Factors associated to breast implants and breastfeeding

Authors

  • Karla Oliveira Marcacine Universidade Federal de São Paulo, Escola Paulista de Enfermagem, Departamento de Enfermagem em Saúde da Mulher
  • Erika de Sá Vieira Abuchaim Universidade Federal de São Paulo, Escola Paulista de Enfermagem, Departamento de Enfermagem em Saúde da Mulher
  • Kelly Pereira Coca Universidade Federal de São Paulo, Escola Paulista de Enfermagem, Departamento de Enfermagem em Saúde da Mulher
  • Ana Cristina Freitas de Vilhena Abrão Universidade Federal de São Paulo, Escola Paulista de Enfermagem, Departamento de Enfermagem em Saúde da Mulher

Keywords:

Breast Feeding, Mammaplasty, Breast Implantation, Obstetric Nursing

Abstract

Objective: To analyze the association between the surgical characteristics of breast implants, time elapsed since surgery, access route, implant placement and implanted volume and variables related to breastfeeding, type, first ‘milk let-down’, breast engorgement, pain, lesion, milk production and use of galactagogues. Method: A prospective cohort carried out during the hospital stay (12 to 72 hours after delivery), home care (5th to 7th day after delivery) and telephone contact (between the 30th and 32nd day postpartum) of 115 postpartum women with breast implants between 2015 and 2017. Results: The first evaluation identified more frequent use of oral galactagogues (p=0.029) by puerperal women with prepectoral implants, and of oxytocin spray by those with implants up to 270 ml (p=0.040). The second evaluation showed a higher pain score among those with prepectoral implants (p=0.046). Around the 30th day postpartum, the presence of nipple lesion (p=0.021), pain (p=0.025) and a higher pain score (p=0.039) was more frequent among those with mammoplasty performed less than 10 years ago. Conclusion: The presence of pain and a higher pain score, the occurrence of lesion and the use of oral and nasal galactagogues were associated with implant placement, implant size and time elapsed since surgery.

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Published

2019-02-21

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Section

Original Article

How to Cite

Marcacine, K. O., Abuchaim, E. de S. V., Coca, K. P., & Abrão, A. C. F. de V. (2019). Factors associated to breast implants and breastfeeding. Revista Da Escola De Enfermagem Da USP, 52, e03363. https://revistas.usp.br/reeusp/article/view/155068