Abstract:
Objective
To investigate the relationship between the patients' behaviors and the occurrence of acute lactational mastitis.
Methods
Totally 237 patients diagnosed as having acute lactational mastitis in our hospital from January 2011 to March 2012 and 237 healthy female volunteers who were not in lactation but with breastfeeding experience were enrolled in the study. The data was collected through a questionnaire and then univariate analysis and logistic regression analysis were performed to investigate the relationship between the patients'behaviors and the occurrence of the acute lactational mastitis.
Results
The univariate analysis showed that the duration of breastfeeding (χ2=116.88,P=0.00), sleeping posture (χ2=49.47,P=0.00), way of milk sucking (χ2=74.64,P=0.00), cleaning of the nipple (χ2=61.80,P=0.00)and trauma of the breast (χ2=16.77,P=0.00)were the relative factors. The negative emotions (χ2=1.03,P=0.31)and the time length of breastfeeding (χ2 =7.30,P=0.12)were not related with the acute lactational mastitis. The multivariate analysis showed that the supine position in sleep (OR=2.27,95%CI: 1.25-4.14)and breast trauma (OR=3.24, 95%CI: 1.31-7.97) were risk factors; the way of sucking the nipple and areola (OR=0.09,95%CI: 0.05-0.19), breastfeeding for more than 6 months (OR=0.05, 95%CI: 0.02-0.11), cleaning nipples before breastfeeding(OR=0.17, 95%CI: 0.09-0.34) were the protective factors.
Key words:
behavior,
lactation,
acute mastitis,
risk factors
Xiang-ping HE, Xiang-jun, MA, Yin-zhu ZHAO, Hai-feng GAO, Yan HE. Correlation analysis between the patients' behaviors and acute lactational mastitis[J]. Chinese Journal of Breast Disease(Electronic Edition), 2013, 07(01): 39-42.