title: The impact of breast reduction surgery on breastfeeding performance.
abstract: The impact of reduction mammoplasty surgery on breastfeeding performance was measured comparing a group of 49 Brazilian women who had undergone breast reduction surgery using transposition techniques with 96 controls. As determined by survival analysis, the women who underwent reduction mammoplasty had a significantly shorter time of breastfeeding duration. The prevalence of exclusive breastfeeding at 1 and 4 months was 21% and 4%, respectively, for women with surgery, and 70% and 22%, respectively, for controls (P < .001). The prevalence of any breastfeeding at 1, 6, and 12 months was 58%, 16%, and 10% for women with mammoplasty, and 94%, 58%, and 42% for controls (P < .001). For women with surgery, the median duration of exclusive and any breastfeeding was 5 days and 2 months, respectively, and 3 months and 6 months for controls. The results of this study suggest that breast reduction surgery may have a negative impact on breastfeeding performance.
authors.affiliation: Irmandade Santa Casa de Misericórdia in Porto Alegre, Brazil.
authors.forename: Gláucia C
authors.initials: GC
authors.lastname: Souto
authors.forename: Elsa R J
authors.initials: ER
authors.lastname: Giugliani
authors.forename: Camila
authors.initials: C
authors.lastname: Giugliani
authors.forename: Márcia A
authors.initials: MA
authors.lastname: Schneider
mesh_terms: D000328:Adult; D001940:Breast / Q000502:physiology* / Q000601:surgery; D001942:Breast Feeding / Q000706:statistics & numerical data*; D016022:Case-Control Studies; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007774:Lactation / Q000502:physiology*; D016462:Mammaplasty / Q000009:adverse effects*; D015995:Prevalence; D011446:Prospective Studies; D012189:Retrospective Studies; D013997:Time Factors