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Early lactation failure and formula adoption after elective caesarean delivery: cohort study.
MedLine Citation:
PMID:  22516475     Owner:  NLM     Status:  Publisher    
ObjectiveTo investigate the effects of elective primary and elective repeat caesarean deliveries on lactation at hospital discharge.DesignCohort study.SettingFour Italian teaching hospitals - Padua, Brescia, L'Aquila and Udine.InterventionsDeliveries were classified as vaginal, elective caesarean (primary and repeat) or emergency caesarean. A total of 2296 (24.7%) infants born by caesarean section (CS), 816 of which (35.5%) classified as primary elective CS and 796 (34.7%) as repeat elective CS, were studied. Moreover, 30.2% of the elective CS deliveries took place before 39 weeks.Main outcome measuresFeeding modalities at discharge: formula, complementary and breastfeeding.ResultsAt discharge, 6.9% of the vaginal delivery mothers, 8.3% of the emergency CS mothers, 18.6% of the elective CS mothers, 23.3% of the primary CS mothers and 13.9% of the repeat CS mothers were using infant formula exclusively. Multivariate analysis (OR; 95% CI) identified primary elective delivery (3.74; 3.0 to 4.60), lower gestational age (1.16; 1.10 to 1.23), and place L'Aquila versus Udine (1.42; 1.01 to 2.09) and of Brescia versus Udine hospitals (6.16; 4.53 to 8.37) as independent predictors of formula feeding at discharge.ConclusionsThese findings provide new information about the risks of breastfeeding failure connected to elective CS delivery, particularly if primary and scheduled before 39 weeks of gestation.
Vincenzo Zanardo; Anna Pigozzo; Gary Wainer; Diego Marchesoni; Antonella Gasparoni; Sandra Di Fabio; Francesco Cavallin; Arturo Giustardi; Daniele Trevisanuto
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-19
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  -     ISSN:  1468-2052     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
1Pediatric Department, Padua University, Padua, Italy.
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