An Assessment of the Rate And Predisposing Factors to the Development of Breast Abscess among Lactating Mothers in the Batibo Health District, North West Region, Cameroon

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Authors : Akwo Cyril Tabe-Tanyi, Mirabel Ngoin

Abstract:

Lactation breast abscess is a painful, debilitating condition that if inappropriately managed, may lead women to discontinue breastfeeding prematurely. This study assessed the rate and predisposing factors to development of breast abscesses among 100 women in the Batibo Health District.

A structured questionnaire was used to collect socio-demographic and other data which was analyzed using the Statistical Package for Social Sciences (SPSS), version 16.0; SPSS inc. 38 of the 100 women were found to have had breast abscess giving a rate of 38%. Premature cessation of breastfeeding, refusal to breastfeed, excessive weight gain during pregnancy, and abrupt method of weaning were the major predisposing factors identified. Thus, breast abscesses occur among lactating mothers in the Batibo Health District. 

References:

[1.] Bernaix, L. (2000). Nurses attitudes, subjective norms and behavioral intentions towards supports of breastfeeding mothers. Journal of Human Lactation. 16(3); 202-209.

[2.] Black, A., Renfrew, M., Dykes, F., Burt, S. (1994). Assessing learning needs for breastfeeding; setting the scene. Maternal and Child Nutrition 2(4); 196-203.

[3.] Brosco, S. (1999).Knowledge, attitude and practice of breastfeeding. European Journal of Scientific Research. 4 (2): 404-422.

[4.] Chan, S.M., Nelson, E.A., Leung, B.S. (2000). ‗Breastfeeding in a longitudinal post-partum material nutrition study. Journal of Hong Kong Paediatrics.  5:466-71.

[5.] Cunningham, F.G., Macdonald P.C., Grant, N.F.(1997). Williams Obstetrics. Conn Appleton and Lange. 20:564-565.

[6.] Devareux, W. P. (1970). The adequate puerperal mastitis: Evolution of its management. American Journal of Obstetrics and Gynecology: 20(8);78-81.

[7.] Efem, S. E. (1995). Breast Abscess in Nigeria Lactational versus Non-lactational. Quarterly Journal of Medicine  40(1);25-27.

[8.] Eskstrom, A., Nissen, E. (2006). A mothers‘s feeding for her infant as strengthened by excellent breastfeeding, councelling and continuity of care. Journal of  Pediatrics., 18(2): e309­e314.

[9.] Evans, M. (1995). Incidence, prevalence and cost. Heads Journal of Mastitis: 3:65-71.

[10.]   Fetherson, C. (1998). Risk factors for lactation mastitis. Journal of Human Lactation. 14:101-109.

[11.]   Fetherson, C. (2001). Mastitis in lactating women: physiology or pathology? Breastfeeding Review. 9(1):5-12.

[12.]   Fildes, F. (1986). The education of health practitioners supporting breastfeeding women; time for critical thinking/reflection. Maternal/ Child Nutrition. 2(4); 204-216.

[13.]   Foxman, B., D‘Arcy, H., Bobo, J.K., Schwartz, F. (2002).Lactation mastitis: occurrence and medical management among 946 breastfeeding women in the United States. American Journal of Epidemiology. 155:103-114.

[14.]   Hartmann, J.R., O‘Connell, D.L., Kinlay, S. (1985). Risk facrors for masttis in breastfeeding women: results of a prospective cohort study. Australian  Journal of  Public Health 25:115-120.

[15.]   Hilson J. A., Rasmussen, K. M. (2006). Excessive weight gain during pregnancy is associated with early termination of breastfeeding. Journal ofAmerical Nutrition. 136(6);140.

[16.]   James, S.S., Dobson, P.D. (2005). Breast engorgement: patterns and selected outcomes. Journal of  Human Lactation, 10:87-93.

[17.]   Jonsson, S.,Pulkkinen, M.O. (1994). Mastitis today: incidence, prevention and treatment. Annals of Gynaecology: 208:84-87.

[18.]   Kaufmann, R., Foxman, B. (1991). Mastitis among lactating women: occurrence and risk factors. Social Science Medicine.33:701-705.

[19.]   Kjorup, S., Torhell, J. (1999).Accurate puerperal breast abscess. Journal of Obstetrics and Gynecology. 188:807-809.

[20.]   Labbok, C., Krsovec, A. (1990). Breast Abscesses in Lactating women. World Journal of Surgery. 27:130-133.

[21.]   Lowe, T. (1990). Breastfeeding; attitudes and knowledge of health practitioners. Australian Fan Physician. 19(3):392-396.

[22.]   Linda, J. H. (1995). ‗Factors related to breast abscess after delivery‘. Journal of Obstetrics and Gynaecology. 40(3):297-8.

[23.]   Mather, G.P. (1992). Lactation failure. Journal of Indian Pediatrics. 21:1541-44.

[24.]   Mathur, G. P., Chitrasonhi, S., Singh, S. B. (1992). Lactation failure. Journal of Pediatrics. 29(12);1541-4.

[25.]   McMukin, S., Malone, R. (1994). Breastfeeding; midwives personal experience. Med Midwives. 4 (5):10-12.

[26.]   Palma, E. R (2004).Common problems during Lactation and their Management. Journal of PediatricS. 80s: 1452-54.

[27.]   Sajeewa, A. (2006). Incidence of breast and nipple abnormalities among primigravid women. Sri Lanka Journal of Child Health. 35:51-4.

[28.]   Schwartz, K., D‘Arcy, H.J., Gillespi, B., Bobo, J.,Longeway, M.,Foxman, B. (2002). ―Factors associated with weaning in the first three months post-partum. Journal of Family practice. 51:439-444.

[29.]   Spock, M.D., Lowenberg, K. (1955). ‗Inadequate Brest Milk Production. Journal of Obstetrics and Gynaecolody. 870-877.

[30.]   Udani, P. M. (1979).  Researches on human milk and infant nutrition. Indian Journal of Pediatrics. 12:593:611.

[31.]   Vogel, A., Hutchison, L., Mitchell, E.A. (1999). Mastitis in the first year post-partum. International Breastfeeding Journal. 26:218-225.

[32.]   WHO Global strategy on infant feeding, 2002.

[33.]   Weighert, L.J., Wilde, L. B., Hall-Lord, M.L., Rydhstroem, H. (2005). Effects of acupuncture and care interventions on the outcome of inflammatory sypmtoms of the breast in lactating women. International Nurses Review 51:56-64.