Analysis of prevention effect of early intervention on common high risk factors of lactation mastitis
Objective To investigate the effect of reducing the occurrence of mastitis by intervening in advance the common high risk factors of lactation mastitis.Methods A retrospective analysis was performed on 555 pregnant women with high risk factors for mastitis who underwent breast disease screening during pregnancy from January 1 to December 31,2020 in the breast clinic of Linyi Maternal and Child Health Hospital.These women were divided into intervention group(292 ca-ses)and control group(263 cases)based on their willingness.Intervention group received early intervention for different high risk factors during pregnancy and postpartum,while the control group did not receive early intervention for high risk factors according to the patients wishes.The composition of high-risk factors for lactating mastitis and the incidence of mastitis between two groups of pregnant women were compared.Results The intervention group received intervention and follow-up successfully,while the control group did not receive intervention and completed follow-up.The incidence of nipple deformity was 6.5％in the intervention group and 4.6％in the control group,=0.992,P=0.319.The inci-dence of nipple cracking accounted for 3.4％and 3.0％,respectively,x2=0.065,P=0.799.A history of surgical trau-ma accounted for 8.6％and 6.5％,respectively,x2=0.871,P=0.351.A history of previous mastitis accounted for 2.1％and 1.5％,respectively,x2=0.223,P=0.637.Excessive milk secretion accounted for 38.0％and 40.7％,re-spectively,x2=0.414,P=0.520.Inappropriate breastfeeding methods accounted for 19.2％and 20.5％,respectively,x2=0.160,P=0.689.Maternal and neonatal separation accounted for 20.2％and 21.3％,respectively,0.100,P=0.752.Prone sleep position accounted for 2.1％and 1.9％,respectively,x2=0.017,P=0.897.There was no sta-tistically significant difference between the two groups of high-risk factors mentioned above.There were 102 cases(34.9％)of mastitis in the intervention group and 120 cases(45.6％)in the control group,with a statistically significant difference,x2=6.596,P=0.010.Conclusion Individualized intervention in advance of high risk factors of acute mastitis during pregnancy or postpartum can effectively reduce the occurrence of mastitis and achieve precise prevention.
mastitis during lactationhigh risk factorbreast feedingprecision prevention
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