Literature review for - Flourish Paediatrics

Quality 0 0 P
Results
The cumulative incidence rate for
mastitis in the first 3 months
postpartum was 27.1% with a
cumulative recurrence rate of 6.5%
23.7% of sample reported one or more
episodes of mastitis symptoms in the
first year post partum. Of these 70.5 %
received antibiotics
No significant difference between
primiparous women and
multiparous women
51% cases of mastitis occurred
within the first two weeks
postpartum
At three months, 71% of cohort
women were still breastfeeding,
18% of those who stopped cited
mastitis as reason for stopping
Mothers reporting mastitis in their first
year were less likely to wean early than
those not experiencing mastitis
adj RR 0.67 (0.48,0.94).
No association was found with
difficulty of infant to latch on.
(Univariate RR=1.05 (0.62,1.78))
20% of women had mastitis in first six
months
Past history of mastitis Adj HR =1.74
(1.07,2.81)
Blocked ducts Adj HR = 2.43
(1.68,3.49)
Cracked nipples Adj HR = 1.44 (CI
1.00-2.07)
Use of creams on cracked nipples Adj
HR =1.83 (1.22,2.73) ; particularly
papaya cream RR = 1.83 (1.36,2.47)
Effect on risk
Mean duration of breast symptoms
was 3.9 days (range 24 hours – 12
days).
The high incidence rate of mastitis
and its effects on breastfeeding
duration demonstrates that mastitis
is a significant problem among
breastfeeding women
Mastitis is not identified as a major
factor in weaning decisions.
In response to the results the author’s
state that factors such as cracked
nipples and blocked ducts should serve
as early warning signs and women
should be advised to seek early
treatment if symptoms of mastitis
developed.
Authors suggest use of creams may
introduce pathogens and should be
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