Risk factors for lactation mastitis in China: A systematic review and meta-analysis.

<h4>Background</h4>Lactation mastitis (LM) affects approximately 3% to 33% of postpartum women and the risk factors of LM have been extensively studied. However, some results in the literature reports are still not conclusive due to the complexity of LM etiology and variation in the popu...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Bao-Yong Lai, Bo-Wen Yu, Ai-Jing Chu, Shi-Bing Liang, Li-Yan Jia, Jian-Ping Liu, Ying-Yi Fan, Xiao-Hua Pei
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/9a8612b33eec4e2a85f044f021ce94b1
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:9a8612b33eec4e2a85f044f021ce94b1
record_format	dspace
spelling	oai:doaj.org-article:9a8612b33eec4e2a85f044f021ce94b12021-12-02T20:05:36ZRisk factors for lactation mastitis in China: A systematic review and meta-analysis.1932-620310.1371/journal.pone.0251182https://doaj.org/article/9a8612b33eec4e2a85f044f021ce94b12021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251182https://doaj.org/toc/1932-6203<h4>Background</h4>Lactation mastitis (LM) affects approximately 3% to 33% of postpartum women and the risk factors of LM have been extensively studied. However, some results in the literature reports are still not conclusive due to the complexity of LM etiology and variation in the populations. To provide nationally representative evidence of the well-accepted risk factors for LM in China, this study was aimed to systematically summary the risk factors for LM among Chinese women and to determine the effect size of individual risk factor.<h4>Material and methods</h4>Six major Chinses and English electronic literature databases (PubMed, Web of Science, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Wan fang Database and China Science Technology Journal Database) were searched from their inception to December 5st, 2020. Two authors extracted data and assessed the quality of included trials, independently. The strength of the association was summarized using the odds ratio (OR) with 95% confidence intervals (CI). The population attributable risk (PAR) percent was calculated for significant risk factors.<h4>Results</h4>Fourteen studies involving 8032 participants were included. A total of 18 potential risk factors were eventually evaluated. Significant risk factors for LM included improper milking method (OR 6.79, 95%CI 3.45-13.34; PAR 59.14%), repeated milk stasis (OR 6.23, 95%CI 4.17-9.30; PAR 49.75%), the first six months postpartum (OR 5.11, 95%CI 2.66-9.82; PAR 65.93%), postpartum rest time less than 3 months (OR 4.71, 95%CI 3.92-5.65; PAR 56.95%), abnormal nipple or crater nipple (OR 3.94, 95%CI 2.34-6.63; PAR 42.05%), breast trauma (OR 3.07, 95%CI 2.17-4.33; PAR 15.98%), improper breastfeeding posture (OR 2.47, 95%CI 2.09-2.92; PAR 26.52%), postpartum prone sleeping position (OR 2.46, 95%CI 1.58-3.84; PAR 17.42%), little or no nipple cleaning (OR 2.05, 95%CI 1.58-2.65; PAR 24.73%), primipara (OR 1.73, 95%CI 1.25-2.41; PAR 32.62%), low education level (OR 1.63, 95%CI 1.09-2.43; PAR 23.29%), cesarean section (OR 1.51, 95%CI 1.26-1.81; PAR 18.61%), breast massage experience of non-medical staff (OR 1.51, 95%CI 1.25-1.82; PAR 15.31%) and postpartum mood disorders (OR 1.47, 95%CI 1.06-2.02; PAR 21.27%).<h4>Conclusions</h4>This review specified several important risk factors for LM in China. In particular, the incidence of LM can be reduced by controlling some of the modifiable risk factors such as improper breastfeeding posture, improper milking method, repeated milk stasis, nipple cleaning, breast massage experience of non-medical staff and postpartum sleeping posture.Bao-Yong LaiBo-Wen YuAi-Jing ChuShi-Bing LiangLi-Yan JiaJian-Ping LiuYing-Yi FanXiao-Hua PeiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251182 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Bao-Yong Lai Bo-Wen Yu Ai-Jing Chu Shi-Bing Liang Li-Yan Jia Jian-Ping Liu Ying-Yi Fan Xiao-Hua Pei Risk factors for lactation mastitis in China: A systematic review and meta-analysis.
description	<h4>Background</h4>Lactation mastitis (LM) affects approximately 3% to 33% of postpartum women and the risk factors of LM have been extensively studied. However, some results in the literature reports are still not conclusive due to the complexity of LM etiology and variation in the populations. To provide nationally representative evidence of the well-accepted risk factors for LM in China, this study was aimed to systematically summary the risk factors for LM among Chinese women and to determine the effect size of individual risk factor.<h4>Material and methods</h4>Six major Chinses and English electronic literature databases (PubMed, Web of Science, Chinese Biomedical Literature Database, China National Knowledge Infrastructure, Wan fang Database and China Science Technology Journal Database) were searched from their inception to December 5st, 2020. Two authors extracted data and assessed the quality of included trials, independently. The strength of the association was summarized using the odds ratio (OR) with 95% confidence intervals (CI). The population attributable risk (PAR) percent was calculated for significant risk factors.<h4>Results</h4>Fourteen studies involving 8032 participants were included. A total of 18 potential risk factors were eventually evaluated. Significant risk factors for LM included improper milking method (OR 6.79, 95%CI 3.45-13.34; PAR 59.14%), repeated milk stasis (OR 6.23, 95%CI 4.17-9.30; PAR 49.75%), the first six months postpartum (OR 5.11, 95%CI 2.66-9.82; PAR 65.93%), postpartum rest time less than 3 months (OR 4.71, 95%CI 3.92-5.65; PAR 56.95%), abnormal nipple or crater nipple (OR 3.94, 95%CI 2.34-6.63; PAR 42.05%), breast trauma (OR 3.07, 95%CI 2.17-4.33; PAR 15.98%), improper breastfeeding posture (OR 2.47, 95%CI 2.09-2.92; PAR 26.52%), postpartum prone sleeping position (OR 2.46, 95%CI 1.58-3.84; PAR 17.42%), little or no nipple cleaning (OR 2.05, 95%CI 1.58-2.65; PAR 24.73%), primipara (OR 1.73, 95%CI 1.25-2.41; PAR 32.62%), low education level (OR 1.63, 95%CI 1.09-2.43; PAR 23.29%), cesarean section (OR 1.51, 95%CI 1.26-1.81; PAR 18.61%), breast massage experience of non-medical staff (OR 1.51, 95%CI 1.25-1.82; PAR 15.31%) and postpartum mood disorders (OR 1.47, 95%CI 1.06-2.02; PAR 21.27%).<h4>Conclusions</h4>This review specified several important risk factors for LM in China. In particular, the incidence of LM can be reduced by controlling some of the modifiable risk factors such as improper breastfeeding posture, improper milking method, repeated milk stasis, nipple cleaning, breast massage experience of non-medical staff and postpartum sleeping posture.
format	article
author	Bao-Yong Lai Bo-Wen Yu Ai-Jing Chu Shi-Bing Liang Li-Yan Jia Jian-Ping Liu Ying-Yi Fan Xiao-Hua Pei
author_facet	Bao-Yong Lai Bo-Wen Yu Ai-Jing Chu Shi-Bing Liang Li-Yan Jia Jian-Ping Liu Ying-Yi Fan Xiao-Hua Pei
author_sort	Bao-Yong Lai
title	Risk factors for lactation mastitis in China: A systematic review and meta-analysis.
title_short	Risk factors for lactation mastitis in China: A systematic review and meta-analysis.
title_full	Risk factors for lactation mastitis in China: A systematic review and meta-analysis.
title_fullStr	Risk factors for lactation mastitis in China: A systematic review and meta-analysis.
title_full_unstemmed	Risk factors for lactation mastitis in China: A systematic review and meta-analysis.
title_sort	risk factors for lactation mastitis in china: a systematic review and meta-analysis.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/9a8612b33eec4e2a85f044f021ce94b1
work_keys_str_mv	AT baoyonglai riskfactorsforlactationmastitisinchinaasystematicreviewandmetaanalysis AT bowenyu riskfactorsforlactationmastitisinchinaasystematicreviewandmetaanalysis AT aijingchu riskfactorsforlactationmastitisinchinaasystematicreviewandmetaanalysis AT shibingliang riskfactorsforlactationmastitisinchinaasystematicreviewandmetaanalysis AT liyanjia riskfactorsforlactationmastitisinchinaasystematicreviewandmetaanalysis AT jianpingliu riskfactorsforlactationmastitisinchinaasystematicreviewandmetaanalysis AT yingyifan riskfactorsforlactationmastitisinchinaasystematicreviewandmetaanalysis AT xiaohuapei riskfactorsforlactationmastitisinchinaasystematicreviewandmetaanalysis
_version_	1718375440002842624

Risk factors for lactation mastitis in China: A systematic review and meta-analysis.

Ejemplares similares