated with the occurrence of breast mastitis in Chinese women, we established risk discriminant model to identify and warn the individuals susceptible to acute mastitis early, which will allow practitioners to provide appropriate management advice and effective individual care.

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Section: Estimate Of Sample Size Neededmentioning

confidence: 99%

Comprehensive evaluation of the risk of lactational mastitis in Chinese women: combined logistic regression analysis with receiver operating characteristic curve

Yin

Zhao

et al. 2020

Bioscience Reports

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“…Las (7). La presencia de bacterias patógenas en la leche materna no necesariamente indica infección, siempre y cuando no se excedan las 102 UFC/ml (8). Entre sus causas principales se encuentran el pobre apego materno, cambios en la frecuencia de las tomas, hiperproducción láctea entre otras.…”

Section: Etiologíaunclassified

“…Además se recomienda aumentar la ingesta de líquidos. La ingesta de líquidos de hasta 2,5-3 litros por día no afecta la cantidad de leche producida (8). Sin embargo, una ingesta de 4-5 litros por día puede suprimir la secreción de prolactina, lo que conduce a una disminución en la producción de leche.…”

Section: Manejo Medidas Generalesunclassified

Actualización de la clasificación y manejo de mastitis

Rodríguez

Cancino

Meseguer³

2020

Rev.méd.sinerg.

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La mastitis es una condición inflamatoria de la glándula mamaria, puede o no venir acompañada de infección. Surge a partir del drenaje inadecuado del seno lo cual conduce a congestión mamaria y estasis láctea. La prevalencia es mayor durante el puerperio, sin embargo también puede ocurrir en cualquier otro momento. Es una enfermedad debilitante, que con frecuencia resulta en interrupción de la lactancia materna. Se clasifica según el curso, las manifestaciones clínicas y si ocurre durante el periodo de lactancia. Durante la lactancia, la mastitis suele ser consecuencia de un proceso de disbiosis. Se han aislado el Staphylococcus Aureus, Staphylococcus epidermidis y ciertas corinebacterias como principales agentes etiológicos. Existen otras etiologías de mastitis que no guardan relación con la lactancia y el puerperio, pero estas abarcan la minoría de los casos. El dolor es el síntoma más frecuente, sin embargo suele venir acompañado de síntomas sistémicos (similares a la gripe, mialgias, fiebre). El diagnóstico es fundamentalmente clínico y el tratamiento se enfoca principalmente en la extracción adecuada de leche materna, manejo sintomático y la instauración de tratamiento antibiótico. En ciertos casos específicos es recomendable realizar un cultivo de la leche materna. De no ser abordada adecuadamente, la mastitis puede progresar y formar un absceso mamario.

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“…Often preceded by breast engorgement, mastitis is characterized by an infection in the breast tissue leading to inflammation . The presence of fever, erythema, purulent drainage, and induration may suggest mastitis . Gigantomastia is an excessive growth of breast tissue and presents with increased size of the areola and breasts and may require medication or surgical intervention …”

Section: Differential Diagnosis Of Primary Breast Engorgementmentioning

confidence: 99%

Caring for Women Experiencing Breast Engorgement: A Case Report

Gresh

Robinson

Thornton

et al. 2019

J Midwife Womens Health

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Breast engorgement is an uncomfortable and sometimes painful component of the postpartum period. The effective treatment of breast engorgement may provide an avenue for clinicians to improve postpartum care for women and promote breastfeeding. This case report presents one woman's experience with breast engorgement in the early postpartum period. The etiology, evidence‐based practices for treatment, clinical implications, and recommendations for practice are reviewed. The importance of interprofessional care to minimize conflicting information a lactating woman receives is highlighted. Interprofessional teamwork can optimize care to resolve breast engorgement and facilitate a woman achieving her breastfeeding goals.

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Management of mastitis and breast engorgement in breastfeeding women

Abstract: Antibiotics with temporary suppression of breastfeeding are more effective than with continuing breastfeeding in mastitis management. The progesterone-containing gel is recommended on the 3rd-4th days after childbirth in heavy breast engorgement to prevent mastitis.

Cited by 23 publications

References 10 publications

Comprehensive evaluation of the risk of lactational mastitis in Chinese women: combined logistic regression analysis with receiver operating characteristic curve

Comprehensive evaluation of the risk of lactational mastitis in Chinese women: combined logistic regression analysis with receiver operating characteristic curve

Actualización de la clasificación y manejo de mastitis

Caring for Women Experiencing Breast Engorgement: A Case Report

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