Fw: LACTATION AFTER AUGMENTATION MAMMOPLASTY

[Guest guest]

From: " Ilena Rose " <ilena@...>

Sent: Thursday, September 06, 2001 12:35 PM

Subject: LACTATION AFTER AUGMENTATION MAMMOPLASTY

> LACTATION AFTER AUGMENTATION MAMMOPLASTY

>

> Author: Hurst, NM

> Address: Section of Pediatric Nutrition and Gastroenterology, Texas

Children's

> Hospital, Houston, USA.

> Source: Obstet Gynecol, January, 1996, 87:1, 30-4

>

> Abstract: OBJECTIVE: To compare the lactation outcomes of breast-augmented

> women and nonaugmented women.

>

> METHODS: This study used a retrospective, comparative design. Demographic

and

> descriptive data were obtained from client records maintained by a

lactation

> support program at a large children's hospital in the southwest United

States.

> The association between breast augmentation and lactation outcome in the

two

> groups was investigated by obtaining data from these existing records.

>

> RESULTS: A significantly greater incidence of lactation insufficiency was

> found in augmented women compared with nonaugmented women (P < .001).

Among 42

> augmented women, 27 (64%) had insufficient lactation, compared with only

three

> (less than 7%) of the 42 nonaugmented women. Augmented women who

experienced

> sufficient lactation were equivalent in age, ethnicity, type of delivery,

> smoking, previous breast-feeding experience, and lactation course

compared to

> augmented women with lactation insufficiency. However, the type of breast

> incision was significantly associated with lactation outcome. More

> specifically, it was the periareolar approach that was most significantly

> associated with lactation insufficiency (P < .01). The incidence of

lactation

> insufficiency with the submammary-axillary approach was only

statistically

> significant when compared with nonaugmented women.

>

> CONCLUSION: A significantly greater incidence of insufficient lactation

was

> found among augmented women compared with nonaugmented women. The

periareolar

> approach was most significantly associated with lactation insufficiency.

>

>

>