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Journal of Human Lactation
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The Impact of Breast Reduction Surgery on Breastfeeding Performance

Gláucia C. Souto, MD, MsC

Irmandade Santa Casa de Misericórdia in Porto Alegre, Brazil

Elsa R. J. Giugliani, MD, PhD, IBCLC

Federal University of Rio Grande do Sul in Porto Alegre, Brazil

Camila Giugliani

Federal University of Rio Grande do Sul in Porto Alegre, Brazil

Márcia A. Schneider, MD

Hospital de Clínicas de Porto Alegre, Brazil

The impact of reduction mammoplasty surgery on breastfeeding performance was measured comparing a group of 49 Brazilian women who had undergone breast reduction surgery using transposition techniques with 96 controls. As determined by survival analysis, the women who underwent reduction mammoplasty had a significantly shorter time of breastfeeding duration. The prevalence of exclusive breastfeeding at 1 and 4 months was 21% and 4%, respectively, for women with surgery, and 70% and 22%, respectively, for controls (P < .001). The prevalence of any breastfeeding at 1, 6, and 12 months was 58%, 16%, and 10% for women with mammoplasty, and 94%, 58%, and 42% for controls (P < .001). For women with surgery, the median duration of exclusive and any breastfeeding was 5 days and 2 months, respectively, and 3 months and 6 months for controls. The results of this study suggest that breast reduction surgery may have a negative impact on breastfeeding performance. J Hum Lact. 19(1):43-49.

Key Words: reduction mammoplasty • breastfeeding • lactation

Journal of Human Lactation, Vol. 19, No. 1, 43-49 (2003)
DOI: 10.1177/0890334402239733
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L. Nommsen-Rivers
Cosmetic Breast Surgery--Is Breastfeeding at Risk?
J Hum Lact, February 1, 2003; 19(1): 7 - 8.
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