Risk factors for mammary candidosis among lactating women

Jimi Francis Morrill, M. Jane Heinig, Demosthenes Pappagianis, Kathryn G. Dewey

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Objectives: To document the occurrence of Candida colonization and mammary candidosis among lactating women, risk factors for Candida colonization, and the relationship between Candida colonization and breastfeeding at 9 weeks postpartum. Design: Prospective cohort study. Setting: Private practice clinic in Reno, Nevada. Participants: 100 lactating women and their infants, and 40 nonpregnant, nonlactating women (controls). Procedure: At 2 weeks postpartum, skin and milk samples were collected from the lactating women and oral samples were collected from their infants. Skin samples were collected from control subjects. All samples were cultured for Candida species. Lactating women were recontacted by phone at 9 weeks postpartum to assess infant feeding practices. Main outcome measure: Colonization with Candida species. Results: None of the control subjects tested positive for Candida colonization. Of the lactating women, 23% tested positive for Candida and 20% had mammary candidosis. Risk factors for colonization of the mother were bottle use in the first 2 weeks postpartum and pregnancy duration of > 40 weeks. Of the 100 infants, 20% tested positive for Candida. Risk factors for colonization of the infant were bottle use in the first 2 weeks postpartum and presence of siblings. Among women who tested positive at 2 weeks, 43% were still breastfeeding at 9 weeks postpartum compared to 69% of the women who did not test positive (p < .05). Conclusion: Avoidance of bottle use early postpartum may reduce the risk of mammary candidosis. Mammary candidosis is related to early termination of breastfeeding.

Original languageEnglish (US)
Pages (from-to)37-45
Number of pages9
JournalJOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing
Volume34
Issue number1
DOIs
StatePublished - Jan 2005

Fingerprint

Candidiasis
Candida
Postpartum Period
Breast
Breast Feeding
Skin
Private Practice
Siblings
Milk
Cohort Studies
Mothers
Outcome Assessment (Health Care)
Prospective Studies
Pregnancy

Keywords

  • Breastfeeding
  • Candida albicans
  • Mammary candidosis
  • Risk factors
  • Weaning

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this

Risk factors for mammary candidosis among lactating women. / Morrill, Jimi Francis; Heinig, M. Jane; Pappagianis, Demosthenes; Dewey, Kathryn G.

In: JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing, Vol. 34, No. 1, 01.2005, p. 37-45.

Research output: Contribution to journalArticle

Morrill, Jimi Francis ; Heinig, M. Jane ; Pappagianis, Demosthenes ; Dewey, Kathryn G. / Risk factors for mammary candidosis among lactating women. In: JOGNN - Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2005 ; Vol. 34, No. 1. pp. 37-45.
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