TY - JOUR
T1 - Elective Cesarean Delivery
T2 - Does It Have a Negative Effect on Breastfeeding?
AU - Zanardo, Vincenzo
AU - Svegliado, Giorgia
AU - Cavallin, Francesco
AU - Giustardi, Arturo
AU - Cosmi, Erich
AU - Litta, Pietro
AU - Trevisanuto, Daniele
PY - 2010/12
Y1 - 2010/12
N2 - Abstract:- Background:- Cesarean delivery has negative effects on breastfeeding. The objective of this study was to evaluate breastfeeding rates, defined in accordance with World Health Organization guidelines, from delivery to 6-months postpartum in infants born by elective and emergency cesarean section and in infants born vaginally.Methods:- Delivery modalities were assessed in relation to breastfeeding patterns in 2,137 term infants delivered at a tertiary center, the Padua University School of Medicine in northeastern Italy, from January to December 2007. The study population included 677 (31.1%) newborns delivered by cesarean section, 398 (18.3%) by elective cesarean, 279 (12.8%) by emergency cesarean section, and 1,496 (68.8%) delivered vaginally.Results:- Breastfeeding prevalence in the delivery room was significantly higher after vaginal delivery compared with that after cesarean delivery (71.5% vs 3.5%, p-<-0.001), and a longer interval occurred between birth and first breastfeeding in the newborns delivered by cesarean section (mean-±-SD, hours, 3.1-±-5 vs 10.4-±-9, p-<-0.05). No difference was found in breastfeeding rates between the elective and emergency cesarean groups. Compared with elective cesarean delivery, vaginal delivery was associated with a higher breastfeeding rate at discharge and at the subsequent follow-up steps (7-days, 3-mo, and 6-mo of life).Conclusions:- Emergency and elective cesarean deliveries are similarly associated with a decreased rate of exclusive breastfeeding compared with vaginal delivery. The inability of women who have undergone a cesarean section to breastfeed comfortably in the delivery room and in the immediate postpartum period seems to be the most likely explanation for this association. (BIRTH 37:4 December 2010).
AB - Abstract:- Background:- Cesarean delivery has negative effects on breastfeeding. The objective of this study was to evaluate breastfeeding rates, defined in accordance with World Health Organization guidelines, from delivery to 6-months postpartum in infants born by elective and emergency cesarean section and in infants born vaginally.Methods:- Delivery modalities were assessed in relation to breastfeeding patterns in 2,137 term infants delivered at a tertiary center, the Padua University School of Medicine in northeastern Italy, from January to December 2007. The study population included 677 (31.1%) newborns delivered by cesarean section, 398 (18.3%) by elective cesarean, 279 (12.8%) by emergency cesarean section, and 1,496 (68.8%) delivered vaginally.Results:- Breastfeeding prevalence in the delivery room was significantly higher after vaginal delivery compared with that after cesarean delivery (71.5% vs 3.5%, p-<-0.001), and a longer interval occurred between birth and first breastfeeding in the newborns delivered by cesarean section (mean-±-SD, hours, 3.1-±-5 vs 10.4-±-9, p-<-0.05). No difference was found in breastfeeding rates between the elective and emergency cesarean groups. Compared with elective cesarean delivery, vaginal delivery was associated with a higher breastfeeding rate at discharge and at the subsequent follow-up steps (7-days, 3-mo, and 6-mo of life).Conclusions:- Emergency and elective cesarean deliveries are similarly associated with a decreased rate of exclusive breastfeeding compared with vaginal delivery. The inability of women who have undergone a cesarean section to breastfeed comfortably in the delivery room and in the immediate postpartum period seems to be the most likely explanation for this association. (BIRTH 37:4 December 2010).
KW - Breastfeeding
KW - Cesarean section
KW - Elective cesarean delivery
UR - http://www.scopus.com/inward/record.url?scp=78649602462&partnerID=8YFLogxK
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U2 - 10.1111/j.1523-536X.2010.00421.x
DO - 10.1111/j.1523-536X.2010.00421.x
M3 - Article
C2 - 21083718
AN - SCOPUS:78649602462
VL - 37
SP - 275
EP - 279
JO - Birth
JF - Birth
SN - 0730-7659
IS - 4
ER -