Literature review for - Flourish Paediatrics

Inflammatory conditions of the breast
Mastitis
Search results
The initial search of the databases included 851 references on mastitis in breastfeeding
women. Data were extracted from 35 references, and 12 publications were used to form the
final body of evidence statements. Sufficient evidence was found to make statements on the
incidence of mastitis in breastfeeding women and the prevention of mastitis. Additional
evidence was found on the treatment of mastitis and the time of presentation of mastitis, but
the evidence was not strong enough to develop a body of evidence statement.
THE PREVALENCE OF MASTITIS IN LACTATING WOMEN
What is the prevalence of mastitis in lactating women?
Draft Evidence statement
Draft Grade
Component Rating Notes
Evidence Base Poor 6 cohort studies (3P, 30)
Consistency
Clinical impact
Approximately 10-25% of lactating women experience
at least one episode of mastitis
D
Satisfactory All 6 studies reported on the percentage of women in
their sample that had one or more episodes of mastitis
during the study period. On cohort study reported
23.7% in the first year post partum, one cohort study
reported 17.3% in first 6 months, one cohort study
reported 20% in the first 6 months, one cohort study
reported 18% (14%, 21%) in the first 26 weeks, one
cohort study reported 9.5 % in the first 12 weeks and
one cohort study reported 27.1% in the first 3 months
postpartum.
Prevalence
only
Mastitis is a common problem experienced by
breastfeeding women
Generalisability Satisfactory Populations studied; Australia (4 studies ), Scotland (1
study), USA (1 study)
Applicability
Satisfactory Results are applicable to Australian women
(Fetherston 1997; Vogel, Hutchison et al. 1999; Kinlay, O'Connell et al. 2001; Foxman,
D'Arcy et al. 2002; Amir, Forster et al. 2007; Scott, Robertson et al. 2008)
The studies included in the body of evidence statement are shown in the Table below
198