The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies.
<h4>Background</h4>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.<h4>Objectives</h4>To determine if...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2017-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0186591 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849682917034295296 |
|---|---|
| author | Roni Y Kraut Erin Brown Christina Korownyk Lauren S Katz Ben Vandermeer Oksana Babenko M Shirley Gross Sandy Campbell G Michael Allan |
| author_facet | Roni Y Kraut Erin Brown Christina Korownyk Lauren S Katz Ben Vandermeer Oksana Babenko M Shirley Gross Sandy Campbell G Michael Allan |
| author_sort | Roni Y Kraut |
| collection | DOAJ |
| description | <h4>Background</h4>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.<h4>Objectives</h4>To determine if breast reduction surgery impacts breastfeeding success and whether different surgical techniques differentially impact breast feeding success.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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. |
| format | Article |
| id | doaj-art-e2a739a79de44be9a2bd135f75a915e7 |
| institution | DOAJ |
| issn | 1932-6203 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-e2a739a79de44be9a2bd135f75a915e72025-08-20T03:24:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-011210e018659110.1371/journal.pone.0186591The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies.Roni Y KrautErin BrownChristina KorownykLauren S KatzBen VandermeerOksana BabenkoM Shirley GrossSandy CampbellG Michael Allan<h4>Background</h4>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.<h4>Objectives</h4>To determine if breast reduction surgery impacts breastfeeding success and whether different surgical techniques differentially impact breast feeding success.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.https://doi.org/10.1371/journal.pone.0186591 |
| spellingShingle | Roni Y Kraut Erin Brown Christina Korownyk Lauren S Katz Ben Vandermeer Oksana Babenko M Shirley Gross Sandy Campbell G Michael Allan The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies. PLoS ONE |
| title | The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies. |
| title_full | The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies. |
| title_fullStr | The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies. |
| title_full_unstemmed | The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies. |
| title_short | The impact of breast reduction surgery on breastfeeding: Systematic review of observational studies. |
| title_sort | impact of breast reduction surgery on breastfeeding systematic review of observational studies |
| url | https://doi.org/10.1371/journal.pone.0186591 |
| work_keys_str_mv | AT roniykraut theimpactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT erinbrown theimpactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT christinakorownyk theimpactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT laurenskatz theimpactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT benvandermeer theimpactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT oksanababenko theimpactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT mshirleygross theimpactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT sandycampbell theimpactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT gmichaelallan theimpactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT roniykraut impactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT erinbrown impactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT christinakorownyk impactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT laurenskatz impactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT benvandermeer impactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT oksanababenko impactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT mshirleygross impactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT sandycampbell impactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies AT gmichaelallan impactofbreastreductionsurgeryonbreastfeedingsystematicreviewofobservationalstudies |