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The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies

PloS one, 2017-10, Vol.12 (10), p.e0186591-e0186591 [Peer Reviewed Journal]

COPYRIGHT 2017 Public Library of Science ;COPYRIGHT 2017 Public Library of Science ;2017 Kraut et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2017 Kraut et al 2017 Kraut et al ;ISSN: 1932-6203 ;EISSN: 1932-6203 ;DOI: 10.1371/journal.pone.0186591 ;PMID: 29049351

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Title:
The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies
Author: Kraut, Roni Y ; Brown, Erin ; Korownyk, Christina ; Katz, Lauren S ; Vandermeer, Ben ; Babenko, Oksana ; Gross, M Shirley ; Campbell, Sandy ; Allan, G Michael
Santanelli, di Pompeo d'Illasi, Fabio
Subjects: Analysis ; Breast ; Breast Feeding ; Breast reduction ; Breastfeeding & lactation ; Breasts ; Children ; Complications and side effects ; Evidence-based medicine ; Female ; Humans ; Lactation ; Mammaplasty ; Mammaplasty - methods ; Medicine ; Medicine and Health Sciences ; Observational studies ; Parenchyma ; Patient outcomes ; People and Places ; Physiological aspects ; Plastic surgery ; Preservation ; Reduction ; Research and Analysis Methods ; Studies ; Success ; Surgeons ; Surgery ; Trends
Is Part Of: PloS one, 2017-10, Vol.12 (10), p.e0186591-e0186591
Description: Almost half a million breast reduction surgeries are performed internationally each year, yet it is unclear how this type of surgery impacts breastfeeding. This is particularly important given the benefits of breastfeeding. To determine if breast reduction surgery impacts breastfeeding success and whether different surgical techniques differentially impact breast feeding success. Databases were searched up to September 5, 2017. Studies were included if they reported the number of women successful at breastfeeding or lactation after breast reduction surgery, and if they reported either the total number of women who had children following breast reduction surgery, or the total number of women who attempted to breastfeed following surgery. Of 1,212 studies, 51 studies met the inclusion criteria; they were located worldwide and had 31 distinct breast reduction techniques. The percentage of breastfeeding success among studies was highly variable. However, when analyzed by the preservation of the column of parenchyma from the nipple areola complex to the chest wall (subareolar parenchyma), a clear pattern emerged. The median breastfeeding success was 4% (interquartile range (IQR) 0-38%) for techniques with no preservation, compared to 75% (IQR 37-100%) for techniques with partial preservation and 100% (IQR 75-100%) for techniques with full preservation. Techniques that preserve the column of subareolar parenchyma appear to have a greater likelihood of successful breastfeeding. The preservation of the column of subareolar parenchyma should be disclosed to women prior to surgery. Guidelines on the best breast reduction techniques to be used in women of child bearing years may be advantageous to ensure women have the greatest potential for successful breastfeeding after breast reduction surgery.
Publisher: United States: Public Library of Science
Language: English
Identifier: ISSN: 1932-6203
EISSN: 1932-6203
DOI: 10.1371/journal.pone.0186591
PMID: 29049351
Source: GFMER Free Medical Journals
MEDLINE
PubMed Central
Public Library of Science (PLoS)
ProQuest Central
DOAJ Directory of Open Access Journals

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The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies

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