“…However, this is an infrequent problem as most cesarean deliveries are performed under local anesthesia. Infants born by VD or CS can be given to their mothers for skin-to-skin contact in the operating room [9,10].…”
Objectives: Breastfeeding has positive effects for both, the mother and the infant. The purpose of the study was to examine how cesarean delivery and vaginal delivery influenced subsequent breastfeeding. The study was conducted at the Kırıkkale University Medical School.
Material and methods:Breastfeeding outcomes after an elective cesarean delivery and after a planned vaginal delivery were compared. The study included 169 consenting mothers who gave birth to healthy infants (86 cesarean deliveries and 83 vaginal deliveries) between March and September 2001. All cesarean deliveries were performed under regional anesthesia.Results: Elective cesarean delivery was performed at a significantly earlier gestational age as compared to vaginal delivery (p = 0.001). Maternal age in the planned vaginal delivery group was significantly lower (p = 0.003). As for the change in prolactin levels, the results were similar but not statistically significant (p = 0.21). The frequency of breastfeeding per day did not differ significantly between the groups (p = 0.20). However, women after cesarean delivery tended to breastfeed more often than after vaginal delivery (p = 0.003). Mean number of points recorded at the first breastfeeding session, according to the LATCH charting system, was lower in the group after cesarean delivery as compared to vaginal labor. The difference between the average point scores of vaginal delivery and cesarean delivery mothers was found to be meaningful in favor of the women after vaginal delivery (p = 0.05).
Conclusions:Elective cesarean section has negative effects on breastfeeding. Our results indicate that cesarean section constitutes a risk factor for delayed lactogenesis.
“…However, this is an infrequent problem as most cesarean deliveries are performed under local anesthesia. Infants born by VD or CS can be given to their mothers for skin-to-skin contact in the operating room [9,10].…”
Objectives: Breastfeeding has positive effects for both, the mother and the infant. The purpose of the study was to examine how cesarean delivery and vaginal delivery influenced subsequent breastfeeding. The study was conducted at the Kırıkkale University Medical School.
Material and methods:Breastfeeding outcomes after an elective cesarean delivery and after a planned vaginal delivery were compared. The study included 169 consenting mothers who gave birth to healthy infants (86 cesarean deliveries and 83 vaginal deliveries) between March and September 2001. All cesarean deliveries were performed under regional anesthesia.Results: Elective cesarean delivery was performed at a significantly earlier gestational age as compared to vaginal delivery (p = 0.001). Maternal age in the planned vaginal delivery group was significantly lower (p = 0.003). As for the change in prolactin levels, the results were similar but not statistically significant (p = 0.21). The frequency of breastfeeding per day did not differ significantly between the groups (p = 0.20). However, women after cesarean delivery tended to breastfeed more often than after vaginal delivery (p = 0.003). Mean number of points recorded at the first breastfeeding session, according to the LATCH charting system, was lower in the group after cesarean delivery as compared to vaginal labor. The difference between the average point scores of vaginal delivery and cesarean delivery mothers was found to be meaningful in favor of the women after vaginal delivery (p = 0.05).
Conclusions:Elective cesarean section has negative effects on breastfeeding. Our results indicate that cesarean section constitutes a risk factor for delayed lactogenesis.
“…[5][6] Breastfeeding is a complex practice, and is far beyond the nutritional benefits and the physiological conditions of breastfeeding. [6][7] The choice for breastfeeding may be determined by economic, social, cultural aspects and emotional, and at this point, the influence of the institutional actions of breastfeeding promotion generate less impact than to the social context in which this nursing mother is inserted. [7][8] This situation reinforces the importance of the social environment of the nurturer in its process of breastfeeding, placing it as social practice linked to historical, social and cultural determinants.…”
mentioning
confidence: 99%
“…[6][7] The choice for breastfeeding may be determined by economic, social, cultural aspects and emotional, and at this point, the influence of the institutional actions of breastfeeding promotion generate less impact than to the social context in which this nursing mother is inserted. [7][8] This situation reinforces the importance of the social environment of the nurturer in its process of breastfeeding, placing it as social practice linked to historical, social and cultural determinants. Breastfeeding should not be considered just a biological, natural process of maternal condition, but, moreover, is the women's perception of them self and the environment, that make up their relationship with their child.…”
Objetivo: conhecer as representações sociais das nutrizes adolescentes sobre amamentação. Métodos: Estudo descritivo qualitativo embasado na teoria das representações sociais, realizado em três Unidades de Saúde da Família de um município do Estado do Paraná. Foram entrevistadas nove nutrizes adolescentes por meio de entrevista semi-estruturada, sendo os dados analisados por análise temática. Resultados: Emergiram dos dados as categorias: Experiência da família como apoio para a amamentação e Amamentação como uma obrigação. Os dados explicitaram que as nutrizes adolescentes ancoram suas representações da amamentação na experiência dos familiares e representam os profissionais de saúde com postura autoritária para a promoção do aleitamento materno. Conclusão: os resultados encontrados podem subsidiar a reorientação da prática profissional de um modelo prescritivo para um cuidado crítico, criativo e dialógico, baseado nos princípios da integralidade e equidade, que abarquem as necessidades de saúde da família e da criança como sujeitos sociais.
“…Although breast-feeding initiation rates have increased substantially in most developed countries over the past several decades, early breast-feeding cessation is common and rates of exclusive breast-feeding remain low (5,6) . Many healthy breast-feeding newborns are supplemented with infant formula before leaving hospital, with rates ranging from 23 % to 82 % (7)(8)(9)(10)(11)(12)(13) . Supplements are often given for non-medical reasons (14) such as maternal fatigue, instrumental or operative deliveries, and perceived insufficient milk (7,8,11) .…”
Objective: To investigate the effect of public hospitals in Hong Kong not accepting free infant formula from manufacturers on in-hospital formula supplementation rates and breast-feeding duration. Design: Prospective cohort study. Setting: In-patient postnatal units of four public hospitals in Hong Kong. Subjects: Two cohorts of breast-feeding mother-infant pairs (n 2560). Cohort 1 (n 1320) was recruited before implementation of the policy to stop accepting free infant formula and cohort 2 (n 1240) was recruited after policy implementation. Participants were followed prospectively for 12 months or until they stopped breast-feeding. Results: The mean number of formula supplements given to infants in the first 24 h was 2·70 (SD 3·11) in cohort 1 and 1·17 (SD 1·94) in cohort 2 (P < 0·001). The proportion of infants who were exclusively breast-fed during the hospital stay increased from 17·7 % in cohort 1 to 41·3 % in cohort 2 (P < 0·001) and the risk of breast-feeding cessation was significantly lower in cohort 2 (hazard ratio = 0·81; 95 % CI 0·73, 0·90). Participants who non-exclusively breast-fed during the hospital stay had a significantly higher risk of stopping any or exclusive breast-feeding. Higher levels of formula supplementation also increased the risk of breast-feeding cessation in a dose-response pattern. Conclusions: After implementation of a hospital policy to pay market price for infant formula, rates of in-hospital formula supplementation were reduced and the rates of in-hospital exclusive breast-feeding and breast-feeding duration increased.
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