Breast-feeding the last born child and risk of ovarian cancer

Cancer Causes Control. 2010 Feb;21(2):201-7. doi: 10.1007/s10552-009-9450-8. Epub 2009 Nov 10.

Abstract

Conflicting reports regarding the relationship between breast-feeding and ovarian cancer risk suggest a possible influence of patterns of breast-feeding. We used logistic regression to examine breast-feeding in a large population of parous women who participated in a case-control study of ovarian cancer in New Hampshire and MA, USA. Risk of ovarian cancer was reduced in parous women who ever breast-fed (OR: 0.75; 95% CI: 0.62, 0.92), but evidence was limited for an influence of duration of breast-feeding and the number of children breast-fed. Compared to never breast-feeding, inverse associations were seen for breast-feeding all children (OR: 0.72; 95% CI: 0.58, 0.91) and for breast-feeding some children when the last born child was breast-fed (OR: 0.58; 95% CI: 0.37, 0.91). There was little evidence of reduced risk for those who breast-fed some children when the last born child was not breast-fed (OR: 0.91; 95% CI: 0.66, 1.26). Similar findings were noted in women with exactly two children and in those with two or more children. The protective influence of breast-feeding on ovarian cancer risk may be limited to women who breast-feed their last born child. These findings, which require confirmation by future studies, imply that breast-feeding resets pregnancy-related states that mediate ovarian cancer risk.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Breast Feeding / statistics & numerical data*
  • Case-Control Studies
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Logistic Models
  • Massachusetts / epidemiology
  • Middle Aged
  • New Hampshire / epidemiology
  • Ovarian Neoplasms / epidemiology*
  • Parity
  • Pregnancy
  • Prognosis
  • Risk Assessment / statistics & numerical data