Literature review for - Flourish Paediatrics

was an intention to breastfeed.
Participants were interviewed by
telephone at 3, 6, 9, and 12 weeks
postpartum or until they ceased
breastfeeding.
2001.
Inclusion criteria in both studies
included primiparity and
ability to speak English.
Retrospective phone follow up at 6
months; single interview
Women were followed up at 3,8,18
and 26 weeks and were asked about
cases of mastitis they had experienced
Quality P 0 P
Results Overall incidence = 9.5 %
17.3% women in study experienced
mastitis in first 6 months.
8.1% one case, 1.3% two cases, 0.1%
three cases
Highest in first few weeks, then fell.
Almost half changed breastfeeding
practices
88% received medications (antibiotics,
analgesics)
Women experiencing mastitis with
previous child were more likely to
have episode (23.9% incidence) OR =
4.0. (2.64, 6.11)
Nipple sores or cracks in the same
week as mastitis episode OR = 3.4
(2.04, 5.51)
54% of episodes occurred in first 4
weeks, 71% in first 2 months and 83%
in first three months.
Nipple damage (pain and cracks)
associated with mastitis may predict
mastitis OR 1.92 (1.29, 2.86)
18% (14%, 21%) had at least one
episode of mastitis
68% of those with mastitis reported
only one episode, 23 reported two
episodes and 9% reported three or
more episodes.
53% of initial episodes and 43% of all
episodes occurred during the first four
weeks postpartum
Women who had had mastitis were
significantly more likely to be
breastfeeding at 26 weeks than those
who did not have mastitis (p=0.003)
37% of women managed their first
episode of mastitis without consulting
206