Factors associated with breast disorders detected by clinical breast examination during pregnancy and six months postpartum in Ibadan, South-western Nigeria

Breast disorders (BD) during pregnancy and postpartum cause anxiety and reduce women's quality of life. The study examined BD risk factors during pregnancy and six months after delivery. Women attending antenatal clinics at 26 weeks gestation were recruited. 1248 pregnant women were followed si...

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Bibliographic Details
Published inJournal of public health in Africa Vol. 13; no. 3; p. 1812
Main Authors Odedina, Stella O, Ajayi, IkeOluwapo O, Morhason-Bello, Imran O, Adedokun, Babatunde, Huo, Dezheng, Olopade, Olufunmilayo I, Ojengbede, Oladosu A
Format Journal Article
LanguageEnglish
Published South Africa PAGEPress Publications, Pavia, Italy 07.09.2022
AOSIS
Subjects
breast disorders
longitudinal study
Original
postpartum
predictors
pregnancy
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Summary:Breast disorders (BD) during pregnancy and postpartum cause anxiety and reduce women's quality of life. The study examined BD risk factors during pregnancy and six months after delivery. Women attending antenatal clinics at 26 weeks gestation were recruited. 1248 pregnant women were followed six months postpartum. During recruitment, a validated questionnaire was used to collect participant characteristics and risk factors. Palpable lumps, inflammation, persistent pain, and abnormal nipple discharge were classified breast disorders. Statistical analysis used multiple logistic and cox regression models at p<0.05. Women with benign breast disease were more likely to develop BD (aOR = 2.63, 95% CI = 1.50-4.88). One pregnancy increases the risk of BD more than three times (aOR=0.52, 95%CI: 0.29-0.95). History of breast trauma (aHR=3.59, 95%CI: 1.40-9.17) and 3 miscarriages vs. none (aHR=2.23, 95%CI: 1.04-4.23) were also risk factors for BD. The second quartile of physical activity was associated with a lower risk of BD (aHR=0.35, 95%CI: 0.15-0.78). Women with breast trauma and miscarriage are more likely to develop breast disorders during pregnancy and six months after delivery. Our findings highlight the need for additional longitudinal research to validate these findings and plans for prevention and control. Keywords: Breast disorders, pregnancy, postpartum, predictors, longitudinal study.
Bibliography:Authors’ contributions. SOO was involved with the study design, data collection, analysis, interpretation, and drafting of the manuscript; IOA supervised data collection and participated in the study conception and design; IOM supervised data collection and participated in the study conception and design; BA supervised data analysis and participated in the study conception and design; DH supervised data analysis and participated in the study conception and design; DH supervised data analysis and participated in the study conception and design; OIO participated in the study conception and design, and supervised the implementation. All authors participated in the critical revision of the manuscript, and all authors approved its final form.
Further information. Abstract presented in part at the International Cancer Screening Network Conference (ICSN) June 2019 conference in Rotterdam, Netherlands.
How to cite this article: Odedina S.O., Ajayi I.O., Morhason-Bello I.O., Adedokun B., Huo D., Olopade O.I., Ojengbede O.A. Factors associated with breast disorders detected by clinical breast examination during pregnancy and six months postpartum in Ibadan, South-western Nigeria. Journal of Public Health in Africa. 2022;13:1812. https://doi.org/10.4081/jphia.2022.1812
Disclosures about potential conflict of interest. Authors declare no conflict of interest, except Olufunmilayo I. Olopade who is an equity stock holder of CancerIQ.
Supplementary information The online version of this article (Tables/Figures) contains supplementary material, which is available to authorized users.
ISSN:2038-9922
2038-9930
DOI:10.4081/jphia.2022.1812