Impaired lactation performance following elective delivery at term: Role of maternal levels of cortisol and prolactin

Vincenzo Zanardo, Valentina Savona, Francesco Cavallin, Donato D'Antona, Arturo Giustardi, Daniele Trevisanuto

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: Lactation performance depends on stress surrounding labor and delivery, and it is likely to be different in women who underwent elective cesarean delivery (ECD) or vaginal (VD). The aim of this study was to assess the relationship between cortisol and human prolactin (hPRL), following ECD and lactation performance, from the delivery room to the 6th month of life. Methods: A total of 106 mothers were consecutively enrolled: 38 after ECD, 28 after emergency cesarean delivery (EmCD), and 40 after VD. Results: Basal stress-, lactogenic-hormones, cortisol, and hPRL were comparable on day 3 postpartum in all the women. Multivariate analysis indicated that ECD has a negative impact (OR; 95% CI) on breastfeeding prevalence on the seventh day (0.14; 0.00.44, p0.008) and at third month post partum (0.19; 0.050.71, p0.05) in comparison to VD. In addition, hPRL levels proved to have a statistically significant role in early breastfeeding (1.01; 11.01, p0.002). Conclusions: ECD is a risk factor for successful lactation performance. This information should be provided to mothers and caregivers for extra breastfeeding guidance.

Original languageEnglish
Pages (from-to)1595-1598
Number of pages4
JournalJournal of Maternal-Fetal and Neonatal Medicine
Volume25
Issue number9
DOIs
Publication statusPublished - Sep 2012

Keywords

  • Breastfeeding
  • Cesarean delivery
  • Cortisol
  • Elective cesarean section
  • Prolactin

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

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