Breast health problems are rare in both HIV-infected and HIV-uninfected women who receive counseling and support for breast-feeding in South Africa.

Breast health problems are rare in both HIV-infected and HIV-uninfected women who receive counseling and support for breast-feeding in South Africa. Research Abstract Details 

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Breast health problems are rare in both HIV-infected and HIV-uninfected women who receive counseling and support for breast-feeding in South Africa. Abstract Text:

R M Bland,R Becquet,N C Rollins,A Coutsoudis,H M Coovadia,M L Newell,R M Bland,R Becquet,N C Rollins,A Coutsoudis,H M Coovadia,M L Newell,

BACKGROUND: Breast problems, including mastitis, can interfere with the duration and exclusivity of breast-feeding. However, there are no large prospective studies documenting the prevalence, duration, and timing of such problems in breast-feeding women, particularly those who are infected with human immunodeficiency virus (HIV). METHODS: Women enrolled prenatally underwent a breast-feeding counseling intervention until 6 months after delivery. Breast health problems were documented per breast for 180 days after delivery, with 14-day recall histories. RESULTS: Breast health problems were rare, and there were no significant differences between HIV-infected and HIV-uninfected women for any of the following conditions: engorgement, 39 HIV-infected women (3.5%) versus 33 HIV-uninfected women (2.7%; P=.30); breast thrush, 17 (1.5%) versus 12 (1.0%; P=.25); bleeding nipple, 6 (0.5%) versus 4 (0.3%; P=.45); and mastitis/abscess, 11 (1.0%) versus 6 (0.5%; P=.17). Most problems occurred during the first month after birth, with few additional mothers experiencing problems after this point: at 1 and 6 months, 13% and 17% of all mothers, respectively, had experienced a minor or major breast health problem, including sore nipples. Women who had not exclusively breast-fed their infants were more likely to experience any of the breast health problems than were women who had exclusively breast-fed their infants (time-dependent variable; adjusted odds ratio, 1.46; 95% confidence interval, 1.13-1.87; P=.003). HIV-infected women who experienced any serious breast health problem (i.e., bleeding nipple, pus oozing from a nipple or breast, or mastitis/abscess) were 3.55 times (95% confidence interval, 0.86-14.78 times; P=.08) more likely to transmit HIV postnatally to their infant. CONCLUSIONS: With encouragement to exclusively breast-feed, women experienced few breast health problems. When those problems did occur, HIV-infected women with bleeding nipple, pus oozing from a nipple or breast, or mastitis/abscess were more likely to transmit HIV to their infants.

Breast health problems are rare in both HIV-infected and HIV-uninfected women who receive counseling and support for breast-feeding in South Africa. Publishing Authors By Initials

RM Bland,R Becquet,NC Rollins,A Coutsoudis,HM Coovadia,ML Newell,RM Bland,R Becquet,NC Rollins,A Coutsoudis,HM Coovadia,ML Newell,

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Breast health problems are rare in both HIV-infected and HIV-uninfected women who receive counseling and support for breast-feeding in South Africa. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Clinical infectious diseases : an official publica

VOLUME: 45

Page Numbers: 1502-10

Journal Abbreviation: Clin. Infect. Dis.

ISSN: 1537-6591

DAY: 22

MONTH: 10

YEAR: 2007

Breast health problems are rare in both HIV-infected and HIV-uninfected women who receive counseling and support for breast-feeding in South Africa. Information

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LANGUAGE: eng

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AFFILIATION: Africa Centre for Health and Population Studies, Mtubatuba, KwaZulu Natal, 3935, South Africa. rbland@africacentre.ac.za

Country: United States

AGENCY: United Kingdom Wellcome T

GRANT: 063009/Z/00/2

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MEDLINETA: Clin Infect Dis

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