Greetings All,
New study from France:
Title: Impact on Breastfeeding According to Implant Features in Breast Augmentation: A Multicentric Retrospective Study.
In: Annals of Plastic Surgery 2018 Oct 15. doi: 10.1097/SAP.0000000000001651. [Epub ahead of print]
Authors: Bompy L, Gerenton B, Cristofari S, Stivala A, Moris V, See LA, Rizzi P, Braye F, Meningaud JP, Zwetyenga N, Guillier D.
Abstract:
"BACKGROUND: Exclusive breastfeeding is highly recommended by the World Health Organization during the first 6 months of life. In parallel, breast augmentation with implants is one of the most performed operations in aesthetic surgery."
"OBJECTIVE: The goal of our study was therefore to analyze the potential impact of aesthetic breast implants on breastfeeding."
"STUDY DESIGN: A retrospective study was carried out in 3 French university hospitals. The main inclusion criterion was adult women of childbearing age (18-50 years old) with bilateral breast hypoplasia. Some features of the surgery, such as the operative indication, the surgical approach, the implant position against the pectoral muscle, and implants features (material, volume, profile), were collected. We conducted a survey by phone about childbirth after the procedure. If the women had children after surgery, we asked them if they breastfed and the characteristics of breastfeeding."
"RESULTS: In total, 1316 patients received breast implants in the 3 centers from January 2011 to October 2016 and met our inclusion criteria. We included 1073 patients; 998 women had breast implants with no pregnancy. Among the 75 patients (7%) who gave birth after the surgery, 51 wanted to breastfeed (68%). The patients with a retroglandular implant were significantly less able to breastfeed compared with the patients with retromuscular implants (P = 0.0005). No difference was found for age, the type of surgery, the surgical approach, and the shape or type of implant between the successful breastfeeding group and failed breastfeeding group."
"CONCLUSION: A woman with aesthetic breast implants has a 75% chance of breastfeeding if desired, regardless of the type and the volume of the implant and the surgical approach. She has an 82% probability of breastfeeding with retromuscular implants and 17% with retroglandular implants."
DOI: 10.1097/SAP.0000000000001651
https://www.ncbi.nlm.nih.gov/pubmed/30325833
This study concludes that "a woman with aesthetic breast implants has a 75% chance of breastfeeding if desired, regardless of the type and the volume of the implant and the surgical approach. She has an 82% probability of breastfeeding with retromuscular implants and 17% with retroglandular implants."
The above first sentence of the conclusion seems to contradict the subsequent sentence re: "regardless of type and volume of the implant and the surgical approach" unless I am misinterpreting it. An 82% probability of breastfeeding with retromuscular implants versus a 17% probability of breastfeeding with retroglandular implants is a significant difference in the two groups studied.
Furthermore, "breastfeeding" implies that the infants learned how to achieve and sustain the oral grasp at the breast, but did any mothers in this study find it necessary to supplement their infants in order to support normal weight gain? Did any infants in the retroglandular implants group display difficulty with the oral grasp and/or effective suckling at the breast, leading to the low 17% probability of breastfeeding? Were photographs taken before surgery and after surgery, in order to provide possible insights into any changes in nipple anatomy that might have led to infant challenges with the oral grasp, creating a motor learning constraint re: task constraint? Were dyads in the study provided with access to skilled health care professionals educated and trained in breastfeeding and lactation, i.e., International Board Certified Lactation Consultants, in the event of any feeding difficulties at the breast? In regard to the inclusion criteria of "breast hypoplasia", was this hypoplasia deemed consistent or inconsistent with inadequate glandular tissue?
The researchers obtained their information on exclusive breastfeeding in telephone interviews.
The abstract is provided below. Full text of the article is needed for further insights into this study.
With kind regards,
Debbie
Debra Swank, RN BSN IBCLC
More Than Reflexes Education
Ocala, Florida USA
http://www.MoreThanReflexes.org
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