Association between Intrapartum Interventions and Breastfeeding Duration

Abstract

Clinicians working with new breastfeeding mothers should focus on providing additional support to mothers who experience a difficult labor and birth with multiple interventions to improve their breastfeeding experiences.

The interaction of personality profile and lactation differs between mothers of late preterm and term neonates

“…Finally, we did not consider the influence of different drugs used in late preterm deliveries for labor induction and/ or augmentation that could interfere with the mechanisms for prolactin and oxytocin release in early postpartum. These factors could influence the maternal interaction with the infant and breastfeeding-related adaptations in personality profile [8,11]. These infants called ''little premature'' for a long time, have challenged clinician practice with the risk of poorer breastfeeding outcome.…”

“…High prolactin triggers a maternal response in caretaking of a baby (i.e. feeding, keeping safe, attentiveness), but evidence supporting this claim in late preterm deliveries is lacking [7,8]. Conversely, low prolactin may lead to both anxiety and low milk supply, which in turn may lead to high stress [9].…”

Association between early‐term birth and breastfeeding initiation, duration, and exclusivity: A systematic review

“…The majority of reviewed studies adjusted for the mode of birth but only two additionally adjusted for other intrapartum interventions, the use of intrapartum medications and neonatal intensive care unit admission . Intrapartum interventions are associated with a shorter duration of breastfeeding . Furthermore, early‐term infants are more likely to be admitted to the neonatal intensive care unit and have a prolonged hospitalization, both of which are also associated with early breastfeeding cessation.…”

“…27 T A B L E 3 Quality assessment of the reviewed observational studies using the Newcastle-Ottawa scale for cohort studies Intrapartum interventions are associated with a shorter duration of breastfeeding. 33,34 Furthermore, early-term infants are more likely to be admitted to the neonatal intensive care unit 3 and have a prolonged hospitalization, 4 both of which are also associated with early breastfeeding cessation. Therefore, if these variables are not adequately accounted for, differences in breastfeeding practices in early-term infants found in some studies may be related to intrapartum and postpartum experiences rather than gestational age.…”

Breastfeeding Outcomes After Oxytocin Use During Childbirth: An Integrative Review

“…Addressing this gap is possible through 2 main lines of common maternal‐infant research. First, many studies published on lactation outcomes do not address the role of oxytocin use during labor and birth or control for its use . Second, studies of labor induction or AMTSL are commonly done to compare intervention protocols, yet they rarely report lactation outcomes.…”