Surgery for benign breast diseases does not affect future breastfeeding ability
Breastfeeding

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Young women with benign breast disease can have surgery without their ability to breastfeed to breastfeed later. One of the first studies to specifically assess the effects of surgery on breastfeeding outcomes and the ability to lactate shows that more than 80 percent of young women have successfully breastfed or bottle fed, including women with a history of previous breast surgery. The results of the study were presented as a clinical poster at the American College of Surgeons' 2020 Virtual Clinical Convention.

Benign Conditions in are common; In the United States, nearly 1 million women develop benign breast disease each year, and approximately 50 percent of women will have a benign breast lesion at some point in their life. Many of these conditions are commonly treated with . Other common breast procedures include reduction mammoplasty to treat macromastia (enlarged breast tissue) or augmentation for breast asymmetry or developmental disorders.

However, breast surgeons are concerned about the potential for surgical intervention to invade disrupting the delicate subareolar complex and damaging milk ducts or nerves and impairing a woman's future ability to breastfeed. (Such procedures include a minimally invasive procedure such as a diagnostic biopsy or a like reduction mammaplasty.)

"Pediatricians and gynecologists referring adolescent patients for breast disease treatment and parents are concerned that surgery could affect breast development and eventual lactation," said Laura C. Nuzzi, BA, director of clinical research at Boston Children's & # 39; s Hospital. Boston, Mass.

Research on the relationship between breast surgery and subsequent breastfeeding is limited. "There have been a few small cohort studies looking at breastfeeding after surgery for benign breast diseases later in life, but they don't ask these questions in adolescents and adolescents before having children, "explained Shannon M. Malloy, BS, a clinical research fellow at the Adolescent Breast Clinic at Boston Children's Hospital.

Researchers at Boston Children's Hospital examined the ability to breastfeed in eligible mothers between the ages of 18 and 45 years. The study compared the ability to breastfeed in women previously diagnosed and treated for a breast disease with those who had not.

Of the total of 85 women in the study, 15 had a history of breast disease, including breast cysts, fibroadenoma (benign tumors), and macromastia (enlarged breasts). 16 women underwent breast surgery, including breast augmentation, reduction mammoplasty, and biopsy. Whether or not they had previously had breast surgery, 80 percent of the women in the study were able to breastfeed or receive breast milk for bottle feeding.

The researchers are continuing to investigate the relationship between previous benign breast surgeries and future lactation and breastfeeding performance, and hope to receive more data in the coming months. "We hope to add to the conclusions from this study, which suggest that plastic reconstructive surgeons, general practitioners, and any provider who comes into contact with women with benign breast disease can assure them that surgery for benign breast disease is safe is and should be You must not be prevented from taking advantage of surgery because you fear it will affect future breastfeeding satisfaction and breastfeeding time, "said Ms. Malloy.

Young women in the study completed a survey developed by the Boston Children's Hospital study team called the Mother and Infant Lactation Questionnaire (MILQ) and obtained information about the general health and wellbeing of mothers and their infants as well as about physical health collects. socio-economic and emotional components of breastfeeding. Some interventions include the mother's breastfeeding history, milk quality and quantity, challenges and barriers to breastfeeding, and when breastfeeding began, how long and how satisfied it was.

The survey is unique to the Adolescent Breast Center at Boston Children's Hospital. It was created by the breast surgery research team led by Dr. Brian Labow, FACS, Director of the Clinic and Associate Professor of , Harvard University School of Medicine.

The research team is disseminating the survey to both the hospital setting and the wider community. They hope to validate the survey as a tool to standardize data collection related to lactation and barriers to best use Experience. With funds from the Plastic Surgery Foundation, the researchers are planning to expand the use of the survey in the greater Boston area from autumn 2020 to test its validity in racially and ethnically different population groups.

"Our goal is to eventually validate the survey in a wide variety of populations. Once it is validated, we would like to license the survey so that providers can use it as a screening tool in their clinic and epidemiologists can use it for research purposes," said Miss Dr. Said Nuzzi.


The psychosocial benefits of plastic surgery for young women with congenital breast asymmetry


More information:
Ability to breastfeed after benign breast surgery. Poster presentation. American College of Surgeons Clinical Congress 2020, March 3-7 October 2020.

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Surgery for benign breast diseases does not affect future breastfeeding ability (2020, October 4th)
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