Abstract

Douglas P. Re-thinking benign inflammation of the lactating breast: Classification, prevention, and management. Women’s Health. 2022; 18. doi:10.1177/17455057221091349
Appendix 1 in this article contains errors in its representation of Witt et al.1 and Anderson et al.2 studies, in a discussion about the efficacy of Therapeutic Breast Massage in Lactation.
The Witt et al.1 study is not a Randomized Controlled Trial (RCT), but a nested case control study. It is referred to as a quasi-experimental study in the Anderson et al.2 systematic review, not as an RCT. Anderson et al.2 did not state that that “results of Witt et al.’s RCT are unreliable, because of an unusually high rate of drop-out from the intervention group.” The numbers given in the following sentence are incorrect, and wrongly attributed to Anderson et al.2: “At 2 days post-intervention, 25 out or 40 in the TBM group did not follow up, and at 12 weeks, 27 of 40 did not follow up. In contrast, the control group had a 90% retention rate.”
Witt et al.1 shows that 38 women of the intervention group of 42 completed the 2-day survey. Ninety-eight percent followed up at 12 weeks. For the nested case control of mothers with engorgement, there was 87% (13/15) follow-up at 2 days and 100% (15/15) follow-up at 12 weeks. The control group had a follow-up of 77% (56/73) at 2 days and 88% (64/73) at 12 weeks. Overall, Witt et al.1 report excellent follow-up rates for patients receiving TBML.
1. Witt AM, Bolman M, Kredit S, et al. Therapeutic breast massage in lactation for the management of engorgement, plugged ducts, and mastitis. J Hum Lact 2016; 32(1): 123–131.
2. Anderson L, Kynoch K, Kildea S, et al. Effectiveness of breast massage for the treatment of women with breastfeeding problems: a systematic review. JBI Database Syst Rev Implement Rep. 2019; 17(8): 1668–1694.
