We have located links that may give you full text access.
The association between caesarean delivery and the initiation and duration of breastfeeding: a prospective cohort study in China.
European Journal of Clinical Nutrition 2018 April 19
BACKGROUND/OBJECTIVES: Breastfeeding is of great benefit to infants and their mothers. Caesarean delivery (CD) have increased worldwide in recent years and emerging evidence has implied that CD may influence the initiation and duration of breastfeeding. However, the findings are inconsistent and intricate. The aim of this study is to illuminate the association between the CD and the initiation and duration of breastfeeding in the first 6 months postpartum.
SUBJECTS/METHODS: A total of 2058 mother-infant pairs were studied in this prospective study. Delivery information was obtained from birth records. Feeding information in the first 6 months postpartum were collected from face-to-face interviews. Logistic regression was used to explore the association between CD and the initiation and duration of breastfeeding.
RESULTS: After adjustment for potential confounders, CD was significantly associated with the unsuccessful initiation of breastfeeding [odds ratio (OR): 1.943, 95% confidence interval (CI): 1.050-3.597] and delayed initiation of breastfeeding [OR: 1.450, (95% CI: 1.041-2.019)], when compared with vaginal delivery (VD). More importantly, for mothers who had initiated breastfeeding, CD was associated with significantly higher risks of an inability to sustain full breastfeeding (OR: 1.369, 95% CI: 1.128-1.662), any breastfeeding at 3 months postpartum (OR: 1.715, 95% CI: 1.265-2.325) and any breastfeeding at 6-month postpartum (OR: 1.462, 95% CI: 1.174-1.820).
CONCLUSIONS: CD is an independent risk factor for the inability to initiate and sustain breastfeeding. It is desirable to reduce the CD rate and provide specific breastfeeding support during early postpartum period to CD mothers.
SUBJECTS/METHODS: A total of 2058 mother-infant pairs were studied in this prospective study. Delivery information was obtained from birth records. Feeding information in the first 6 months postpartum were collected from face-to-face interviews. Logistic regression was used to explore the association between CD and the initiation and duration of breastfeeding.
RESULTS: After adjustment for potential confounders, CD was significantly associated with the unsuccessful initiation of breastfeeding [odds ratio (OR): 1.943, 95% confidence interval (CI): 1.050-3.597] and delayed initiation of breastfeeding [OR: 1.450, (95% CI: 1.041-2.019)], when compared with vaginal delivery (VD). More importantly, for mothers who had initiated breastfeeding, CD was associated with significantly higher risks of an inability to sustain full breastfeeding (OR: 1.369, 95% CI: 1.128-1.662), any breastfeeding at 3 months postpartum (OR: 1.715, 95% CI: 1.265-2.325) and any breastfeeding at 6-month postpartum (OR: 1.462, 95% CI: 1.174-1.820).
CONCLUSIONS: CD is an independent risk factor for the inability to initiate and sustain breastfeeding. It is desirable to reduce the CD rate and provide specific breastfeeding support during early postpartum period to CD mothers.
Full text links
Related Resources
Trending Papers
Proximal versus distal diuretics in congestive heart failure.Nephrology, Dialysis, Transplantation 2024 Februrary 30
Efficacy and safety of pharmacotherapy in chronic insomnia: A review of clinical guidelines and case reports.Mental Health Clinician 2023 October
World Health Organization and International Consensus Classification of eosinophilic disorders: 2024 update on diagnosis, risk stratification, and management.American Journal of Hematology 2024 March 30
Anti-Arrhythmic Effects of Heart Failure Guideline-Directed Medical Therapy and Their Role in the Prevention of Sudden Cardiac Death: From Beta-Blockers to Sodium-Glucose Cotransporter 2 Inhibitors and Beyond.Journal of Clinical Medicine 2024 Februrary 27
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app