Document Detail

Interventions for preventing mastitis after childbirth.
MedLine Citation:
PMID:  20687084     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Despite the health benefits of breastfeeding, initiation and duration rates continue to fall short of international guidelines. Many factors influence a woman's decision to wean; the main reason cited for weaning is associated with lactation complications, such as mastitis.
OBJECTIVES: To assess the effects of preventive strategies for mastitis and the subsequent effect on breastfeeding duration.
SEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (November 2009), CENTRAL (The Cochrane Library 2009, Issue 4), MEDLINE (1950 to November 2009), EMBASE (1974 to November 2009), CINAHL (1981 to November 2009), MIDIRS (1971 to November 2009), IPA (1970 to November 2009), AMED (1985 to November 2009) and LILACS (1982 to November 2009).
SELECTION CRITERIA: We included randomised controlled trials of interventions for preventing mastitis in postpartum breastfeeding women.
DATA COLLECTION AND ANALYSIS: We independently identified relevant studies and assessed the trial quality. We contacted trial authors for missing data and information as appropriate.
MAIN RESULTS: We included five trials (involving 960 women). In three trials of 471 women, we found no significant differences in the incidence of mastitis between use of antibiotics and no antibiotics (risk ratio (RR) 0.43; 95% confidence interval (CI) 0.11 to 1.61; or in one trial of 99 women comparing two doses (RR 0.38; 95% CI 0.02 to 9.18). We found no significant differences for mastitis in three trials of specialist breastfeeding education with usual care (one trial); anti-secretory factor cereal (one trial); and mupirocin, fusidic acid ointment or breastfeeding advice (one trial).Generally we found no differences in any of the trials for breastfeeding initiation or duration; or symptoms of mastitis.
AUTHORS' CONCLUSIONS: There was insufficient evidence to show effectiveness of any of the interventions, including breastfeeding education, pharmacological treatments and alternative therapies, regarding the occurrence of mastitis or breastfeeding exclusivity and duration. While studies reported the incidence of mastitis, they all used different interventions. Caution needs to be applied when considering the findings of this review as the conclusion is based on studies, often with small sample sizes. An urgent need for further adequately powered research is needed into this area to conclusively determine the effectiveness of these interventions.
Maree A Crepinsek; Linda Crowe; Keryl Michener; Neil A Smart
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Review     Date:  2010-08-04
Journal Detail:
Title:  The Cochrane database of systematic reviews     Volume:  -     ISSN:  1469-493X     ISO Abbreviation:  Cochrane Database Syst Rev     Publication Date:  2010  
Date Detail:
Created Date:  2010-08-05     Completed Date:  2010-08-25     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  100909747     Medline TA:  Cochrane Database Syst Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  CD007239     Citation Subset:  IM    
Primary Healthcare Research, Evaluation and Development (PHCRED), Faculty of Health Sciences and Medicine, Bond University, University Drive, Robina, Gold Coast, Queensland, Australia, 4229.
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MeSH Terms
Anti-Bacterial Agents / administration & dosage
Breast Feeding / adverse effects*
Mastitis / prevention & control*
Ointments / administration & dosage
Patient Education as Topic
Randomized Controlled Trials as Topic
Reg. No./Substance:
0/Anti-Bacterial Agents; 0/Ointments
Comment In:
Int J Evid Based Healthc. 2010 Dec;8(4):290   [PMID:  21140990 ]
Update In:
Cochrane Database Syst Rev. 2012;10:CD007239   [PMID:  23076933 ]

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