The influence of mode of delivery on neonatal and maternal short and longterm outcomes

Abstract

OBJECTIVETo evaluate the impact of mode of delivery on breastfeeding incentive practices and on neonatal and maternal short and long-term complications.METHODSA cohort study was conducted between June 2015 and April 2016 with 768 puerperal women from 11 maternities in Sergipe, interviewed in the first 24 hours, 45–60 days and 6–8 months after delivery. Associations between breastfeeding incentive practices, neonatal and maternal, both short-term and late complications, and the exposure variables were evaluated by the relative risk (95%CI) and the Fisher exact test.RESULTSThe C-section newborns had less skin-to-skin contact immediately after delivery (intrapartum C-section: 0.18, 95%CI 0.1–0.31 and elective C-section: 0.36, 95%CI 0.27–0.47) and less breastfeeding within one hour of birth (intrapartum C-section: 0.43, 95%CI 0.29–0.63 and elective C-section: 0.44, 95%CI 0.33–0.59). Newborns from elective C-section were less frequently breastfed in the delivery room 0.42 (95%CI 0.2–0.88) and roomed-in less 0.85 (95%CI 0.77–0.95). Women submitted to intrapartum C-section had greater risk of early complications 1.3 (95%CI 1.04–1.64, p = 0.037) and sexual dysfunction 1.68 (95%CI 1.14–2.48, p = 0.027). The frequency of neonatal complications, urinary incontinence and depression according to the mode of delivery was similar.CONCLUSIONSThe C-section was negatively associated with breastfeeding incentive practices; in addition, C-section after labor increased the risk of early maternal complications and sexual dysfunction.

The Breast Feeding Adaptation Scale-Short Form: Development and Testing of Its Psychometric Properties and Measurement Invariance

“…At 24 hours postpartum, levels of prolactin and oxytocin in sera of mothers who underwent a cesarean section under general anesthesia were lower than those who had a vaginal birth [29]. Those who had a cesarean delivery had fewer instances of first breastfeeding within an hour after delivery and less frequent breastfeeding than those who had a vaginal birth [30]. Due to these advantages, mothers who had a vaginal delivery reached a more mature stage at 4 weeks postpartum, resulting in higher confidence in breastfeeding, breast milk volume, and their baby's satisfaction with breastfeeding than mothers who had a cesarean delivery.…”

Factors Influencing Uptake of Breastfeeding: The Role of Early Promotion in the Maternity Hospital

“…The reduction of the average length of stay in the hospital (2 days for vaginal delivery and max 5 days for caesarean) de-medicalized the birth event but probably reduced the time available to the mother and the baby to be accompanied in the first attempts at breastfeeding [ 36 , 56 ].…”

Neonatal near misses and associated factors among mother’s who give a live neonate at Hawassa City governmental hospitals, 2019: a facility based cross-sectional study design

“…The possible reason for this is that cesarean section delivery has increased Neonatal morbidity and mortality and also result in slow or no improvement of neonatal outcomes [22]. Also, cesarean section delivered newborns had less skin-to-skin contact with their mothers immediately after delivery and makes the neonates unable to breastfeeding within one hour of birth in turn put the neonate at greater risk of early complications [23]. Likewise cesarean section on demand sometimes could be a risk factor for prematurity, which is one of the components of pragramatic criteria.…”