| 英文摘要 |
Background & Aim. “Inflammation” is frequently found among postpartum Pap smear. We conducted a retrospective study to explore the postpartum inflammatory Papanicolaou (Pap) test whether be affected by the breastfeeding behavior and the timing for postpartum Pap test. Methods. Postpartum women received the Pap test examination within 6 months after delivery from 2008-2010 (n=3014). All Pap test interpretation data were collected from a regional teaching hospital. Individuals who had miscarriages and whose feeding information could not be obtained were excluded. The Pap results were classified into 3 groups: normal group, non-infectious inflammation group, and infectious inflammation group. The postpartum timing receiving Pap test were category into ≤6, 6-8, 8-12, and >12 weeks. The breastfeeding methods were classified as exclusive, mixed, and formula milk. The data were further analyzed using the statistical software SPSS 21.0. Results. The Pap result of “inflammation” showed no relationship with the mode of delivery, nulliparous status and maternal age. As the postpartum examination timing increased, the rate of non-infectious inflammation decreased (≤6 weeks: 14.2%; 6‐8 weeks: 10.7%; 8‐12 weeks: 7.4%; >12weeks: 6.8%; p<0.001) and the rate of infectious inflammation increased (≤6 weeks: 1.2%; 6‐8 weeks: 1.2%; 8‐12 weeks: 2.5%; >12weeks: 3.1%; p<0.001). Comparing with the women with formula milk, the women with exclusive breastfeeding method during the study period had significant higher OR of non-infectious inflammation (OR, 95%CI: 1.54, 1.07-2.21) and lower OR of infectious inflammation (OR, 95%CI: 0.33, 0.15-0.76).Conclusion. This pilot study showed the breastfeeding methods had significant association with the Pap test result and collection timing. |
