بررسی ارتباط طول مدت شیردهی با سرطان آندومتر: یک مطالعه مورد شاهدی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 مربی گروه مامایی، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

3 متخصص رادیولوژی انکولوژی، بیمارستان شهدای تجریش، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

4 استادیار گروه تغذیه، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

5 استادیار گروه آمار زیستی، دانشکده پیراپزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

6 استادیار گروه مامایی و بهداشت باروری، مرکز تحقیقات بهداشت باروری و ناباروری، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

چکیده

مقدمه: سرطان آندومتر، شایع‌ترین بدخیمی ژنیکولوژیک در کشورهای توسعه یافته است. میزان سرطان آندومتر در ایران در حال افزایش است. خطر سرطان آندومتر وابسته به سطوح استروژن است که شیردهی باعث کاهش آن می‌شود. مطالعه حاضر با هدف مقایسه طول مدت شیردهی در زنان مبتلا به سرطان آندومتر و زنان غیر‌مبتلا به سرطان آندومتر انجام شد.
روش‌کار: این مطالعه مورد شاهدی گذشته‌نگر در سال 1396 بر روی 240 زن مراجعه‌کننده به بیمارستان‌های تحت پوشش دانشگاه شهید بهشتی شهر تهران انجام گرفت. گروه مورد زنان مبتلا به سرطان آندومتر و گروه کنترل زنان غیر‌مبتلا به سرطان آندومتر بودند. جمع‌آوری اطلاعات از طریق مصاحبه و تکمیل پرسشنامه‌های مشخصات جمعیت‌شناختی، باروری، سوابق پزشکی و اطلاعات مربوط به سرطان آندومتر انجام شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 21) و آزمون‌های تی مستقل، کای دو، من ویتنی و منحنی راک انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: 24 نفر (20%) از زنان گروه مورد و 41 نفر (34%) از زنان گروه کنترل سابقه شیردهی را گزارش کردند. میانگین طول مدت شیردهی در گروه مورد 19/22±58/58 و در گروه کنترل 38/15±61/72 ماه بود. طول مدت شیردهی در گروه مورد به‌طور معنی‌داری از گروه کنترل کوتاه‌تر بود (004/0=p).
نتیجه‌گیری: زنان مبتلا به سرطان آندومتر دوره شیردهی کوتاه‌تری داشتند، لذا آموزش شیردهی باید مورد توجه مراقبت‌های پس از زایمان قرار گیرد.

کلیدواژه‌ها

عنوان مقاله [English]

Relationship between duration of breast feeding and endometrial cancer: a case-control study

نویسندگان [English]

  • Zohreh Yeganeh 1
  • Zohreh Sheikhan 2
  • Parastoo Hajian 3
  • Taraneh Esteki 4
  • Malihe Nasiri 5
  • Nahid Khodakarami 6
1 M.Sc. of Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Instructor, Department of Midwifery, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 Radiologist-Oncologist, Shohada Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 Assistant Professor, Department of Nutrition , School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
5 Assistant Professor, Department of Biostatics, School of Paramedics, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
6 Assistant Professor, Department of Midwifery and Reproductive Health, Infertility Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Endometrial cancer is the most common gynecologic malignancy in developed countries. The incidence of endometrial cancer is increasing in Iran. The risk of endometrial cancer is related to estrogen levels that breastfeeding reduces it. This study was performed with aim to compare breastfeeding duration in women with endometrial cancer and women without endometrial cancer.
Methods: This retrospective case-control study was performed on 240 women referring to the hospitals of Shahid Beheshti University of Medical Sciences, Tehran in 2017. The case group included women with endometrial cancer and the control group was women without endometrial cancer. Data was collected by interview and completion of demographic and fertility characteristics, medical records and endometrial cancer information. Data were analyzed by SPSS (version 21) and Chi-Square, independent T-Test, Mann-Whitney and ROC curve. P< was considered statistically significant.
Results: 24 women (20%) in case group and 41 women (34%) in control group reported the history of breastfeeding. The mean duration of breastfeeding in the case group was 58.58±22.19 months and in the control group were 72.61±15.38 months. The duration of breastfeeding in the case group was significantly shorter than the control group (p = 0.004).
Conclusion: Women with endometrial cancer had shorter duration of breastfeeding, so breastfeeding training must be noticed as postpartum care.

کلیدواژه‌ها [English]

  • Breastfeeding
  • Endometrial neoplasm
  • Iran

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مجله زنان، مامایی و نازایی ایران
دوره 23، شماره 8
آبان 1399
صفحه 58-65

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